Annals of Surgical Oncology

, Volume 17, Issue 2, pp 643–652 | Cite as

Adenoviral Oncolytic Suicide Gene Therapy for a Peritoneal Dissemination Model of Gastric Cancer in Mice

  • Yu Imamura
  • Shinji Ishikawa
  • Nobutaka Sato
  • Ryuichi Karashima
  • Kotaro Hirashima
  • Yukiharu Hiyoshi
  • Youhei Nagai
  • Yoshikatsu Koga
  • Naoko Hayashi
  • Masayuki Watanabe
  • Gen Yamada
  • Hideo Baba
Translational Research and Biomarkers



Peritoneal dissemination of gastric cancer is often refractory to systemic therapies. Although adenoviral gene therapy has been reported to be a potentially useful therapeutic modality, the adenovirus itself has a dose-limiting toxicity. A novel system was constructed using adenoviral oncolytic suicide gene therapy targeting carcinoembryonic antigen (CEA), and its therapeutic effect and the possibility to reduce the total viral dose while still preserving the antitumor effect were assessed.


Three types of adenoviruses were prepared for this novel system: (A) Ad/CEA-Cre, (B) Ad/lox-CD::UPRT for a Cre/loxP system, and (C) Ad/CEA-E1 for conditionally replicating adenovirus. The antitumor effect of the oncolytic suicide gene therapy (A + B + C) was then evaluated in vitro. Mice bearing peritoneal dissemination of human gastric cancer were treated with either this system (A + B + C) or with a tenfold viral dose of suicide gene therapy (A + B). The adverse effects in terms of hepatotoxicity were then evaluated between the two groups.


The current system (A + B + C) demonstrated significantly better cytotoxic effect for CEA-producing cell lines than did suicide gene therapy (A + B) at the same viral dose in vitro. The effect of oncolytic suicide gene therapy was almost equal to that of the tenfold viral dose of suicide gene therapy in vivo. The hepatotoxicity of the two treated groups was also found to be equivalent.


It was possible to reduce the total adenoviral dose of oncolytic suicide gene therapy while still preserving the antitumor effect.


Gastric Cancer Green Fluorescent Protein Expression Hepatotoxicity Peritoneal Dissemination MKN45 Cell 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors thank Shoko Nakata for valuable technical advice, and Hiroko Taniguchi and Kenichi Iyama for assistance in performing histological examinations.


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Copyright information

© Society of Surgical Oncology 2009

Authors and Affiliations

  • Yu Imamura
    • 1
  • Shinji Ishikawa
    • 1
  • Nobutaka Sato
    • 1
  • Ryuichi Karashima
    • 1
  • Kotaro Hirashima
    • 1
  • Yukiharu Hiyoshi
    • 1
  • Youhei Nagai
    • 1
  • Yoshikatsu Koga
    • 1
  • Naoko Hayashi
    • 1
  • Masayuki Watanabe
    • 1
  • Gen Yamada
    • 2
  • Hideo Baba
    • 1
  1. 1.Department of Gastroenterological Surgery, Graduate School of Medical SciencesKumamoto UniversityKumamoto-CityJapan
  2. 2.Center for Animal Resources and Development (CARD), Institute of Molecular Embryology and Genetics, and Global COE “Cell Fate Regulation Research and Education Unit”Kumamoto UniversityKumamoto-CityJapan

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