Abstract
We have evaluated gene transfer efficiency to tumor nodules in diethylnitrosoamine (DENA)-induced hepatocellular carcinoma (HCC) in rats using adenoviral vectors administered by three different routes: intraportal, intra-arterial and intratumoral injection. Our results showed that intraportal infusion could not transduce tumor nodules greater than 1 mm in diameter while the intra-arterial route allowed transduction of nodules up to 2–5 mm in diameter. Tumors greater than this size were resistant to transduction by intravascular route, but could be transduced by direct intratumoral injection, indicating that the obstacle preventing gene transfer to tumor cells was mainly at the level of tumor vasculature and not at the level of neoplastic cells. We have studied the extracellular matrix in tumoral lesions to assess whether nodules with different size and histological pattern have different profiles in relation to transduction efficacy. Immunohistochemical detection showed a high expression of fibronectin (FN), laminin (LN) and α-smooth muscle actin (α-SMA) in those large HCC, which were resistant to adenoviral infection. Intra-arterial infusion of vasoactive compounds (histamine, angiotensin II or nitric oxide donor nitroglycerin) before vector administration enhanced gene transfer to tumor nodules that were poorly transduced without pre-treatment. Nitroglycerin was active to enhance transduction of large tumors with trabecular or pseudoglandular histological pattern, which were impermeable to adenoviral vectors even after histamine or angiotensin treatments. Our data indicate the presence of a physical barrier between blood and neoplastic cells, which prevents transduction of the tumor by vectors given by the intravascular route. The thickness and impermeability of the barrier increases as the tumor nodule grows. Vasoactive compounds may be of value in gene therapy of liver cancer by increasing transduction efficiency by intravascularly administered vectors.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Colombo M . Hepatocellular carcinoma J Hepatol 1992 15: 225–236
Okuda K . Hepatocellular carcinoma: recent progress Hepatology 1992 15: 948–963
Liu CL, Fan ST . Nonresectional therapies for hepatocellular carcinoma Am J Surg 1997 173: 358–365
Simonetti RG, Liberati A, Angiolini C, Pagliaro L . Treatment of hepatocellular carcinoma: a systematic review of randomized controlled trials Ann Oncol 1997 8: 117–136
Venook AP . Treatment of hepatocellular carcinoma: too many options? J Clin Oncol 1994 12: 1323–1334
Qian C, Bilbao R, Prieto J . In vivo therapy of experimental hepatocellular carcinoma using a recombinant defective adenovirus expression the thymidine-kinase of herpes simplex virus. In: Rizzetto M, Purcell RH, Gerin JL, Verme G (eds) Viral Hepatitis and Liver Disease Redizioni Minerva Medica: Turin 1997 pp 537–541
Qian C et al. Gene transfer and therapy with adenoviral vector in rats with diethylnitrosoamine-induced hepatocellular carcinoma Hum Gene Ther 1997 8: 349–358
Wills KN et al. Gene therapy for hepatocellular carcinoma: chemosensitivity conferred by adenovirus-mediated transfer of the HSV-1 thymidine kinase gene Cancer Gene Ther 1995 2: 191–197
Bui LA et al. In vivo therapy of hepatocellular carcinoma with a tumor-specific adenoviral vector expressing interleukin-2 Hum Gene Ther 1997 8: 2173–2182
