# Patent

## Title
Sensizitation of cancer cells to therapy using siNA targeting genes from the 1p and 19q chromosomal regions

## Abstract

The invention relates to the identification of genes involved in resistance of cancer cells to therapy, to short nucleic acid molecules which inhibit the expression of these genes by RNA interference and to their use as adjuvant in cancer therapy, to sensitize cancer cells to conventional anticancer agents; the short nucleic acid molecules are double-stranded short interfering nucleic acid molecules including a sense and an antisense region, wherein the sense region includes a nucleotide sequence that is selected from the group consisting of: the sequences SEQ ID NO: 15, 11, 13, 14, 30, 31, 38, 46, 64 and 70 and the sequences having at least 70% identity, preferably at least 80% identity, more preferably at least 90% identity with the sequences, and the antisense region includes a nucleotide sequence that is complementary to the sense region.

## Background
The invention relates to the identification of genes involved in resistance of cancer cells to therapy, to short nucleic acid molecules which inhibit the expression of these genes by RNA interference and to their use as adjuvant in cancer therapy, to sensitize cancer cells to conventional anticancer agents.
Gliomas are the most prevalent primary brain tumours. Among them, astrocytomas are a notable source of preoccupation in oncology because their incidence continually increases in industrialized countries (Ohgaki, H. and Kleihues, P., Acta Neuropathol., 2005, 109, 93-108) and, above all, their prognostic is pessimistic because they are refractory to even the most aggressive therapy. For example, median survival time in a patient with glioblastoma multi-form (GBM), the worst grade of astrocytoma, is between 6 to 15 months after diagnosis (Chinot, O. et Martin, P. M., Biologie des tumeurs cérébrales gliales, 1996, Montpellier, France). Standard treatment is surgery followed by radiotherapy and chemotherapy. Recently, a large phase III study demonstrated that temozolomide (Temodal®) therapy associated to radiotherapy provided a modest 3 months increase survival in glioblastoma (Stupp et al., N. Engl. J. Med., 2005, 352, 987-996).
Numerous works have addressed the chemoresistance as the principal cause of therapeutic fail (Harris, A. L., Int. J. Radiat. Biol. Relat. Stud. Phys. Chem. Med., 1985, 48, 675-680).
Contrasting with astrocytomas, oligodendrogliomas have a dramatic chemosensitivity (Perry et al., Arch. Neurol., 1999, 56, 434-436) resulting in a median survival of 10 years after medical management. Oligodendroglioma response to chemotherapy has been correlated with the loss of heterozygosity (LOH) on 1p and 19q chromosomal arms (Cairncross et al., J. Natl. Cancer Inst., 1998, 90, 1473-1479) with a common chromosomic area including 1p32-36 and 19q13.2-4 (Smith et al., Oncogene, 1999, 18, 4144-4152).
The major part of studies addressing the chemoresistance of astrocytomas concerned drug efflux mechanisms. However, the data are scattered and conflicting (Ashmore et al., Anticancer drugs, 1999, 10, 861-872). Expression of MDR-1 P-glycoprotein (P-gp), a protein associated with MDR, was not preferentially detected in resistant gliomas (Demeule et al., Int. J. Cancer, 2001, 93, 62-66). Moreover, MDR-type drug resistance in glioma cell lines results of long-term culturing, and in vivo, only cerebral endothelium induces this mechanism (Bahr et al., Brain Pathol., 2003, 13, 482-494). Finally, MDR-related genes were not located in the common 1p/19q deletion.
The correlation between 1p/19q LOH and oligodendrogliomas chemosensitivity strongly suggests that the reduction of global expression of some genes in the common region of deletion could be responsible for the observed chemosensitivity.
An adjuvant treatment targeting these genes could increase the chemosensitivity of cancer cells.
The completion of human genome sequencing provides the opportunity to investigate potential candidates among the 1,700 genes located in the 1p/19q LOH region.
Some studies have focused the search on genes with potential oncogenic properties, which inactivation would lead to oligodendroglioma oncogenesis but no convincing results were obtained to date.
Numerous genes located in the 1p/19q chromosomal regions (LOH regions) could have potential impact on drug resistance, including those involved in drug efflux systems, metabolism, apoptosis, cell-cycle regulation and DNA-repair.
To date, the correlation between gene expression and drug resistance has been demonstrated for two genes of the Nucleotide Excision Repair (NER) system, extensively studied in cancer cells: the ERCC1 and ERCC2 genes. Furthermore, a functional involvement of these genes in drug resistance has been established for the ERCC1 gene only.
Chemotherapy drugs commonly employed, such as PCV regimen (procarbazine, lomustine or CCNU, and vincristine), cisplatin, fotemustine, or temozolomide, are DNA-alkylating molecules. These drugs damage DNA leading cells to apoptosis. Cells can correct chemotherapy-induced alterations thanks to various DNA-repair mechanisms (Li et al., Anticancer Res., 2000, 20, 645-652; Wu et al., Clin. Cancer Res., 2003, 9, 5874-5879) and thus overcome treatment. This phenomenon is responsible for chemoresistance (Bosken et al., J. Natl. Cancer Inst., 2002, 94, 1091-1099).
A major role of ERCC1 in reparation of DNA alterations related to alkylating chemotherapy has been reported (Chaney S. G. & Sancar A., J. Natl. Cancer Inst., 1996, 88, 1346-1360; Li et al., Anticancer Res., 2000, 20, 645-652). Suppression of ERCC1 expression in vitro by antisense or siRNA technology, leads to a decreased repair activity and an increased sensitivity of cultured cell lines to platinum-based anticancer agents (Selvakumaran et al., Cancer Res., 2003, 63, 1311-1316; Youn et al., Cancer Res., 2004, 64, 4849-4857; Chang et al., Biochem. Biophys. Res. Commun., 2005, 327, 225-233).
ERCC2 (XPD) expression has been correlated with resistance to alkylating compounds in numerous cell lines (Chen et al., Ai Zheng, 2002, 21, 233-239; Xu et al., Anticancer drugs, 2002, 13, 511-519), comprising glioma cell lines (Chen et al., Neurosurgery, 1998 42, 1112-1119) and it has been reported that its overexpression increased DNA repair in glioma cell lines (Chen et al., Chin. Med. J., 2003, 116, 1171-1174). However, a functional involvement of ERCC2 in drug resistance has not been established.
RNAi interference is the process where the introduction of double-stranded RNA into a cell inhibits gene expression in a sequence dependent fashion (reviewed in Shuey et al., Drug Discovery Today, 2002, 7, 1040-1046). RNAi has been observed in a number of organisms such as mammalian, Drosophila, nematodes, fungi and plants and is believed to be involved in anti-viral defense, modulation of transposon-activity and regulation of gene expression. RNAi is usually described as a post-transcriptional gene-silencing mechanism in which dsRNA triggers degradation of homologous messenger RNA in the cytoplasm. Target recognition is highly sequence specific since one or two base pair mismatches between the siRNA and the target gene will greatly reduce silencing effect. The mediators of RNA interference are 21- and 23-nucleotide small interfering RNAs (siRNA). In a second step, siRNAs bind to a ribonuclease complex called RNA-induced silencing complex (RISC) that guides the small siRNA to its homologous mRNA target. Consequently, RISC cuts the mRNA approximately in the middle of the region paired with the antisens siRNA, after which the mRNA is further degraded. Therefore, the use of exogenous siRNA holds great promise as a new tool for mammalian functional genomics and may also have future applications as gene-specific therapeutics.
Using siRNA technology, the inventors have established that four other genes involved in DNA repair (MUTYH, PNKP, POLD1, and RUVBL2) and two genes encoding P450 cytochrom isoforms (CYP2A6 and CYP4B1) are also involved in astrocytomas chemoresistance. In addition, the inventors have established, for the first time that ERCC2 is functionally involved in drug resistance.
MUTYH which belongs to the Base Excision Repair (BER) system is known to repair 8-oxo-7,8-dihydro2′deoxyguanosine (8-oxodG) caused by oxidation. MUTYH mutations and variants were associated with development of multiple colorectal adenomas and cancers (Chow et al., Lancet Oncol., 2004, 5, 600-606). PNKP, also belonging to the BER system, was shown to be involved in repairing DNA strand breaks caused by reactive oxygen species, ionizing radiations or alkylating agents (Whitehouse et al., Cell, 2001, 104, 107-117; Chappell et al., EMBO J., 2002, 21, 2827-2832). It has been related to susceptibility to genotoxic agents but not to chemoresistance (Rasouli-Nia et al., P.N.A.S., 2004, 101, 6905-6910). POLD1 is known to be involved in NER and NMR (Nucleotide Mismatch Repair) systems, while RUVBL2 is known to be involved in homologous recombination; these proteins have neither been related to chemosensitivity. The cytochrome P450 isoforms CYP2A6 and CYP4B1 are known as activators of carcinogenic aromatic amines, and represent possible risk factors for tobacco-related and bladder cancers in human (Kamataki et al., Biochem. Res. Comm., 2005, Sep. 19; Imaoka et al., Biochem. Res. Comm., 2000, 277, 776-780): they have neither been related to chemosensitivity.
The inventors have engineered siRNA which efficiently inhibit the targeted genes expression and significantly sensitize astrocytoma cells to chemotherapy.
These siRNAs are useful as adjuvant in cancer therapy, to sensitize cancer cells to chemotherapy and radiotherapy.
Therefore, the invention relates to a double-stranded short interfering nucleic acid (siNA) molecule comprising a sense and an antisense region, wherein the sense region comprises a nucleotide sequence that is selected from the group consisting of: the sequences SEQ ID NO: 11, 13, 14, 15, 30, 31, 38, 46, 64 and 70 and the sequences having at least 70% identity, preferably at least 80% identity, more preferably at least 90% identity with said sequences, and the antisense region comprises a nucleotide sequence that is complementary to the sense region.
The siNA molecules according to the invention target seven genes (ERCC2, MUTYH, PNKP, POLD1, RUVBL2, CYP2A6 and CYP4B1) of the chromosomic regions 1p32-36 and 19q13.2-4 (loss of heterozygosity regions or LOH region) which are all involved in resistance of cancer cells to chemotherapy and/or radiotherapy. The siNA molecules according to the invention are able to down regulate the expression of the ERCC2, MUTYH, PNKP, POLD1, RUVBL2, CYP2A6 or CYP4B1 genes (target genes) by RNA interference and thereby increase the sensitivity of cancer cells to conventional anticancer agents. Thus the siNA molecules according to the present invention potentiate the cytotoxic effect of chemotherapy/radiotherapy on cancer cells.
The resistance of cancer cells to an anticancer agent may be evaluated by a resistance index (RI) corresponding to the proportion of a cell population that survived to treatment with said anticancer agent. It is calculated as follows: cell number with anticancer agent treatment/cell number in control condition.
The sensibilization effect mediated by the siNA according to the present invention, may be evaluated by the siNA-induced drug sensibilization index (DS) which corresponds to the cell population (%) that survived to a simple treatment with an anticancer agent but died in response to the same treatment with an siNA transfection. It is calculated as follows: (RIcontrol siNA−RItarget siNA)/RIcontrol siNA×100; the target siNA is directed to the resistance gene and the control siNA is directed to a gene which is not involved in resistance to anticancer therapy.
Both indexes may be determined by any assay that measures cell viability, which is well-known in the art, such as for example a MTT assay.
Confirmation that the sensitization effect is mediated by inhibition of the target gene expression may be assayed by any RNA or protein analysis technique, which is well-known in the art (Northern-blot, Western-blot, quantitative RT-PCR).
The siNA molecules according to the invention are defined by reference to the human ERCC2, MUTYH, PNKP, POLD1, RUVBL2, CYP2A6 or CYP4B1 gene sequences (Table I); the target sequence corresponds to the portion of the mRNA which is complementary to the antisense region of the siNA molecule.







