[CANCER RESEARCH 55, 1660-1663, April 15, 1995] Advances in Brief Use of the Stress-inducible grp78/BiP Promoter in Targeting High Level Gene Expression in Fibrosarcoma in Vivo1 Gadi Gazit, Susan E. Kane, Peter Nichols, and Amy S. Lee2 Departments of Biochemistry and Molecular Biology [G. G., A. S. L.} and Pathology [P. N.], and the Norris Cancer Center [G. G., P. N., A. S. L], University of Southern California School of Medicine, Los Angeles, California 90033-0800, and Department of Cell and Tumor Biology, City of Hope National Medical Center, Duarte, California 91010-3000 [S. E. K.I Abstract Current advances in human gene therapy open up new frontiers for molecular therapies of cancer. However, one major limitation in cancer gene therapy is the lack of a general tumor-specific promoter which allows stringent and high level expression of the therapeutic reagent in malig nantly transformed but not normal tissues. Hallmark features of solid tumors such as glucose deprivation, chronic anoxia, and acidic pH induce the glucose-regulated proteins, in particular, GRP78/BÃŒP,a A/,. 78,000 endoplasmic reticulum-localized protein with chaperone and calciumbinding properties. We report here that a truncated rat grp78 promoter with most of the distal basal elements removed can be utilized as a potent internal promoter in a retroviral vector to drive high level expression of a reporter gene in a murine fibrosarcoma model system. The stress-inducible grp78 promoter offers a novel approach for gene delivery systems targeting transcription in tumorigenic cells. Introduction Glucose deprivation, chronic anoxia, and acidic pH known to persist in solid tumors with poor vascularization induce GRPs3 (1-3). For example, GRP78, also known as BiP, is induced about 10-fold under these stress conditions, primarily through transcriptional control (1). As molecular chaperones and calcium-binding proteins localized in the endoplasmic reticulum, elevated levels of GRPs protect cells against physiological adverse conditions (4, 5). Increased GRP78 expression is detected in virus-, chemical-, and radiation-transformed cells (6). In B/C10ME tumor cells, resistance to cell-mediated cytotoxicity is mediated by GRP induction (7). During growth of a murine tumor from radiation-induced fibrosarcoma, GRPs are increased, cor relating with size of the tumor (8). Thus, GRPs are major cellular proteins specifically induced in transformed cells and in tumor envi ronments to confer a protective role in cell survival. For successful administration of gene therapy in cancer, the ability to achieve high level gene expression in a tumor-specific manner will gene expression in retroviral vectors (12). Cellular promoters from the phosphoglycerate kinase, ß-actin,and histone genes (13) have also been used as internal promoters with varying degrees of success in a number of cell lines and tissues. While these viral and cellular promoters are effective in driving high level expression, nonetheless, their effect is constitutive and cannot offer tissue- or tumor-specific selectivity. Recently, tissue-specific cellular promoters have been identified which allowed targeted gene expression in vivo. For example, a 2.5-kilobase fragment of the tyrosinase promoter stringently restricts the expression of the reporter gene in melanomas, although normal melanocytes infected with the retroviral vector will also express the reporter gene (14). In a transgenic mouse model, a 7.6-kilobase fragment of the 5'-flanking sequence DNA of the mouse fetal a-fetoprotein gene, which can be abnormally reactivated in hepatocellular carcinoma, has been exploited to direct expression of a foreign gene in liver cancers (15). Unique properties of the stress-inducible grp78 promoter suggest that it may offer special advantages for high level expression in malignantly transformed cells and a variety of solid tumors. grp78 is a single copy gene in mammalian cells, and its promoter, when fused to a reporter gene, is highly inducible by glucose-deprivation in vitro (16). While this gene is expressed at a low basal level in most tissues, the promoter elements controlling basal level expression are located upstream with the stress-response ele ments residing within 155 base pairs proximal to the TATA element (17). We report here that a truncated grp78 promoter with most of the distal basal elements removed can be utilized as a potent internal promoter in a retroviral gene delivery system to drive high level expression of a marker gene in a murine fibrosarcoma B/CIOME system. Materials and Methods be extremely useful since it could alleviate the need for precise targeting of the gene delivery system (9). Current efforts in designing promoters in gene delivery systems have focused mainly on using strong viral and cellular promoters to drive the expression of the foreign gene. Commonly used viral promoters include Moloney mu rine leukemia virus and HaMSV enhancer/promoter, both located in the retrovirus LTR (10, 11). A potent viral promoter derived from cytomegalovirus is used widely as an internal promoter to enhance Received 2/9/95; accepted 3/2/95. