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Proceedings of the National Academy of Sciences of the United States of America logoLink to Proceedings of the National Academy of Sciences of the United States of America
. 1997 Jul 22;94(15):8150–8155. doi: 10.1073/pnas.94.15.8150

The antisense bcl-2IgH transcript is an optimal target for synthetic oligonucleotides

Susanna Morelli *, Domenico Delia , Sergio Capaccioli , Alessandro Quattrone , Nicola Schiavone , Anna Bevilacqua *, Silvia Tomasini *, Angelo Nicolin *,§
PMCID: PMC21572  PMID: 9223330

Abstract

In most human follicular B cell lymphomas the bcl-2 gene is up-regulated as a result of the t(14;18) chromosomal translocation generating a hybrid bcl-2–IgH mRNA. Recently, we have identified in t(14;18)-positive cells a bcl-2–IgH mRNA in the antisense orientation, putatively responsible for the overexpression of bcl-2. Herein we show that this chimeric antisense transcript is an optimal target for synthetic oligodeoxynucleotides (ODNs). A variety of sense-oriented oligonucleotides have been designed that target the antisense transcript in regions endowed with a sequence specificity presumably restricted to an individual cell line (the bcl-2–IgH fusion regions) or extended to all t(14;18) cells (the ectopic bcl-2 segment upstream from the major breakpoint region and the IgH segment). All sense-oriented ODNs complementary to the antisense transcript induced an early strong inhibition of cell growth and a late fulminant cell death. As expected, the activity of ODNs targeting the fusion region was restricted to each individual cell line, whereas the activity of all ODNs targeting the common bcl-2 and IgH segments was extended to all t(14;18) cell lines tested. These sense ODNs were not effective in untranslocated cell lines. Antisense-oriented ODNs, complementary to the bcl-2–IgH mRNA, and control ODNs (scrambled, inverted, or mismatched) were biologically ineffective. The selectivity and efficacy of all sense ODNs tested provide support for the development of therapeutic ODNs targeting the bcl-2–IgH antisense transcript expressed in human follicular lymphomas.

Keywords: antisense RNA, hybrid RNA, apoptosis, bcl-2 regulation, antitumor


The antisense approach offers a new way of overcoming the lack of specificity of conventional cancer chemotherapeutic agents (1, 2). Indeed, several in vitro studies as well as experiments in nude mice transplanted with human tumors demonstrate that antisense oligodeoxynucleotide (ODN) targeting genes associated with neoplastic transformation or progression are effective against tumor cells but not against normal cells (37). Tumor-specific molecular targets for ODNs include fusion sequences arising from chromosomal translocations (8, 9). In our laboratory, the 14;18 (q32;21) chromosome translocation, present in most human follicular B cell lymphomas, has been selected for ODN targeting (10).

Human follicular lymphomas are characterized in 70–80% of the cases by the molecular rearrangement of the 3′ noncoding region of the antiapoptotic gene bcl-2 with the immunoglobulin heavy chain locus (bcl-2–IgH), due to the t(14;18) chromosomal translocation (11, 12). As a result, these lymphomas express elevated levels of both the bcl-2–IgH chimeric transcript and BCL-2 protein (13, 14), which confers a survival advantage associated with neoplastic transformation (15). It should be noticed that so far the reason for the overexpression of bcl-2–IgH mRNA is not totally clear.

In recent years we have investigated the response of follicular lymphoma cells to ODNs, including those targeting N region insertions (stretches of DNA inserted during bcl-2–IgH recombination) whose sequence is unique to each individual lymphoma (16). These studies have unexpectedly led us to identify in these lymphomas a hybrid bcl-2–IgH transcript in the antisense orientation (17), originating in the IgH locus and encompassing the N region and part of the 3′ untranslated region of the bcl-2 gene. This transcript has a certain relationship with another antisense transcript previously identified in Burkitt lymphomas starting in the μ switch region of the IgH locus and spanning the c-myc gene (18).