TABLE I







Genes targeted with the siNA













GenBank





Target
accession
Target




gene
number
sequence
positions






ERCC2
NM_000400
SEQ ID NO: 11
415-433





SEQ ID NO: 13
1278-1296





SEQ ID NO: 14
1719-1737





SEQ ID NO: 15
1978-1996



MUTYH
NM_012222
SEQ ID NO: 30
1475-1493



PNKP
NM_007254
SEQ ID NO: 31
379-397



POLD1
NM_002691
SEQ I NO: 38
1231-1249



RUVBL2
NM_006666
SEQ ID NO: 46
335-353



CYP2A6
NM_000762
SEQ ID NO: 64
591-609



CYP4B1
NM_000779
SEQ ID NO: 70
645-663









The invention encompasses the synthetic, semi-synthetic or recombinant siNAs which inhibit the expression of a target gene from any organism. Given the positions of the targets in the human mRNAs, one skilled in the art will easily find the corresponding positions in the homologous sequences of other organisms (eukaryotes, for example mammals) which are accessible in the databases such as the NCBI database (http://www.ncbi.nlm.nih.gov/). Such homologous sequences can be identified as is known in the art, for example using sequence alignment. In addition, the siNA molecule of the invention may inhibit the expression of target gene variants, for example polymorphic variants resulting from haplotype polymorphism.
siNA molecules can be designed to target such homologous sequences, for example using perfectly complementary sequences or by incorporating non-canonical base pairs, for example mismatches and/or wobble base pairs, including flipped mismatches, single hydrogen bond mismatches, trans-type mismatches, triple base interactions and quadruple base interactions, that can provide additional target sequences. For example, the siNA molecule can be designed to target a sequence that is unique to a specific target gene mRNA sequence (a single allele or single nucleotide polymorphism (SNP)) due to the high degree of specificity that the siNA molecule requires, to mediate RNA activity. Alternatively, when mismatches are identified, non-canonical base-pairs (for example mismatches and/or wobble bases) can be used to generate siNA molecules that target more than one sequence. In a non-limiting example, non-canonical base-pairs such as uu and cc base pairs are used to generate siNA molecules that are capable of targeting homologous target gene sequences. In this approach, a single siNA can be used to inhibit expression of more than one gene instead of using more than one siNA molecule to target the different genes.
Definitions

    
    
