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Received for publication March 9, 2006.
Revised August 25, 2006.
Accepted for publication August 25, 2006.
A cancer in general is a multifactorial process.
Targeting a single factor may not be optimal in therapy
for single agents are limited by incomplete efficacy and
dose-limiting adverse effects. Combination
pharmacotherapy or 'drug cocktail' therapy has found its
appealing value against many diseases including cancers.
We report an innovative decoy oligodeoxynucleotides
(dODN) technology that we term complex decoy
oligodeoxynucleotides (cdODNs) in which multiple cis-
elements are engineered into single dODNs directed
attacking multiple target transcription factors,
mimicking 'drug cocktail' approach. We designed dODNs
targeting NF-
B, E2F and Stat3 separately, and a cdODN targeting NF-
B, E2F and Stat3 concomitantly. We evaluated effects of this cdODN on expression of cancer-related genes, viability of human cancer cell lines and in vivo tumor growth in nude mice. The cdODN targeting all NF-
B, E2F and Stat3 together demonstrated more than two-fold enhancement of the efficacy and two orders of magnitude increases in potency, compared with each of the dODNs or the combination of all three dODNs. The cdODN also showed earlier onset and longer-lasing actions. Most strikingly, the cdODN acquired the ability to attack multiple molecules critical to cancer
progression via multiple mechanisms leading to
elimination of regression. Real-time RT-PCR revealed
that the cdODNs knocked down expressions of the genes
regulated by the target transcription factors. The cdODN
strategy offers resourceful combinations of varying cis-
elements for concomitantly targeting multiple molecules
in cancer biological processes and opens the door
to 'one drug-multiple targets' therapy for a broad range
of human cancers.
Key words:
Stat activated transcriptional events, NFkappaB, DNA binding sites, Regulation - transcriptional, Nucleoside/Nucleotide derivatives, Oncogenes, Transcription targets
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