Endogenous antisense RNAs have been identified for some eukaryotic genes, such as chicken and mouse IGFII (19, 20), Xenopus and human FGF-2 (21, 22), human WT1 (23), c-myc and n-myc (18, 24), and p53 (25). They appear to regulate the expression of the corresponding sense gene by promoting its degradation (26). However, in the case of the bcl-2–IgH antisense RNA, peculiar to t(14;18)-positive lymphomas, it is thought that it contributes to bcl-2 overexpression and, therefore, to oncogenicity, although direct evidence to support this hypothesis is lacking. We have also hypothesized that this antisense transcript might act by functionally inactivating negative regulatory regions, such as the adenine- and uracil-rich degradation consensus elements (27, 28), which we have identified in the 3′ untranslated region of the bcl-2 portion of the bcl-2–IgH mRNA (17). On this assumption, the bcl-2–IgH antisense RNA might be an optimal cancer-specific target for ODNs, especially because the antisense transcripts are generally present in cells at a low copy number due to their rapid degradation (29).

In a number of lymphoma cell lines, we have targeted this unique tumor-specific bcl-2–IgH antisense RNA by sense-oriented ODNs, in the N region, the discrete molecular structure endowed with an individual nucleotide sequence for each cell line, or in the other regions shared by the t(14;18) cells. In all cases, the ODN treatment induced massive cell death by possibly lowering bcl-2 expression despite the presence of other oncogenic alterations in the cell lines treated (30).

MATERIALS AND METHODS

Cell Lines.

The human follicular B cell lymphoma lines [DOHH2 (31), SU-DHL-4 (16), and K422 (32) carrying the t(14;18) chromosomal translocation, obtained as indicated (17)] and the human t(14;18)-negative cell lines [Burkitt lymphoma Raji, T cell leukemias, Jurkat, Molt-3, and LCL, erythroleukemia K562, and promyelocytic leukemia HL-60], all mycoplasma-free, were grown in RPMI 1640 medium containing 10% heat-inactivated fetal calf serum plus glutamine. The fetal calf serum used in ODN experiments was heated at 65°C for 30 min to inactivate nucleases.

ODNs.

Different batches of phosphodiester or phosphorothioate ODNs were purchased from local (PRIMM, Milan, Italy; TIBB, Genoa, Italy) or foreign companies (MEDPROBE, Olso, Norway; GENSET, Paris, France), purified by Sephadex G-25 gel chromatography, and in some cases, analyzed by PAGE in 20% gels, reverse-phase HPLC, and capillary chromatography (33). Biological activity and nonspecific cytotoxicity were also evaluated. The 18-mer sense-oriented ODNs, complementary to the hybrid bcl-2–IgH antisense transcript, were designed to target either the individual cell-line-specific bcl-2–IgH N regions or the bcl-2 and IgH regions shared by all t(14;18) cell lines. Control ODNs were designed in the antisense, inverted, scrambled, and mismatched orientation relative to the sense ODNs. The in vitro half-life of the ODNs administered to cells was about 12 h for the phosphorodiesters and 3 days for the phosphorothioate derivatives (5).

ODN Treatments and Cell Survival Analysis.

For short-term cultures, 2–5 × 104 cells/200 μl were seeded in 96-microwell plates (Costar). For long-term cultures, 5 × 104 cells/500 μl were seeded in 24-well plates (Costar) and split twice weekly. Phosphodiester ODNs were supplied at the full dose at the time of cell plating and at half dose in the following days. Phosphorothioate ODNs were given as a single dose in the short-term cultures, and every 3 days in the long-term cultures. Irrespective of the nucleotide sequence, about 30% of the ODN batches were inactive or toxic and were, therefore, excluded from the study. Growth and viability of ODN-treated cultures were determined by microscopic cell counts with a hemocytometer chamber, and by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide-based colorimetric assay at the end of ODN experiments (34).

Quantitative Determinations of bcl-2 mRNA and Protein.