        “short nucleic acid molecule” refers to a nucleic acid molecule no more than 100 nucleotides in length, preferably no more than 80 nucleotides in length, and most preferably, no more than 50 nucleotides in length.
        “interfering nucleic acid molecule” refers to a nucleic acid molecule capable of mediating RNA interference.
        “RNA interference” (RNAi) refers to the process of sequence specific post-transcriptional gene silencing, induced by introduction of duplexes of synthetic short nucleic acid molecule in cells, for example duplexes of synthetic 21-nucleotide RNAs, as first described by Elbashir et al., Nature 2001, 411, 494—and in the International PCT Application WO 01/75164.
        “nucleotide” refers to standard ribonucleotides and deoxyribonucleotides including natural bases (adenine, cytosine, guanine, thymine or uracil) and modified nucleotides that are modified at the sugar, phosphate, and/or base moiety.
        “Identity” refers to sequence identity between two nucleic acid molecules. Identity can be determined by comparing a position in each sequence which may be aligned for purposes of comparison. When a position in the compared sequence is occupied by the same base, then the molecules are identical at that position. A degree of similarity or identity between nucleic acid or amino acid sequences is a function of the number of identical or matching nucleotides at positions shared by the nucleic acid sequences. Various alignment algorithms and/or programs may be used to calculate the identity between two sequences, including FASTA, or BLAST which are available as a part of the GCG sequence analysis package (University of Wisconsin, Madison, Wis.), and can be used with, e.g., default settings.
        “homologous” refers to a nucleic acid molecule having enough identity to another one to lead to RNAi activity, more particularly having at least 70% identity, preferably 80% identity and more preferably 90%.
        “complementary” refers to the ability of a nucleic acid to form hydrogen bond(s) by either traditional Watson-Crick base-pairing or other non-traditional type base-pairing. In reference to the nucleic acid molecules of the present invention, the binding free energy for a nucleic acid molecule with its complementary sequence is sufficient to allow the relevant function of the nucleic acid to proceed, e.g., RNAi activity. Determination of binding free energies for nucleic acid molecules is well-known in the art (see, e.g., Turner et al., 1987, CSH Symp, Quant. Biol., 1987, LII, pp 123-133, Frier et al., P.N.A.S., 1986, 83, 9373-9377; Turner at al., J. Am. Chem. Soc., 1987, 109, 3783-3785). A percent complementarity indicates the percentage of contiguous residues in a nucleic acid molecule that can form hydrogen bonds (e.g., Watson-Crick base-pairing) with a second nucleic acid sequence (e.g., 5, 6, 7, 8, 9, or 10 nucleotides out of a total of 10 nucleotides, in the first oligonucleotide being base-paired to a second nucleic acid sequence having 10 nucleotides represents 50%, 60%, 70%, 80%, 90% and 100% complementarity, respectively). “Perfectly complementary” means that all the contiguous residues of a nucleic acid sequence will hydrogen bond with the same number of contiguous residues in a second nucleic acid sequence.
        “target gene” refers to a gene whose expression is to be down-regulated, e.g. ERCC2, MUTYH, PNKP, POLD1, RUYBL2, CYP2A6 or CYP4B1 gene.
        “vector” refers to a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked.
        “anticancer agent”, “anticancer therapy” refers to both chemotherapy using cytotoxic agents and radiotherapy.
    
    


In one embodiment, the invention features an siNA molecule wherein each strand comprises or consists of 15 to about 30 (e.g. about 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30) nucleotides, and each strand comprises at least 15 to about 30 (e.g. about 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 nucleotides) nucleotides that are complementary to the nucleotides of the other strand. For example, the siNA molecule of the invention comprises or consists of a 19 to 21-nucleotide duplex (19 to 21 base pairs).
In another embodiment, the invention features an siNA molecule wherein the sense region comprises or consists of a nucleotide sequence having any of SEQ ID NO: 11, 13, 14, 15, 30, 31, 38, 46, 64 and 70 and the antisense region comprises or consists of a nucleotide sequence having any of SEQ ID NO: 93 to 102, respectively. These siNA target the human genes (Table II).







TABLE II







siNA targeting the human genes









siNA sense










strand
siNA antisense strand










Target
identification
Identification



gene
number
number
sequence





ERCC2
SEQ ID NO: 11
SEQ ID NO: 93
5′-gcauuucccaucgacgucc-3′



SEQ ID NO: 13
SEQ ID NO: 94
5′-ucaaagggcucgaugauga-3′



SEQ ID NO: 14
SEQ ID NO: 95
5′-auaaagagcagcuuguucc-3′



SEQ ID NO: 15
SEQ ID NO: 96
5′-aucgaagguaagaaaguca-3′


 


MUTYH
SEQ ID NO: 30
SEQ ID NO: 97
5′-auauacuugauaugucagc-3′


 


PNKP
SEQ ID NO: 31
SEQ ID NO: 98
5′-auugaccaaauacagugug-3′


 


POLD1
SEQ I NO: 38
SEQ ID NO: 99
5′-uggauguuguaaccgguga-3′


 


RUVBL2
SEQ ID NO: 46
SEQ ID NO: 100
5′-ucaucuccagggagaagau-3′


 


CYP2A6
SEQ ID NO: 64
SEQ ID NO: 101
5′-ugacaggaacucuuugucc-3′


 