Cao G et al. Complete regression of established murine hepatocellular carcinoma by in vivo tumor necrosis factor α gene transfer Gastroenterology 1997 112: 501–510
Huang H et al. Gene therapy for hepatocellular carcinoma: long-term remission of primary and metastatic tumors in mice by interleukin-2 gene therapy in vivo Gene Therapy 1996 3: 980–987
Xu GW et al. Tissue-specific growth suppression and chemosensivity promotion in human hepatocellular carcinoma cells by retroviral-mediated transfer of the wild-type p53 gene Hepatology 1996 24: 1264–1268
Rajewsky F, Dauber W, Frankenberg H . Liver carcinogenesis by diethylnitrosoamine in the rat Science 1966 152: 83–85
Rajewsky MF . Changes in DNA synthesis and cell proliferation during hepatocarcinogenesis by diethylnitrosoamine Eur J Cancer 1967 3: 335–342
Peto R, Gray R, Brantom P, Grasso P . Dose and time relationships for tumor induction in the liver and esophagus of 4080 inbred rats by chronic ingestion of N-diethylnitrosoamine or N-nitrosodimethylamine Cancer Res 1991 51: 6452–6469
Arbuthnor PB et al. In vitro and in vivo hepatoma cell-specific expression of a gene transferred with an adenoviral vector Hum Gene Ther 1996 7: 1503–1514
Gérolami R et al. Enhanced in vivo adenovirus-mediated gene transfer to rat hepatocarcinomas by selective administration into the hepatic artery Gene Therapy 1998 5: 896–904
Taniguchi H, Daidoh T, Shioaki Y, Takahashi T . Blood supply and drug delivery to primary and secondary human liver cancers studied with in vivo bromodeoxyuridine labeling Cancer 1993 71: 50–55
Park YN et al. Hepatic stellate cell activation in dysplastic nodules: evidence for an alternate hypothesis concerning human hepatocarcinogenesis Liver 1997 17: 271–274
Zimmermann A, Zhao D, Reichen J . Myofibroblasts in the cirrhotic rat liver reflect hepatic remodeling and correlate with fibrosis and sinusoidal capillarization J Hepatol 1999 30: 646–652.
Grigioni WF et al. Hepatocellular carcinoma: expression of basement membrane glycoproteins. An immunohistochemical approach J Pathol 1987 152: 325–332
Grigioni WF et al. Evaluation of hepatocellular carcinoma aggressiveness by a panel of extracellular matrix antigens Am J Pathol 1991 138: 647–654
Majno G, Palade GE . Studies on inflammation. I. The effect of histamine and serotonin on vascular permeability: an electron microscopic study J Biophys Biochem Cyt 1961 11: 571–604
Khawli LA, Miller GK, Epstein AL . Effect of seven new vasoactive immunoconjugates on the enhancement of monoclonal antibody uptake in tumors Cancer 1994 73: 824–831
Nomura T, Ikezaki K, Natori Y, Fukui M . Altered response to histamine in brain tumor vessels: the selective increase of regional cerebral blood flow in transplanted rat brain tumor J Neurosurg 1993 79: 722–728
Wu Y, Cahill PA, Sitzmann JV . Decreased angiotensin II receptors mediate decreased vascular response in hepatocellular cancer Ann Surg 1996 223: 225–231
Chang D et al. Increasing hepatic arterial flow to hipovascular hepatic tumors using degradable starch microspheres Br J Cancer 1996 73: 961–965
Carter R et al. The combination of degradable starch microspheres and angiotensin II in the manipulation of drug delivery in an animal model of colorectal metastasis Br J Cancer 1992 65: 37–39
Fukumura D, Yuan F, Endo M, Jain RK . Role of nitric oxide in tumor microcirculation: blood flow, vascular permeability and leukocyte-endothelial interactions Am J Pathol 1997 150: 713–725.
