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Vol. 298, Issue 3, 934-940, September 2001
The Prostate Centre at Vancouver General Hospital, Vancouver,
British Columbia, Canada (T.Z., H.M., K.C., M.E.G.); and ISIS
Pharmaceuticals, Carlsbad, California (S.C., B.S.C., B.P.M.)
Phosphorothioate (P=S) antisense oligonucleotides (ASO) targeting the
cell survival gene clusterin synergistically enhance castration- and
chemotherapy-induced apoptosis in prostate cancer xenografts.
This study compares efficacy, tissue half-lives, and toxicity of P=S
clusterin ASO to third-generation backbone
2'-O-(2-methoxy)ethyl (2'MOE) ribose-modified clusterin
ASO. Northern analysis quantified changes in clusterin mRNA levels in
human PC-3 cells and tumors. The
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay measured effects of combined clusterin ASO plus paclitaxel on
PC-3 cell growth. Athymic mice bearing PC-3 tumors were treated with
paclitaxel plus either P=S clusterin ASO, 2'-MOE clusterin ASO, or
mismatch control oligonucleotides for 28 days. Weekly body weights and
serum parameters were measured to assess toxicity. Tissue half-life of
P=S and 2'-MOE ASO in PC-3 tumors was assessed using capillary gel
electrophoresis (CGE). Both 2'-MOE and P=S ASO decreased clusterin mRNA
levels in a dose-dependent and sequence-specific manner. 2'-MOE ASO
more potently suppressed clusterin mRNA (80 versus 40% at 500 nM)
compared with P=S ASO. IC50 of paclitaxel was equally
reduced (50-75%) by both compounds. In vivo tissue half-life was
significantly longer for 2'-MOE-modified ASO than for P=S ASO (5 versus
0.5 days). Using CGE, >90% of detected 2'-MOE ASO in tumor tissue was
full length. Weekly administration of 2'-MOE clusterin ASO was
equivalent to daily P=S clusterin ASO in enhancing paclitaxel efficacy
in vivo. 2'-MOE-modified ASO potently suppressed clusterin expression
and prolonged tissue half-lives with no additional side effects. These
results support the use of 2'-MOE-modified ASO over conventional P=S
ASO by potentially increasing potency and allowing longer dosing
intervals in clinical trials.
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