CYP4B1
SEQ ID NO: 70
SEQ ID NO: 102
5′-aucgcugacugcaagguag-3′









In another embodiment of the invention, the siNA molecule comprises overhanging nucleotide(s) at one or both end(s), preferably, 1 to about 3 (e.g. about 1, 2, or 3) overhanging nucleotides. The overhanging nucleotides which are advantageously at the 3′ end of each strand, are preferably 2′-deoxynucleotide(s), preferably 2′deoxypyrimidine(s), such as a 2′-deoxythymidine(s). For example, the siNA molecule of the invention is a 19 to 21-nucleotide duplex with 3′-terminal tt overhang(s).
In another embodiment of the invention, the siNA molecule comprises blunt end(s), where both ends are blunt, or alternatively, where one of the ends is blunt.
In another embodiment of the invention, the siNA molecule is assembled from two separate oligonucleotide fragments or strands, wherein one fragment (sense strand) comprises the sense region and the second fragment (antisense strand) comprises the antisense region of the siNA molecule.
In another embodiment, the invention features an siNA molecule wherein the sense region is connected to the antisense region via a linker molecule, such as a nucleotide or non-nucleotide linker. A nucleotide linker can be a linker of at least 2 nucleotides in length, for example about 3, 4, 5, 6, 7, 8, 9, or 10 nucleotides in length. Examples of such siNA molecules include small hairpin nucleic acid (shNA) molecules.
A non-nucleotide linker comprises abasic nucleotides, aptamers, polyether, polyamine, polyamide, peptide, carbohydrate, lipid, polyhydrocarbon, or other polymeric compounds.
In another embodiment of the invention, the siNA molecule comprises mismatches, bulges, loops or wobble base pairs to modulate the activity of the siNA molecule to mediate RNA interference.
In another embodiment of the invention, the siNA molecule comprises or consists of ribonucleotide(s) (2′-OH nucleotides).
In addition, the siNA molecule may include one or more modifications which increase resistance to nuclease degradation in vivo and/or improve cellular uptake. The siNA may include nucleotides which are modified at the sugar, phosphate, and/or base moiety, and/or modifications of the 5′ or 3′ end(s), or the internucleotidic linkage.
In another embodiment of the invention, the siNA molecule comprises one or more modified pyrimidine and/or purine nucleotides, preferably on each strand of the double-stranded siNA. More preferably, said modified nucleotides are selected from the group consisting of: 2′-O-methylnucleotides, 2′-O-methoxyethylnucleotides, deoxynucleotides, such as 2′-deoxynucleotides and 2′-deoxy-2′-fluoronucleotides, universal base nucleotides, acyclic nucleotides and 5-C-methyl nucleotides. An siNA molecule of the invention can generally comprise about 5% to about 100% modified nucleotides (e.g., about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95% or 100% modified nucleotides). The actual percentage of modified nucleotides present in a given siNA molecule will depend on the total number of nucleotides present in the siNA molecule. The percent modification can be based upon the total number of nucleotides present in the sense strand, antisense strand or both the sense and the antisense strands.
In another embodiment, the invention features an siNA molecule wherein the strand comprising the sense region (sense strand) includes a terminal cap moiety at the 5′-end, the 3′-end, or both the 5′ and 3′ends of the strand, preferably a deoxy abasic moiety or glyceryl moiety.
In another embodiment, the invention features an siNA molecule wherein the strand comprising said antisense region (antisense strand) includes a phosphate group at the 5′-end.
In another embodiment of the invention, the siNA molecule comprises at least one modified internucleotidic linkage, such as a phosphorothioate linkage.
The siNA molecules according to the invention may be produced by chemical synthesis by using well-known oligonucleotides synthesis methods which make use of common nucleic acid protecting and coupling groups, such as dimethoxytrityl at the 5′-end and phosphoramidites, at the 3′ end. The nucleic acid molecules of the present invention can be modified to enhance stability by modification with nuclease resistant groups, for example 2′-amino, 2′-C-allyl, 2′-fluoro, 2′-O-methyl, 2′-H (for a review see Usman and Cedergren, TIBS, 1992, 17, 34 and Usman et al., Nucleic Acids Symp. Ser., 1994, 31, 163). Examples of such modified oligonucleotides include with no limitation: 2′ F-CTP, 2′ F-UTP, 2′ NH2-CTP, 2′ NH2-UTP, 2′ N3-CTP, 2-thio CTP, 2-thio UT?, 4-thio UTP, 5-iodo CTP, 5-iodo UTP, 5-bromo UTP, 2-chloro ATP, adenosine 5′-(1-thiotriphosphate), cytidine 5′-(1-thiotriphosphate), guanosine-5′-(1-thiotriphosphate), uridine-5′-(1-thiotriphosphate), pseudo-UTP, 5-(3-aminoallyl)-UTP and 5-(3-aminoallyl)-dUTP. siNA contructs can be purified by gel electrophoresis using general methods or can be purified by high pressure liquid chromatography (HPLC) and re-suspended in water.
The chemically-synthesized siNA molecule according to the invention may be assembled from two distinct oligonucleotides which are synthesized separately. Alternatively, both strands of the siNA molecule may be synthesized in tandem using a cleavable linker, for example a succinyl-based
Alternatively, the siNA molecules of the invention may be expressed (in vitro or in vivo) from transcription units inserted into DNA or RNA vectors known to those skilled in the art and commercially available.
The invention relates also to a transcription unit comprising: a transcription initiation region, a transcription termination region, and a nucleic acid sequence encoding at least one siNA molecule according to the present invention, wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the siNA molecule.
The nucleic acid sequence may encode one or both strands of the siNA molecule, or a single self-complementary strand that self-hybridizes into an siNA duplex.
The transcription initiation region may be from a promoter for a eukaryotic RNA polymerase I, II or III (pol I, II or III). Transcripts from pol II or pol III promoters are expressed at high levels in all cells. Alternatively, prokaryotic RNA polymerase promoters may be used, providing that prokaryotic RNA polymerase enzyme is expressed in the appropriate cells. Transcription units derived from genes encoding U6 small nuclear transfer RNA and adenovirus VA RNA are useful in generating high concentrations of desired siNA in cells.
The invention concerns also an expression vector comprising a nucleic acid encoding at least one siNA molecule of the instant invention. The expression vector may encode one or both strands of the siNA molecule, or a single self-complementary strand that self-hybridizes into an siNA duplex. The nucleic acid encoding the siNA molecule of the instant invention is preferably inserted in a transcription unit as defined above.
Large numbers of DNA or RNA vectors suitable for siNA molecule expression are known to those of skill in the art and commercially available. The recombinant vectors can be DNA plasmids or viral vectors. SiNA expressing viral vectors can be constructed based on, but not limited to, adeno-associated virus, retrovirus, adenovirus or alphavirus. The recombinant vectors capable of expressing the siNA molecules can be delivered in vivo, and persist in target cells. Alternatively, viral vectors can be used to provide transient expression of siNA molecules.
The invention concerns also eukaryotic or prokaryotic cells which are modified by a vector as defined above.
The invention concerns also a pharmaceutical composition comprising at least an siNA molecule or an expression vector, as defined above, in an acceptable carrier, such as stabilizer, buffer and the like.
A pharmaceutical composition or formulation refers to a form suitable for administration, e.g., systemic or local administration, into a cell or subject, including for example a human. Suitable forms, in part, depend upon the use or the route of entry, for example oral, inhalation, or by injection. These compositions or formulations are prepared according to any method known in the art for the manufacture of pharmaceutical compositions.
In one embodiment, the invention features a composition wherein the siNA molecule or vector is associated to a compound that allows the delivery of the siNA/vector into cancer cells. The compound may be a membrane peptide, transporter, lipid, hydrophobic moiety, cationic polymer, PEI. Examples of membrane peptides include those able to cross the blood-brain barrier, such as with no limitation the Pep:TransTM (http://www.syntem.com/english/techpeptrans.html). Preferably, the siNA and the compound are formulated in microspheres, nanoparticules or liposomes. Furthermore, the siNA molecule or vector may be associated with a compound that allows a specific targeting of the tumor, such as a ligand of a cell-surface antigen or receptor, for example a peptide or an antibody specific for said antigen/receptor (e.g., PS 100, PDGFR, erb-B2).
In another embodiment, the invention features a composition comprising a combination of at least two different siNA molecules.
In another embodiment, the invention features a composition wherein the siNA molecule or vector is associated with at least one anticancer drug.
The invention also concerns an siNA molecule or a vector as defined above, as a medicament.
The invention concerns also the use of an siNA molecule or a vector as defined above, for the manufacture of a medicament for treating cancer.
The cancer may be of any type. Preferably, the cancer is a solid tumor, for example brain tumors such as astrocytomas, glioblastomas, oligodendrogliomas or mixed tumors.
In one embodiment of said use, the siNA molecule or vector is associated with an anticancer drug.
The invention concerns also a product containing at least one siNA molecule or vector as defined above, and an anticancer drug, as a combined preparation for simultaneous, separate or sequential use in anticancer therapy.
The anticancer drugs which are used in combination with the siNA molecule or the vector according to the invention are those commonly used in chemotherapy, and include cytotoxic agents, such as alkylating agents and antimetabolites.
Preferred anticancer drugs are alkylating agents, such as: cisplatin (cis-diaminedichloroplatinum, CDDP or DDP), temozolomide, fotemustine, procarbazine, lomustine and vincristine.
In addition, the siNA molecule according to the invention may be used in combination with other conventional anticancer therapies including radiotherapy, immunotherapy and surgery.
A pharmaceutically effective dose is that dose required to prevent, inhibit the occurrence or treat (alleviate a symptom to some extent, preferably all the symptoms) of a disease or state. The pharmaceutically effective dose of the siNA depends upon the type of cancer, the composition used, the route of administration, the type of mammal being treated, the physical characteristics of the specific mammal under consideration, concurrent medication, and other factors, that those skilled in the medical arts will recognize. Generally, an amount between 0.1 mg/kg and 100 mg/kg body weight/day of active ingredients is administered.
The siNA of the invention may be administered by a single or multiple route(s) chosen from: local (intratumoral, for example intracerebral (intrathecal, intraventricular)), parenteral (percutaneous, subcutaneous, intravenous, intramuscular, intraperitoneal), oral, sub-lingual, or inhalation.
When the siNA molecule or vector is used in combination with chemotherapy or radiotherapy, it is preferably administered immediately prior to the anticancer agent or several hours (2 to 48 hours) before.