Schaffner F, Popper H . Capillarization of hepatic sinusoids in man Gastroenterology 1963 44: 239–242
Ichida T et al. Subcellular abnormalities of liver sinusoidal lesions in human hepatocellular carcinoma J Submicrosc Cytol Pathol 1990 22: 221–229
Ogawa H . Scanning electron microscopy of rat liver hyperplastic nodules induced by diethylnitrosoamine Scan Electron Microsc 1982 4: 1793–1798
Tabarin A et al. Hepatocellular carcinoma developed on noncirrhotic livers: sinusoids in hepatocellular carcinoma Arch Pathol Lab Med 1987 111: 174–180
Albrechtsen R, Wewer UM, Thorgeirsson SS . De novo deposition of laminin-positive basement membrane in vitro by normal hepatocytes and during hepatocarcinogenesis Hepatology 1988 8: 538–546
Donato AF, Colombo M, Matarazzo M, Parometto F . Distribution of basement membrane componets in human hepatocellular carcinoma Cancer 1989 63: 272–279
Sell S, Ruoslathi E . Expression of fibronectin and laminin in the rat liver after partial hepatectomy during carcinogenesis and in transplantable hepatocellular carcinomas J Natl Cancer Inst 1982 69: 1105–1114
Jagirbar F et al. Fibronectin patterns in hepatocellular carcinoma and its clinical significance Cancer 1985 56: 1643–1648
Torimura T et al. The extracellular matrix in hepatocellular carcinoma shows different localization patterns depending on the differentiation and the histological pattern of tumors: immunohistochemical analysis J Hepatol 1994 21: 37–46
Nakamura S et al. Immunohistochemical studies on endothelial cell phenotype in hepatocellular carcinoma Hepatology 1997 26: 407–415
Jain RK . The next frontier of molecular medicine: delivery of therapeutics Nature Med 1998 5: 655–657
Molema G, de Leij LF, Meijer DK . Tumor vascular endothelium: barrier or target in tumor directed drug delivery and immunotherapy Pharm Res 1997 14: 2–10
Murray JC, Carmachiel J . Targeting solid tumours: challenges, disappointments and opportunities Adv Drug Deliv Rev 1995 17: 117–127
Tanaka T et al. Factors regulating tumor pressure in hepatocellular carcinoma and implications for tumor spread Hepatology 1997 26: 283–287
Nomura T, Ikezaki K, Matsukado K, Fukui M . Effect of histamine on the blood–tumor barrier in transplanted rat brain tumors Acta Neurochir Suppl Wien 1994 60: 400–402
Goldberg JA et al. Angiotensin II as a potential method of targeting cytotoxic-loaded microspheres in patients with liver metastases Br J Cancer 1991 64: 114–119
Wink DA et al. The role of nitic oxide chemistry in cancer treatment Biochemistry 1998 63: 802–809
Wink DA et al. The multifaceted roles of nitric oxide in cancer Carcinogenesis 1998 19: 711–721
Yusuf S, Collins R, MacMahon S, Peto R . Effect of intravenous nitrates on mortality in acute myocardial infarction: an overview of the randomised trials Lancet 1988 1: 1088–1092
Qian C, Bilbao R, Bruña O, Prieto J . Induction of sensitivity to ganciclovir in human hepatocellular carcinoma cells by adenovirus-mediated gene transfer of herpes simplex virus thymidine kinase Hepatology 1995 22: 118–123
Squire A, Levitt M . Report of a workshop on classification of specific hepatocellular lesion in rats Cancer Res 1975 35: 3214–3223
Craig JR, Peters RL, Edmondson HA . Primary malignant epithelial tumors. In: Hartmann WH (ed.) Tumors of the Liver and Intrahepatic Bile Ducts Armed Forces Institute of Pathology: Washington DC 1989 pp 123–184
Acknowledgements
We particularly thank Dr JL Lanciego for helpful advice in image processing and Dr Pilar Sesma for their helpful discussions We also thank Mertxe Fernández, Yolanda Azcona, Paula Garcés for their expert assistance. This work was supported in part by grant SAF 98–0146 of Consejo Interministerial de Ciencia y Tecnologa (CICYT) and by Inés Bemberg, J Vidal, Dr Cervera and M Mendez grants for Gene Therapy. RB is supported by Beca del Programa de Formación de Investigadores (Department of Education, Universities and Research of the Gobierno Vasco).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bilbao, R., Bustos, M., Alzuguren, P. et al. A blood–tumor barrier limits gene transfer to experimental liver cancer: the effect of vasoactive compounds. Gene Ther 7, 1824–1832 (2000). https://doi.org/10.1038/sj.gt.3301312
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.gt.3301312
Keywords
This article is cited by
-
Angiotensin II increases gene expression after selective intra-arterial adenovirus delivery in a rabbit model assessed using in vivo SSTR2-based reporter imaging
EJNMMI Research (2016)
-
Oncolytic viruses: a new class of immunotherapy drugs
Nature Reviews Drug Discovery (2015)
-
Systemic TNFα Gene Therapy Synergizes With Liposomal Doxorubicine in the Treatment of Metastatic Cancer
Molecular Therapy (2013)
-
Nitroglycerine use in transcatheter arterial (chemo)embolization in patients with hepatocellular carcinoma and dual-energy CT assessment of Lipiodol retention
European Radiology (2012)
-
Oncolytic adenovirus based on serotype 3
Cancer Gene Therapy (2011)