Pancreatic cancer is particularly resistant to apoptosis by antineoplastic
agents, which is partly attributable to the lack of functional p53. Here we
show that E2F1 in combination with the most clinically efficient drug, gem
citabine, resulted in a strong induction of apoptosis independent of functi
onal p53, whereas the effect of either therapy atone varied between differe
nt cell lines. Intratumoral injection of a helper-dependent adenovirus vect
or expressing E2F1 plus drug treatment resulted in a significant reduction
of tumor volume. The therapeutic effect is directly correlated with the ind
uction of the p53 homologue p73, suggesting that the recently discovered E2
F1/p73 pathway plays a critical role in cancer therapy.