Ribozymes as Therapeutic Agents: Are We Getting Closer?
Authors: Kevin J. Scanlon, Mohammed Kashani-Sabet
Journal: JNCI Journal of the National Cancer Institute (1998)

The biology of ribozymes has come far since the initial seminal observations of self-cleaving molecules in Tetrahymena (1) and ribonuclease P (2). With the discovery of the hammerhead ribozyme (3) came the realization that it could be utilized to potentially disrupt the expression of any target gene in trans (i.e., acting from outside the target gene sequence) (4). As different types of catalytic RNAs have been discovered [reviewed in (5)], the biologic utility of ribozyme-mediated genetic manipulation has been explored. Ribozymes are being increasingly utilized to suppress target-specific gene expression. The major attraction of ribozymes is their ability to cleave their target messenger RNA (mRNA) in vitro, their specificity (ribozymes have been shown to discriminate among targets that differ by a single nucleic acid substitution), and, as their name implies, their potential to act as an RNA enzyme, thereby cleaving several target RNAs (6). The burden is to demonstrate in every case and with every new target that ribozymes can live up to this potential. The utility of ribozymes in the realm of target validation has been well described. Hammerhead and hairpin ribozymes have been used to inhibit genes involved in the phenotypic expression of human immunodeficiency virus (7,8), drug resistance to cancer chemotherapy agents (9,10), activated oncogene-mediated malignant transformation (11,12, among others), and the angiogenic stimulus (13). In this issue of the Journal, Yamazaki et al. (14) extend the utility of ribozymes for target validation in human cancer. They demonstrate that a hammerhead ribozyme targeting an aberrantly spliced epidermal growth factor receptor (abEGFR) transcript (found in a subset of gliomas) is capable of cleaving its target in vitro. Stable transfectants of an abEGFR-transformed 3T3 cell line (termed ERM5-1) expressing the ribozyme under the control of the b-actin promoter had an altered morphology but did not exhibit reduced cell growth in vitro. In nude mice, the tumorigenicity of ERM5-1 cells was apparently unaffected by ribozyme expression. However, the growth of ribozymeexpressing cells was reduced compared with control cells as evidenced by tumor size at day 19. The only control utilized was a plasmid containing a disabled ribozyme with a mutation in the catalytic subunit, shown to be devoid of catalytic activity using in vitro cleavage assays. Ribozyme expression was shown to decrease abEGFR mRNA levels in vitro. Finally, the authors posited a potential mechanism of action for the anti-abEGFR ribozyme, namely, diminished mitotic activity, by demonstrating reduced bromodeoxyuridine incorporation in resected ribozymeexpressing ERM5-1 tumors. This article is intriguing because the investigators examine a new class of potentially tumor-selective targets, namely aberrantly spliced transcripts, for ribozyme targeting. In this regard, these studies are similar to those performed using ribozymes to inhibit the chimeric bcr-abl transcript (12) created by the translocation between chromosomes 9 and 22 to yield the Philadelphia chromosome in chronic myelogenous leukemia. One major concern that should be addressed in future studies is the potential activity of the ribozyme against the normal EGFR transcript or in parental 3T3 cells. In the case of the bcr-abl transcript, the ribozymes against the breakpoint also suppressed the normal bcr message (15), raising concerns about potential toxicity if expressed in normal cells. Another important concern about the efficacy of ribozymes is the relationship between level of expression and change in the biologic phenotype. Given that several clones were analyzed following transfection and selection, it would have been interesting to attempt to correlate level of ribozyme expression with tumor size. While quantitating ribozyme expression by reverse transcription–polymerase chain reaction (RT–PCR) can at times represent a daunting task, ribozyme expression can also be analyzed by northern analysis since in plasmid-based systems, ribozymes are transcribed as part of a larger RNA molecule. As a corollary to the aforementioned concern, there is no determination of ribozyme cleavage. This can be difficult to achieve for technical reasons, even though cleavage products have been demonstrated by both RT–PCR and northern analysis [reviewed in (16,17)]. In some (although not all) cases, cleavage has been shown both in vitro and in cellular extracts (16,17). There is presumptive evidence of cleavage in vivo, since the disabled ribozyme was inactive, suggesting that the phenotypic reversion was accomplished by the catalytic potential of the ribozyme. This point is of special concern to antisense researchers, who frequently question the added benefit of ribozymes