Enzymes are organic catalysts that speed up biological reactions. Although the majority of known enzymes are proteins, some RNA molecules, ribozymes, also display catalytic activity. Ribozymes are involved in a variety of cellular processes, but their most interesting property from the standpoint of cancer therapy is their ability to cleave messenger RNA (mRNA) molecules. When an mRNA is cleaved, it can no longer be translated to produce protein. By targeting the mRNAs encoding proteins with pathological roles in cancer, ribozymes can slow or inhibit cancerous growth.
Ribozymes possess two key regions that participate in the cleavage of mRNA. One region binds to the target RNA sequence and the other is responsible for cleavage of the target site. The binding of the ribozyme to the target involves pairing of the two RNA molecules and is very specific. This allows for the design of ribozymes directed against particular mRNA molecules. If the nucleotide sequence of an mRNA is known, a ribozyme can be designed to specifically cleave that mRNA. The results of the human genome project promise to be critical in identifying specific genes/proteins important in cancer, giving ribozyme designers many targets. By targeting particular mRNAs, ribozymes can combat specific stages of cancerous growth, including cell proliferation, drug resistance, and metastasis.
The animation below shows the binding of a ribozyme to mRNA and its cleavage of the mRNA into two pieces.
Some of the genes that have been targeted include:
ras -an oncogene that drives cancer cell proliferation(1)(2) More on ras
c-fos - encodes a protein that promotes transcription of other genes (3)
MDR1 - encodes a transmembrane protein involved in resistance to chemotherapy drugs.(4)(5) More on MDR
MMP-9 - an enzyme involved in tumor metastasis (6)
VEGFR-1 - a receptor for the vascular endothelial derived growth factor. A ribozyme treatment, Angiozyme® (RPI.4610), was the first ribozyme drug developed.(7) It was tested in kidney cancer but is no longer in clinical testing.
ANGIOZYME. was the first synthesized ribozyme to be studied in human trials. It is designed to combat the process of angiogenesis by cleaving the mRNA that produces the VEGF1 (Vascular Endothelial Growth Factor) receptor. Reduction in the amounts of this receptor should lead to the inhibition of blood vessel formation in the tumor and therefore inhibit tumor growth.
This drug was tested in clinical trials for several cancers, including breast and colon cancers. There were limitted significant toxicities related to drug use in trials and the occurrence of side effects was low. (8)Unfortunately, the clinical responses to Angiozyme were not very good. It is not currently being evaluated in clinical trials.
ANGIOZYME. is made by Sirna Therapeutics in collaboration with Chiron. They have suspended further research for the time being. (9)
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