In addition to the preceding features, the invention further comprises other features which will emerge from the description which follows, which refers to examples illustrating the siNA molecules and their uses according to the invention, as well as to the appended drawings in which:
FIG. 1 illustrates the screening of DNA-repair genes in human glioma (GHD cells). Cells were seeded in 96-well plates, transfected with siRNA after 24 h and treated with Cisplatin (CDDP) after 48 h. 96 hours post treatment, alive cell number was evaluated with MTT. 1: ERCC2, 2: RAD54L, 3: LIG1, 4: MUTYH 5: PNKP, 6: POLD1, 7: REV7(MAD2L2), 8: MGC13170, 9: RUVBL2, G: GFP. The proportion of a cell population that survives to chemotherapy is evaluated by the chemoresistance index (CI): cell number (OD) with chemotherapy/cell number (OD) in control condition. CI for each siRNA was compared with control CI (siRNA GFP). Data represented the mean of 3 independent experiments. CI is inferior to CIGFP (0.5 or 50%) when siRNA transfection improves chemosensitivity and superior to CIGFP (grey) when it increases chemoresistance. White square corresponds to siRNA with low toxicity (<35% cell death without cisplatin) and with chemosensitization properties.
FIG. 2 illustrates drug sensitization by siRNAs targeting four DNA repair genes: ERCC1, ERCC2, MUTYH, and PNKP. SiRNAs were transfected in 6 different astrocytoma derived cell lines treated with CDDP or temozolomide (TMZ). DS corresponds to chemosensitivity induced by siRNA. siRNA targeting ERCC1 was included for comparison. Data represented the mean of 3 independent experiments. Only significant results were reported (* p<0.05; ** p<0.01).
FIG. 3 illustrates the effect of siRNAs targeting two cytochrome P450 isoforms (CYP2A6 and CYP4B1) on the chemosensitization of astrocytoma cells. SiRNAs were transfected in U373 cell line treated with CDDP. The chemoresistance indice (CI) for each siRNA was compared with control CI (siRNA GFP). siRNA targeting ERCC1 was included for comparison. Data represented the mean of 3 independent experiments.



EXAMPLE 1
siRNA Directed to 1p/19q DNA Repair Genes are Able to Sensitize Cancer Cells to Chemotherapy
1) Material and Methods
a) Cell Culture
U87, U373, U138, CCF and LN229 cells deriving from human astrocytoma were purchased from American Type Culture Collection (ATCC). GHD cell line derived from a human astrocytoma biopsy, was checked by fluorescence in situ hybridization, chromosome 7 polysomy, chromosome 10 monosomy and immuno-histo-chemistry. Cells were maintained in DMEM (CAMBREX BIOSCIENCES), 10% FCS (v/v; ABCYS), and incubated in a humidified atmosphere with 5% CO2, at 37° C.
b) Inhibition of Gene Expression with siRNA
Three to five siRNA pairs were designed for each candidate gene and prepared into duplex form (EUROGENTEC). siRNAs targeting the Green Fluorescent Protein (GFP) and the ERCC1 protein were used as control siRNAs. 24 hours after cell seeding (96 well plates), siRNA (150 nM) were transfected with OligofectamineTM (Invitrogen), according to the manufacturer's instructions. Each condition (siRNA) was tested in 3 independent experiments, each time in hexaplicate.
c) Cell Survival and Chemoresistance
Cells were seeded in 96 well plates, transfected with siRNA after 24 h and treated with cisplatine (CDDP, MERCK, 5 μM final concentration) or temozolomide (TMZ, SCHERING-PLOUGH, 1 μM final concentration) after 48 h. Cell survival was determined 96 hours post-treatment, by measuring mitochondrial succinate dehydrogenase activity, with 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT, SIGMA) added to a final concentration of 0.5 mg/ml into culture medium. Culture medium was discarded after 4 h of incubation with MTT and formazan crystals were dissolved in DMSO/ethanol (50/50, v/v). Optical density was read at 540 nm. Chemoresistance was related to an index (CI) corresponding to the proportion of a cell population that survived to chemotherapy. It was calculated as follows: cell number (OD) with chemotherapy/cell number (OD) in control condition. The benefit of siRNA transfection was represented by the siRNA-induced drug sensibilization index (DS) which corresponds to the cell population (%) that survived to a simple chemotherapy treatment but died in response to the same treatment with a siRNA transfection. It was calculated as follows: (CIsiRNA GFP−CIsiRNA x)/CIsiRNA GFP×100. Significant differences between series were tested by ANOVA with Statview (SAS institute). Differences were considered significant when p<0.05 (*) and very significant when p<0.01 (**).
d) Q-RT PCR
RNAs were extracted on silica column (NucleospinTM, MACHEREY-NAGEL). RNAs were reverse transcribed using the M-MLV reverse transcriptase RNase H minus enzyme (Promega) and oligodT as a primer, at 40° C. during 1.5 hours. After reverse transcription, cDNAs were purified (Mini Elute, PCR Purification KitTM, QIAGEN) and assayed by quantitative PCR using the HotStar Reaction mix (ROCHE), using a pair of primers specific for the candidate gene and the reference gene ERCC1 (Table III). Measurements were carried out on a Light Cycler thermo-cycler (ROCHE).







TABLE III







qRT-PCR primers sequences















SEQ
Annealing
Product





ID
temperature
size


Gene
Primer
Sequence (5′-3′)
NO:
(° C.)
(bp)





Cyclophyline A
Forward
ttcatctgcactgccaagac
 1
61.8
158



Reverse
tcgagttgtcacagtcagc
 2




 


ERCC1
Forward
ggcgacgtaattcccgacta
 3
61.8
121



Reverse
agttcttccccaggctctgc
 4




 


ERCC2
Forward
cggaactatgggaacctcct
 5
64.0
200



Reverse
tacttctccagggcgacact
 6




 


MUTYH
Forward
gtcctgacgtggaggagtgt
 7
64.0
200



Reverse
cctctgcaccagcagaattt
 8




 


PNKP
Forward
tcgagagatgacggactcct
 9
64.0
206



Reverse
tttattgtggaggggagctg
10









Measures were performed twice from each cell sample, and results were expressed as the mean of at least three independent samples (originating from independent in vitro experiments).
2) Results
a) Identification of DNA Repair Genes Potentially Involved in Chemoresistance of Astrocytoma Cells
Genes potentially responsible for chemoresistance of astrocytoma, were screened from the chromosomic area commonly considered as correlated with oligodendroglioma chemosensitivity (1p36-1p32 and 19q13.2-19q13.4; Smith et al., Oncogene, 1999, 18, 4144-4152). Gene sequences were retrieved from data bases on the web (http://www.ncbi.nlm.nlh.gov/PubMed/; http://www.ensembl.org; http://www.cgal.icnet.uk/DNA_Repair_Genes.html; Supplement to the paper by Wood et al., Mutat. Res., 2005, 577, 275-283) and published data (Harris, A. L., Int J Radiat Biol Relat Stud Phys Chem Med, 1985, 48, 675-90; Christmann et al., Toxicology, 2003, 193, 3-34; Wood et al., Mutat. Res., 2005, 577, 275-283). Eight genes belonging to different repair systems were selected (Table IV).