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. ' Supported in part by NIH Grants CA27607 (A. S. L.) and CA59308 (S. E. K.). G. G. is a recipient of the NIH predoctoral fellowship T32 CA09569. 2 To whom requests for reprints should be addressed, at Norris Comprehensive Cancer Retroviral Construction. To construct pHaMAGRP.neo, PCR amplifica tion was used to obtain a fragment of the grp78 promoter spanning nucleotides -599 to +33 (18), with a Mlul site at its 5' end and a Sail site at its 3' end. The PCR fragment was cloned into the Mlul-Sall sites of pHaMA, which is described elsewhere (19) and which contains the MDR\ gene as a selectable marker. A cDNA encoding the bacterial neoR gene flanked by Sail and Xhol sites was then inserted into the Sail site downstream of the grp78 promoter. For pHaMASV.neo, a Mlul-Sall fragment carrying the SV40 early promoter/ enhancer (20) was removed from vector pSKl.MDR (21) and cloned into the same sites of pHaMa. The neo cDNA was inserted as above. Retroviral Production and Titering on NIH3T3 Cells. NIH3T3 cells were maintained in DMEM containing 10% bovine serum (Irvine Scientific), 5 mM glutamine, 50 units of penicillin/ml, and 50 ^tg of streptomycin/ml. GP+E86 and GP+envAml2 cells (kindly provided by A. Bank) were main tained in the same medium but with 10% fetal bovine serum. Plasmids pHaMAGRP.neo and pHaMASV.neo were transfected into GP+E86 ecotropic packaging cells (22) by the CaPO4-DNA coprecipitation method. Cells were Center, University of Southern California School of Medicine, P.O. Box 33800, 1441 Eastlake Avenue, Los Angeles, CA 90033-0800. 3 The abbreviations used are: GRP, glucose-regulated proteins; LTR, long terminal selected in the presence of 20 ng/ml colchicine (Sigma Chemical Co., St. Louis, MO) as described previously (21), and drug-resistant cells were pooled repeat; HaMSV, Harvey murine sarcoma virus. and grown to 80% confluence. Fresh medium lacking colchicine was added to 1660 Downloaded from cancerres.aacrjournals.org on July 8, 2017. © 1995 American Association for Cancer Research. IN VIVO FIBROSARCOMA GENE TARGETING the cells, and viruses were collected after 20-24 h. Ecotropic viruses were used BY GRP78 PROMOTER Results and Discussion to transduce the GP+envAml2 amphotropic packaging cell line (23), trans duced cells were selected in 20 ng/ml colchicine, and viruses were collected as above. Amphotropic virus supernatants were titered on NIH3T3 cells and determined to be 3.6 X IO4 colony-forming units/ml for pHaMAGRP.neo and 5.6 X IO4 colony-forming units/ml for pHaMASV.neo. Retroviral Transduction. B/C10ME cells were grown in high glucose DMEM containing 4.5 mg/ml glucose supplemented with 10% PCS and 2 mM glutamine. Cells (5 X 10") were plated on 60-mm dishes. On day 1, the medium was changed with the addition of 8 fxg/ml polybrene. The cells were infected with the virus at a multiplicity of infection of 1 for 48 h. On day 3, the cells were trypsinized and replated at 1:4 in growth media containing 60 ng/ml colchicine for the selection of MDRl gene expression. On day 12, the surviv ing cells were pooled and expanded. RNA Isolation and Northern Blot Analysis. Transduced or nontransduced B/C10ME cells were plated on 15-cm dishes and grown to 80% confluency. For glucose starvation treatment, the cells were changed to glu cose-free media with 10% dialyzed PCS and 2 mM glutamine and incubated for 30 h prior to RNA extraction. Conditions for total cytoplasmic RNA isolation, gel electrophoresis, and blot hybridization with the grp78 probe have been described (24). The neo probe, containing 1 kilobase of the coding region of the neomycin resistance gene, was generated by digesting the pNEO3 plasmid (16) with Bglll and Smal. The 1-kilobase band was isolated from a low melting point agarose gel and hexamer labeled (25) to a specific activity of 6.5 X IO7 cpm/jxg. The grp78 probe was generated by hexamer labeling the p3C5 plasmid. The specific activity of the grp probe was 5.2 X IO8 cpm/ng. The autoradiogram was quantitated by an LKB ultroscan XL densitometer. Tumor Generation. Approximately 3 x IO7 transduced B/C10ME cells grown in culture were injected s.c. into a BALB/c mouse and allowed to form tumors. After 3 weeks, tumors were dissected and immediately placed in 4% paraformaldehyde for 24 h at 4°C.The tumors were then transferred to a 0.5-M sucrose solution (in PBS) at 4°C.After 24 h, the tumors were frozen and cut at 7-fim thickness in a cryostat, and sections were mounted on slides coated previously with a 2% 3-aminopropyl-triethoxysilane solution in acetone and stored at -70°C. In Situ Hybridization. Slide sections were fixed in 4% paraformaldehyde (in PBS, pH 7) for 30 min at room temperature. Sections were then sequen tially rinsed 3 times in PBS for 10 min. Afterward, slides were rinsed in RNase-free water for 1 min. Next, sections were placed in 0.1 M triethanolamine for l min (pH 8). To 200 ml of 0.1 M triethanolamine, 0.5 ml of acetic anhydride was added and slides were rinsed in this solution for 10 min. Slides were then rinsed in RNase-free water for 1 min, dehydrated with a series of ethanol concentrations (30, 50, 70, 85, 95, and 100%), and air dried. The in vi/ro-transcribed probes were generated as follows: a 3-kilobase grp78 hamster cDNA EcoRV/Sall fragment was subcloned into the corresponding sites of the pBS plasmid flanked by T7 and T3 promoters. Prior to the in vitro transcription reaction, the gip subclone was digested with Pvull to generate a 0.95-kilobase fragment which was transcribed as a probe. The grp antisense and sense probes were generated by using T7 and T3 polymerases, respectively, in the presence of [35S]UTP to yield the RNA probes. The grp antisense and sense probes are both 950 base pairs long. To generate the neo probe, pNEO3 was digested with Pstl to generate a 0.92-kilobase fragment of the neomycin resistance genecoding sequence. This 0.92-kilobase fragment was subcloned into the Pst] site of pBS plasmid adjacent to a T7 and T3 promoter. T3 and T7 polymerases were used to yield the antisense and sense RNA probes, respectively. All the probes had a specific activity of about 1.0 X IO6 cpm/ng of RNA. Two to three Retroviral vectors enabling us to compare directly grp78 as an internal promoter to the well characterized SV40 viral promoter were prepared. As shown in Fig. 1, this set of retroviral vectors contained the human multidrug resistance gene MDRl gene driven by the HaMSV LTR. MDRl is a dominant, selectable, and amplifiable marker that allows selection of the transduced cells by colchicine (21). The neomycin resistance gene (neo) was used as a reporter gene driven by either the grp78 or the SV40 promoter. In the pHa MAGRP.neo retroviral vector, the rat grp78 promoter fragment con tained 632 base pairs upstream of the transcription initiation site. While it contained some residual basal elements, the stress-inducible regulatory elements located in two critical regions spanning -155 to -135 and -95 to -85 were fully retained (26, 27). The pHaMASV.neo vector was identical to the GRP vector except that it contained 340 base pairs of the immediate early SV40 promoter. The B/C10ME cells were transduced with the retroviral vectors carrying either the grp78 or the SV40 promoter driving neo. These cells were chosen as recipients since they could form fibrosarcomas when injected s.c. into BALB/c mice. Further, the induction of GRP78 by various stress conditions is well documented in these cells (7). The transduced cells were selected by their MD/?l-mediated resistance to colchicine, the expression of which was driven by the HaMSV LTR. The two populations of transduced cells expressed equal levels of colchicine resistance. Further, this provided an unbiased selection since the level of colchicine resistance was not determined by the relative strengths of the internal grp78 or SV40 promoters being tested in these experiments. The transduction efficiency was high as esti mated by the high fraction (~80%) of transduced cells which survived the colchicine selection. The resistant cells were pooled and ex panded, and integration of the provirus was confirmed by PCR (data not shown). The two populations of transduced cells showed equiv alent copy number of the integrated neo gene. To measure the relative levels of neo expressed from the grp78 and SV40 promoter, total cytoplasmic RNA was extracted from B/C10ME cells and from the same cells transduced with vHaMAGRP.neo or vHaMASV.neo virus. Prior to RNA extraction, the subconfluent cells were cultured for 30 h either in normal medium containing 4.5 mg/ml glucose or in glucose-free medium, neo and endogenous grp78 mRNA were measured by Northern analysis (Fig. 2A). Equal amounts of RNA were loaded on each lane, and based on the strong induction of the endogenous grp78 RNA in the glucose starved samples, it was evident that the transduced cells were being stressed. Our results indicated that the level of neo mRNA driven by the internal grp78 promoter was induced 8-fold under glucose starvation conditions (Fig. 2B). In contrast, the level of neo mRNA driven by the SV40 promoter remained at the same low level under both culture