TABLE IV







List of DNA repair-associated genes located on 1p/19q LOH regions












Accession



DNA repair genes
DNA repair system
number
Localization





LIG1
NER
NM_000234
19q13.2-3


ERCC2 (XPD)
NER
NM 000400
19q13.3


POLD1
NER and MMR**
NM_002691
19q13.3


RUVBL2
Homologous
NM_006666
19q13.3



Recombination




PNKP
BER***
NM_007254
19q13.3-4


RAD 54L
Homologous
NM_003579
1p32



Recombination




MUTYH
BER
NM_012222
1p34.3


MAD2L2 (REV7)
DNA polymerase
NM_006341
1p36





* NER: Nucleotide Excision Repair


**NMR: Nucleotide Mismatch repair


***BER: Base excision repair






b) In vitro Chemosensitivity Assay

An in vitro assay for the siRNAs high-throughput screening, was developed to find out which genes (Table IV) are implicated in glioma chemoresistance mechanisms. The cell number after chemotherapy and siRNA transfection was measured to have a global chemosensitization evaluation, defined as a significant increased cell death compared with the effect of the drug alone. In a first series of experiments, the following conditions of the assay were established: (i) drug and siRNA treatment protocols, (ii) specific temporal sequence of cell seeding and drug treatment, (iii) siRNA transfection, (iii) cell viability measurement. CDDP was chosen because it is an alkylating agent harboring a very reproducible activity in vitro. Most, if not all, cell damages occurred during the first hour of drug treatment since one and 24 hour(s) incubations were equally efficient. Moreover, it was established that the mRNA amount was the lowest 24 and 48 hours after siRNA transfection. Altogether, these data suggested that siRNAs had to be added prior to the drug.
c) Screening of DNA-repair Genes Involved in Chemoresistance of Astrocytoma Cells
The screening was performed in three steps. First siRNAs targeting candidate genes were screened on one cell line and results were confirmed at statistic level in further experiments. The study was then extended to six astrocytoma-derived cell lines and the siRNAs were validated at molecular level. Finally, the study was extended to a second chemotherapy agent.
The eight DNA-repair genes located in the 1p/19q (Table IV) were screened with five different siRNAs by gene, on the GHD cell line. The siRNAs sequences are presented in Table V. One siRNA specific for GFP and one siRNA specific for ERCC1 were used as controls.







TABLE V







SiRNAs sequences













SEQ





ID



Gene
siRNA sequence*(1)(2)
NO:






ERCC2
5′-ggacgucgaugggaaaugc-3′
11




5′-agacggugcucaggaucaa-3′
12




5′-ucaucaucgagcccuuuga-3′
13




5′-ggaacaagcugcucuuuau-3′
14




5′-ugacuuucuuaccuucgau-3′
15


 



LIG1
5′-agacgcucagcagcuucuu-3′
16




5′-gaagauagacaucaucaaa-3′
17




5′-agacagcagagcccagaaa-3′
18




5′-gcagacguucugcgagguu-3′
19




5′-gcagauccagccauuccaa-3′
20


 



MAD2L2
5′-gaagaaugauguggagaaa-3′
21




5′-gacucgcuguugucucaug-3′
22




5′-cucgcaacaugcagaagau-3′
23




5′-gaagauccaggucaucaag-3′
24




5′-ugagcaggauguccacaug-3′
25


 



MUTYH
5′-gaagcaugcuaagaacaac-3′
26




5′-ugggaugauugcugagugu-3′
27




5′-gcacccuuguuucccagca-3′
28




5′-gguuguccacaccuucucu-3′
29




5′-gcugacauaucaaguauau-3′
30


 



PNKP
5′-cacacuguauuuggucaau-3′
31




5′-agagacccgcacaccagaa-3′
32




5′-gaaucuuguacccagagau-3′
33




5′-aguccaccuuucucaagaa-3′
34




5′-caaccgguuucgagagaug-3′
35


 



POLD1
5′-ggagauggaggcagaacac-3′
36




5′-guuggagauugaccauuau-3′
37




5′-ucaccgguuacaacaucca-3′
38




5′-cuuagacuccaccagcugc-3′
39




5′-auucagaugggauaccucc-3′
40


 



RAD54L
5′-ccagcauugugaauagaug-3′
41




5′-ucaccucgcuaaagaagcu-3′
42




5′-ggagcuguuuauccuggau-3′
43




5′-ugaucugcuugaguauuuc-3′
44




5′-gcagugagacccagaucca-3′
45


 



RUVBL2
5′-aucuucucccuggagauga-3′
46




5′-acugacccucaagaccaca-3′
47




5′-acgcaaggguacagaagug-3′
48


 



GFP
5′-gacguaaacggccacaaguuc-3′
49


 



ERCC1
5′-ggagcuggcuaagaugugu-3′
50





(1) siRNA sequences are defined by the sequence of the sense strand. The antisense strand is perfectly complementary to the sense strand. SiRNAs responsible for a significant sensitization effect are in bold.


(2) Said sequences comprise a 3′-terminal tt overhang.






Cell viability was measured in absence and in presence of CDDP. SiRNAs were selected on the basis of two criteria: the absence of basal toxicity and their efficiency to improve chemotherapy treatment. Toxic siRNAs inducing more than 35% cell death after transfection (without CDDP) were discarded. In contrast, those increasing cell death were retained. An siRNA increased chemosensitivity when its chemoresistance index (CI) was lower than GFP siRNA CI, ie lower than 0.5. In FIG. 1, the white square corresponds to siRNA with low toxicity and with chemosensitization properties. Eight siRNAs out of 38 matched with these criteria, corresponding to 5 genes: ERCC2, MUTYH, PNKP, POLD1, and RUVBL2 (FIG. 1). Only one sequence of MUTYH, PNKP, RUVBL2 and POLD1 (SEQ ID NO: 30, 31, 38 and 46) siRNAs increased chemosensitivity while 4 (SEQ ID NO: 11, 13, 14 and 15) out of 5 sequences targeting ERCC2 fulfilled these conditions.
The most efficient siRNA for each of these genes was transfected in 6 different glioma derived cell lines treated with CDDP or temozolomide (TMZ). CIs for each siRNA were compared with control CI (siRNA GFP). The results confirmed that three siRNAs targeting ERCC2, MUTYH and PNKP, respectively, had a significant chemo-sensitization effect on astrocytoma cells (FIG. 2). The three siRNAs were equally efficient (up to 17%) on 3 (ERCC2) or 2 (MUTYH and PNKP) cell lines (FIG. 2). When combined by 2 or 3, siRNAs did not show any greater efficiency. By comparison, inhibition of ERCC1 was more potent to sensitize cells to CDDP (up to 24.9%) and its effect was the most widespread since 4 out of the 6 cell lines were sensitized.
The previously observed effects were validated at molecular level; a significant mRNA content decrease was confirmed by qRT-PCR for all siRNAs (Table VI).