conditions. The level of the longer neo-containing transcript driven by the HaMSV LTR in both the grp78 and the SV40 constructs was also low and not pHaMAGRP.neo ng of RNA probe were used per slide for hybridization. The probes and slides were incubated at 50°Cfor 3 h in a moist chamber in a hybridization solution containing 50% formamide, 4X SSC, 5X Denhardt's, 1% SDS, 10% dextran LTRMDR sulfate, and 250 /xg/ml tRNA. Slides were then soaked in 20 mM DTT/4X SSC for 10 min and placed in RNase digestion buffer for 30 min at 37°C(5 M NaCl-1 M Tris, pH 8-0.5 M EDTA-10 mg/ml RNase A). The slides were then washed overnight in 2x SSC/0.02 M ß-mercaptoethanol. The following day, slides were washed for 1 h in 0.1 X SSC at 60°C.For high stringency wash, the slides were further incubated at 70°Cfor 1 h in 50% formamide, 0.5 M NaCl, 5% sodium phosphate, 0.2 M ß-mercaptoethanol, and 1% SDS. All sides were dehydrated with a series of ethanol concentrations dried, and exposed to film. (30, 70, 95, and 100%), air pHaMASV.neo LTRMDR ¡.TO Fig. 1. Schematic drawing of the retroviral vectors. In both vectors, the human MDR gene was driven by the Harvey murine sarcoma virus LTR. The pHaMAGRP.neo contains 632 base pairs of the rat grp78 promoter driving the expression of the neomycin resistance gene (neo). The pHaMASV.neo contains 340 base pairs of the SV40 promoter. 1661 Downloaded from cancerres.aacrjournals.org on July 8, 2017. © 1995 American Association for Cancer Research. IN VIVO FIBROSARCOMA Fig. 2. RNA blot analysis of neo and grp78 mRNA levels in B/C10ME cells. A, B/C10ME cells were stably transduced with vHaMAGRP.neo (GRP.neo) or vHaMASV.neo (SV.neo). The cells were grown in either normal medium (+) or glucosestarved (GS) for 30 h prior to total cytoplasmic RNA extraction. Each lane contained 15 /J.g of RNA. The RNA blots were hybridized with either neo or grp78 probes. The autoradiograms are shown. The posi tions of the transcript driven by the viral LTR [neo (LTR)] and the internal promoter [neo (int.)] are indicated. Both transcripts contain neo sequences, although only the internal one is used for translation of the neo gene. Shown below are the endogenous grp78 mRNA levels in the corresponding RNA samples. B, quantitation of the neo (int.} mRNA levels in the B/C10ME-transduced cells (GRP.neo and SV.neo). The neo (int.) band intensities in A were scanned by laser densitometry. The level of neo (int.) in the GRP.neo cells grown under normal culture conditions {+) was set as 1. This value was used for the normalization of the other neo (int.) levels in the transduced cells grown either in glu cose-containing (+) or glucose-free media under glucose starvation conditions (GS). GENE TARGETING BY GRP7H PROMOTER B 10 0_ Å’ O + GS D. OC o + «neo (LTR) «neo (int.) ce E o <D C «grp78 + GS + GS Fig. 3. In situ hybridizations of tumor sections. A, Tumors derived from B/C10ME cells stably trans duced with vHaMASV.neo (Sections 1 and 2) or vHaMAGRP.neo (Sections 3 through 5) after s.c. injection in BALB/c mice were sectioned and hy bridized to [35S]UTP-labeled probes to detect the B endogenous grp78 mRNA (7K) level or background (bkg) hybridization as indicated on top. Sections 1, 2, and 3 were subjected to a high stringency wash, ß, sections of tumors derived from vHaMAGRP.neotransduced cells were hybridized with either [35S]UTP-labeled neo (grp/neo) probe or sense probe to detect background (bkg) as indicated on lop. Two sample slides are shown. C, sections of tumors derived from vHaMASV.neo-transduced cells were hybridized with the probes as indicated on top. Two sample slides are shown. SV/neo bkg SV/neo bkg inducible by glucose deprivation (Fig. 24). Quantitation of the neo HaMSV LTR and the SV40 promoter, and (b) while both HaMSV and SV40 promoters were nonresponsive to glucose-stressed conditions, mRNA driven by the internal promoters showed that the grp78 pro moter had a 2-fold lower basal activity than the SV40 promoter (Fig. the internal grp78 promoter was able to confer high inducibility to the 2ß). The low basal activity of the truncated grp78 promoter could be reporter gene. To examine whether the enhanced neo expression in glucoseattributed to the deletion of much of the upstream enhancing sequence from the native promoter (18). Low basal level under normal growth starved cells in vitro could be reproduced in a tumor microenvironconditions is important because an optimal promoter for tumor-spe ment in vivo where glucose supply might be limiting, B/C10ME cells cific expression would require that the promoter be suppressed in stably transduced with vHaMAGRP.neo and vHaMASV.neo were normal cells. Thus, the truncated grp78 promoter exhibited the desir injected s.c. into BALB/c mice. After 3 weeks, progressively growing able properties that (a) its basal level was lower than that of the tumors (size, ~20 mm) were harvested and sectioned. In situ hybrid1662 Downloaded from cancerres.aacrjournals.org on July 8, 2017. © 1995 American Association for Cancer Research. IN VIVO FIBROSARCOMA izations were performed with [35S]UTP-labeled "antisense" GENE TARGETING RNA BY GRP78 PROMOTER References probes able to detect endogenous grp78 and neo mRNA. To monitor for background hybridizations, equivalent sections were hybridized with the corresponding "sense" probes labeled to equal specific ac tivities. Previously, with the use of RNA blots, it has been shown that grp78 mRNA levels are elevated in radiation-induced fibrosarcoma tumors, correlating with the size of the tumors (8). Here, using in situ hybridization, we observed strong hybridization of the grp78 probe to the tumor sections, in contrast to the uniform low background ob tained with the control probe (Fig. 3A, compare sections 4 and 5). The level of grp78 was much lower in the muscle sections surrounding the tumor (data not shown). Upon a higher stringency wash, we detected pockets of higher intensity grp78 mRNA levels in localized, center regions of the tumor (Fig. 3A, Sections 1-3). Similar results were observed with the neo probe in tumors derived from pHaMAGRP.neo-transduced cells, neo expression was much enhanced at or near the center of the fibrosarcoma, and the overall neo level was higher than that of the background control (Fig. 3B), suggesting that the internal grp78 promoter in the retroviral vector was effective in conferring similar inducibility to the reporter gene. The neo mRNA levels in cells transduced with the SV40 internal promoter were uniformly low. Their levels were comparable to, or at best, minimally higher than that of the background control (Fig. 3C), showing low SV40 promoter activity in these tumor environments. Microscopic examination revealed that the fibrosarcomas derived from vHaMAGRP.neo and vHaMASV.neo tumors were similar in appear ance (data not shown). Within the central portion of the tumors were areas of necrosis associated with polymorphonuclear leukocytes. Thus, the enhanced neo expression in these regions in the vHaMAGRP.neo tumors strongly suggests that the cells were expe riencing a stress response resulting in the specific activation of the grp78 promoter but not of the SV40 promoter. These combined results demonstrate that a 600-base pair subfrag ment of the grp78 promoter, as an internal promoter within a HaMSV/ MDR\ retroviral vector, is able to confer high level expression of a reporter gene in a murine fibrosarcoma in vivo. Unlike other viral or cellular promoters which express constitutively in normal and malig nant cells, the stress-inducible grp78 promoter offers a novel approach for targeted gene therapy for tumors in vivo. The truncated grp78 promoter described here may be useful to express a wide range of therapeutic reagents in retroviral vectors or other gene delivery sys tems in a variety of malignantly transformed cells and tumors which exhibit properties of increased glucose utilization and anaerobic glycolysis. Possible applications could include the expression of tumor suppressor genes, foreign MHC genes, or cytokines (28, 29) to induce cell death or inflammation at the site of a progressively growing tumor, leading to systemic immunity against metastasized tumor cells. Since most anticancer agents are extremely toxic when expressed at high levels in normal cells, the discovery of a candidate promoter, such as that of grp78, with stringently enhanced expression in a tumor environment, could advance cancer gene therapy. By coupling the grp78 promoter to a delivery system which can effectively target tumor cells, the cumbersome and expensive requirement for near absolute targeted tumor delivery will be alleviated. Acknowledgments We thank Dr. GüntherDennert for helpful discussions and assistance in s.c. injection. Colin Jamora and Mariane Metz provided excellent technical assist ance. We are grateful to Xiaomei Cui and Dr. Charles Schuler for tumor sectioning. We thank Drs. W. 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USA, 90: 4645-4649, 1993. 29. Culver, K. W. Clinical application of gene therapy for cancer. Clin. Chem., 40: 510-512, 1994. 1663 Downloaded from cancerres.aacrjournals.org on July 8, 2017. © 1995 American Association for Cancer Research. Use of the Stress-inducible grp78/BiP Promoter in Targeting High Level Gene Expression in Fibrosarcoma in Vivo Gadi Gazit, Susan E. Kane, Peter Nichols, et al. Cancer Res 1995;55:1660-1663. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/55/8/1660 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. 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