TABLE VI







Validation of siRNA -induced mRNA content down-regulation















P



Cell line
mRNA
inhibition %
ANOVA






GHD
ERCC2
61.6
0.011




MUTYH
71.0
0.004




PNKP
83.8
0.005




ERCC1
58.6
0.019



U373
ERCC2
95.7
0.003




MUTYH
72.9
0.007




PNKP
44.2
0.013




ERCC1
77.4
0.018









When a particular siRNA was transfected, the quantities in mRNA corresponding to all the other non targeted genes were unchanged, confirming the target specificity of the selected siRNA. There was no obvious link between the efficiency of siRNA to decrease mRNA amounts (nor with final mRNA content) and functional impact on cell viability (FIG. 2). This is reinforced by the observation that ERCC1 mRNA amount actually decreased (by 65%) in U87 cells which were yet not chemo sensitized.
d) Study for a Link Between DNA-repair Genes Expression and siRNA-induced Chemotherapy
Expression of the 4 DNA-repair genes was studied by qRT-PCR in the 6 cell lines, with (induced level) or without cisplatin (basal level) to analyse the hypothesis that differences in expression could account for differences in siRNA responses. For each individual mRNA, the relative gene expression levels were roughly similar in all cell lines in absence of drug (Table VII).







TABLE VII







DNA repair gene expression











Cell
Basal
Induced














line
Qty*
sem
Qty
sem
%**













ERCC1














GHD
33
13
35
15
104



LN229
33
13
78
30
233



U138
40
17
97
36
242



U373
11
5
12
6
110



U87
25
10
25
10
99



CCF
8
4
12
6
148









ERCC2














GHD
10
3
17
5
163



LN229
4
1
11
1
268



U138
21
4
66
15
312



U373
14
1
17
4
122



U87
5
1
5
1
96



CCF
2
1
3
1
196









MUTYH














GHD
108
19
114
14
105



LN229
137
52
439
44
320



U138
185
43
469
157
254



U373
49
33
135
41
278



U87
91
28
101
37
110



CCF
45
20
117
40
257









PNKP














GHD
94
28
83
23
88



LN229
137
35
283
70
206



U138
550
116
1198
171
218



U373
115
31
149
4
130



U87
224
50
196
63
88



CCF
76
20
130
29
171







*quantity in zeptomol (10−21 mol) in a 25 ng total RNA extract



**percentage of basal level






MUTYH and PNKP mRNAs were the most abundant and ERCC2 was generally the less one. Expression of the four genes was reinforced up to three times in response to chemotherapy, in at least two cell lines (Table VII). No gene was up-regulated in all cell lines, the four genes were up-regulated in two cell lines (LN229 and U138) and none in one other (U87). Thus, there was no common induction profile conserved among all cell lines. Finally, no correlation was found between chemosensitization by a siRNA (DS) and basal or CDDP-induced expression of corresponding gene or even global expression of the 4 genes.
e) Transposition of Chemo-sensitization by siRNAs from CDDP to Temozolomide.
Since temozolomide is becoming the chemotherapy gold standard for gliomas, the study was extended to this drug. ERCC1 siRNAs were more efficient for sensitizing astrocytoma-derived cell lines to this second drug. However, down-regulating MUTYH, PNKP or ERCC2 improved very significantly drug effects in U373 cells (FIG. 2).
EXAMPLE 2
siRNA Directed to 1p/19q Genes Involved in Drug Metabolism are Able to Sensitize Cancer Cells to Chemotherapy
1) Material and Methods
The experimental procedures are described in example 1.
2) Results
a) Identification of Genes Potentially Involved in Chemoresistance of Astrocytoma Cells
Genes potentially responsible for chemoresistance of astrocytoma, were screened from the chromosomic area considered as commonly correlated with oligodendroglioma chemosensitivity, as described in example 1. Nine genes involved in drug metabolism (detoxification, cellular efflux, apoptosis) were selected (Table VIII).







TABLE VIII







List of drug metabolism-associated genes located on 1p/19q LOH regions










Genes
Function
Accession number
Localization














CYP2B6

Drug and lipid metabolism: Cytochrome P450 proteins
NM_000767
19q13.2


CYP2F1

(monooxygenases) catalyze reactions involved in drug metabolism
NM 000774
19q13.2


CYP2A6
 {close oversize brace} 
and synthesis of cholesterol, steroids and other lipids
NM_000762
19q13.2


CYP4B1


NM_000779
1p34-p12










FRAP1
Signal transduction: The corresponding protein belongs to the family
NM_004958
1p36.2



of phosphatidylinositol kinase-related kinases. These kinases mediate





cellular responses to stresses such as DNA damage and nutrient





deprivation




MGC13170
Multidrug resistance-related protein: Putative MDR-like function
NM_199249
19q13.33


MLP
Signal transduction: The myristoylated, alanine-rich protein MARCKS
NM_023009
1p35.1



is a widely expressed, prominent substrate for protein kinase C,





involved in brain development




MSH4
DNA metabolism: DNA mismatch repair and meiotic recombination
NM_002440
1p31


RPS8
Translation: Protein participating to translation complex
NM_001012
1p34.1-p32









b) Screening of DNA-repair Genes Involved in Chemoresistance of Astrocytoma Cells

The eight genes located in the 1p/19q (Table VIII) were screened with five different siRNAs by gene, on two different cell-lines, U373 and GHD. The siRNAs sequences are presented in Table IX. A siRNA specific for GFP was used as control.







TABLE IX







SiRNAs sequences*















SEQ






ID



Gene
siRNA sequence
position
NO:















CYP2B6
ccaccauccuccagaacuu
1359
51




ggaaaucaaugcuuacauu
724
52




acaggugauuggcccacau
994
53




ugacccacacuacuuugaa
1198
54




acacgcucucgcucuucuu
879
55




ccagggagaggaguuuagu
326
91




gaagcauugaggagcgaau
475
92


 



CYP2F1
ccacacauaaccugcucuu
928
56




gcauaagcacagccaucuu
64
57




ucaaugacaacuuccaaau
661
58




acacggaguucuacuugaa
857
59




ccaccgucaugcagaacuu
1370
60


 



CYP2A6
ugaccacguugaaccucuu
887
61




ccaaguuucgggauuucuu
1142
62




gcaccagcaucguuguaga
1020
63




ggacaaagaguuccuguca
591
64




gcaagccugucaccuuugu
1175
65


 



CYP4B1
ugagccugacuaugccaaa
297
66




ugaugugcugaagcccuau
453
67




ggagucuacucgcuucuau
253
68




gcacgaucauucuucucau
3228
69




cuaccuugcagucagcgau
645
70


 



FRAP1
agaacucgcugauccaaau
1230
71




ccagcagcauaagcaggaa
5287
72




caagcgacaucccaugaaa
7670
73




gcaggcugcucuccauggu
969
74




ggcucaugcugggacccaa
1010
75


 



MGC13170
ggagcuguccauacgccac
1159
76




ggagaagguggauaagugg
1068
77




ccaggcucaugcugggacc
1007
78




gugcagccucagaagaaga
674
103




gaagaagaaauucucuuuc
453
104


 



MLP
cgagggcacugcucaggaa
597
79




gaagaaauucucuuucaag
456
80




aaagcaauggagacuuauc
293
81




cgacuucguucuaauauau
1089
82




ucaacuuccuucagaauuu
1694
83


 



MSH4
guagacgacuucguucuaa
1084
84




agagcuuacuaugguuccu
1380
85




agaagguauuggcauuugu
2345
86




gcugacuccugaggaagaa
407
87




ccaagacccuggugaagaa
301
105


 



RPS8
ccacaagaagcggaaguau
86
88




agaguuggaguucuaucuu
602
89




agagaaagcccuaccacaa
73
90





*siRNA sequences are defined by the sequence of the sense strand. The antisense strand is perfectly complementary to the sense strand. SiRNAs responsible for a significant sensitization effect are highlighted in bold.






To select siRNAs specifically including a chemosensitive effect, those inducing a basal toxic effect were eliminated (more than 35% cell death after transfection). A positive chemosensitive effect was considered for siRNAs inducing a cytotoxic effect compared to siRNA GFP/CDDP condition. 2 siRNAs out of 45, matched with these criteria, corresponding to 2 genes: CYP2A6 and CYP4B1 (Table IX).
The most efficient siRNA for each of these genes was transfected in 6 different glioma derived cell lines treated with CDDP or temozolomide (TMZ). CIs for each siRNA were compared with control CI (siRNA GFP). The results confirmed that two siRNAs (SEQ ID NO: 64 and 70) targeting CYP2A6 and CYP4B1, respectively, had a significant chemosensitization effect on astrocytoma cells (FIG. 3).

## Claims

1. A double-stranded short interfering nucleic acid molecule comprising a sense and an antisense region, wherein the sense region comprises a nucleotide sequence that is selected from the group consisting of: the sequences SEQ ID NO: 15 and 13, and the antisense region comprises a nucleotide sequence that is complementary to the sense region.

2. The double-stranded short interfering nucleic acid molecule according to claim 1, wherein each strand comprises 15 to about 30 nucleotides, and each strand comprises at least 15 to about 30 nucleotides that are complementary to the nucleotides of the other strand.

3. The double-stranded short interfering nucleic acid molecule according to claim 2, which comprises a 19 to 21-nucleotide duplex.

4. The double-stranded short interfering nucleic acid molecule according to claim 1, wherein the sense region comprises a nucleotide sequence having any of SEQ ID NO: 15 and 13, and the antisense region comprises a nucleotide sequence having any of SEQ ID NO: 96 and 94, respectively.

5. The double-stranded short interfering nucleic acid molecule according to claim 1, which comprises 1 to about 3 overhanging nucleotides at the 3′ end of each strand.

6. The double-stranded short interfering nucleic acid molecule according to claim 1, which comprises blunt end(s).

7. The double-stranded short interfering nucleic acid molecule according to claim 1, which is assembled from two separate oligonucleotide fragments, wherein one fragment comprises the sense region and the second fragment comprises the antisense region of the short interfering nucleic acid molecule.

8. The double-stranded short interfering nucleic acid molecule according to claim 1, wherein the sense region is connected to the antisense region via a linker molecule.

9. The double-stranded short interfering nucleic acid molecule according to claim 1, which comprises ribonucleotides.

10. The double-stranded short interfering nucleic acid molecule according to claim 1, which comprises one or more modified pyrimidine and/or purine nucleotides.

11. The double-stranded short interfering nucleic acid molecule according to claim 1, wherein the strand comprising the sense region includes a terminal cap moiety at the 5′ and/or 3′-end(s).

12. The double-stranded short interfering nucleic acid molecule according to claim 1, wherein the strand comprising said antisense region includes a phosphate group at the 5′-end.

13. The double-stranded short interfering nucleic acid molecule according to claim 1, which comprises at least one modified internucleotidic linkage.

14. A transcription unit comprising:
a transcription initiation region, a transcription termination region, and
a nucleic acid sequence encoding at least one short interfering nucleic acid molecule according to claim 1,
wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the short interfering nucleic acid molecule.

15. An expression vector comprising a transcription unit comprising:
a transcription initiation region, a transcription termination region, and
a nucleic acid sequence encoding at least one short interfering nucleic acid molecule according to claim 1,
wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the short interfering nucleic acid molecule.

16. A cell which is modified by an expression vector comprising a transcription unit comprising:
a transcription initiation region, a transcription termination region, and
a nucleic acid sequence encoding at least one short interfering nucleic acid molecule according to claim 1,
wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the short interfering nucleic acid molecule.

17. A pharmaceutical composition comprising at least
a short interfering nucleic acid molecule according to claim 1, or
an expression vector comprising a transcription unit, said transcription unit comprising
a transcription initiation region, a transcription termination region, and
a nucleic acid sequence encoding at least one short interfering nucleic acid molecule,
wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the short interfering nucleic acid molecule,
in an acceptable carrier.

18. A pharmaceutical composition comprising at least
a short interfering nucleic acid molecule according to claim 1, or
an expression vector comprising a transcription unit, said transcription unit comprising
a transcription initiation region, a transcription termination region, and
a nucleic acid sequence encoding at least one short interfering nucleic acid molecule,
wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the short interfering nucleic acid molecule,
in an acceptable carrier, which comprises a combination of at least two different short interfering nucleic acid molecules.

19. A pharmaceutical composition comprising at least
a short interfering nucleic acid molecule according to claim 1, or
an expression vector comprising a transcription unit, said transcription unit comprising
a transcription initiation region, a transcription termination region, and
a nucleic acid sequence encoding at least one short interfering nucleic acid molecule,
wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the short interfering nucleic acid molecule,
in an acceptable carrier, wherein the short interfering nucleic acid molecule or vector is associated with at least one anticancer drug.

20. The short interfering nucleic acid molecule according to claim 1 as a medicament, in a form to be administered by a single route or by multiple routes selected from local, parenteral, oral, sub-lingual or inhalation.

21. The expression vector according to claim 15 as a medicament, in a form to be administered by a single route or by multiple routes selected from local, parenteral, oral, sub-lingual or inhalation.

22. A method for treating cancer comprising the administration in a patient in a need thereof of
the short interfering nucleic acid molecule according to claim 1, or
an expression vector comprising a transcription unit, said transcription unit comprising
a transcription initiation region, a transcription termination region, and
a nucleic acid sequence encoding at least one short interfering nucleic acid molecule according to claim 1,
wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the short interfering nucleic acid molecule.

23. A product containing at least
a short interfering nucleic acid molecule according to claim 1, or
an expression vector comprising a transcription unit, said transcription unit comprising
a transcription initiation region, a transcription termination region, and
a nucleic acid sequence encoding at least one short interfering nucleic acid molecule according to claim 1,
wherein said nucleic acid sequence is operably linked to said initiation region in a manner that allows expression and/or delivery of the short interfering nucleic acid molecule,
and an anticancer drug,
as a combined preparation for simultaneous, separate or sequential use in anticancer therapy.