Total RNA from untreated and ODN-treated cells was extracted by RNAzol B (Biotecx Laboratories, Houston) and reverse-transcribed by using random hexamers and Moloney murine leukemia virus reverse transcriptase (Promega). Quantitative reverse transcription-coupled PCR determination of bcl-2 mRNA was performed as described (5) on the reverse transcription product by using the following primer sets (Genset, Paris, France): 5′-CAATTCCGCATTTAATTCATGGTATTCAGGAT-3′ (bases 2866–2899 of the bcl-2 cDNA sequence) (16) and 5′-GGTGACCAGGGTCCCTTGGCCCAG-3′ (bases 2973–2998 of the IgH sequence) (35) for the bcl-2–IgH amplification; 5′-ACCCCACTGAAAAAGAT ∼GA-3′ (bases 1544–1563) and 5′-ATCTTCAAACCTCCTCCATGATG-3′ (bases 2253–2262 and 3508–3517) of the β2-microglobulin (36) for the amplification of β2-microglobulin used as internal standard. To determine BCL-2 protein cellular level, 2 × 106 ODN-treated cells were fixed for 10 min in 2% paraformaldehyde plus 1% Triton X-100, washed in Tris-buffered saline, and incubated with anti-BCL-2 mAb or normal mouse serum (for negative control) after preincubation for 10 min with 2% heat-inactivated human AB serum. Indirect immunofluorescence staining for BCL-2 was analyzed by flow cytometry with an EPICS-C instrument (Coulter), as published elsewere in detail (37).

Apoptosis Determinations.

Apoptotic cells present in ODN-treated cultures were detected both by propidium iodide staining and in situ fluorescent dUTP end labeling of fragmented DNA (TUNEL; terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling). For propidium iodine staining, cells were resuspended in 1.5 ml of hypotonic solution containing 0.1% sodium cytrate, propidium iodine (25 μg/ml), and 0.1% Triton X-100 and kept at 4°C in the dark prior to being analyzed by flow cytometry. TUNEL was performed as described (38) on cells fixed for 10 min in 2% paraformaldehyde, washed twice in 0.1 M Tris buffer, fixed again for 1 min in acetone, washed, and incubated for 1 h at 37°C with 1.5 μM fluorescein isothiocyanate-coupled dUTP (Boehringher Mannheim) plus terminal deoxynucleotidyltransferase (TdT, 0.5 international unit/μl; Boehringher Mannheim) in 1× TdT buffer. After two more washes, the cells were analyzed by flow cytometry.

RESULTS

By up-regulating bcl-2 expression, the hybrid bcl-2–IgH gene endows cells with a survival advantage that is probably responsible for neoplastic transformation. Although the molecular mechanisms of this bcl-2 up-regulation remain to be fully elucidated, some role might be played by the chimeric bcl-2–IgH antisense RNA, recently identified in the t(14;18) cells. The targeting of the bcl-2–IgH antisense RNA with complementary ODNs (Fig. 1) results in decreased bcl-2 gene expression and induction of apoptotic cell death. In this study, we have extended these observations by treating t(14;18) tumor cell lines with a number of ODNs complementary to different regions of the bcl-2–IgH antisense RNA.

Figure 1.

Figure 1

Schematic structure of the hybrid bcl-2–IgH antisense RNA and regions against which complementary “sense” oligonucleotides have been designed. The sequences of the fusion point, in which random nucleotides are inserted (N region) during chromosome recombination of the DOHH2 and SU-DHL-4 cell lines, are shown. The bcl-2 and IgH sequences, flanking the fusion region, are common to all t(14;18) cell lines. The 18-mer ODNs, either phosphodiester or phosphorothioate derivatives, were complementary to the following nucleotide numbers of the cDNA: for the N regions of DOHH2 cells (31), 3105 (ODN n1), 3110 (ODN n2), 3119 (ODN n3); for N regions of SU-DHL-4 cells (16), 2686 (ODN n4), 2692 (ODN n5), 2696 (ODN n6); for the bcl-2 portion (16), 970 (ODN b1), 2479 (ODN b2), 2625 (ODN b3); for the IgH portion (36), 2956 (ODN h1), 3119 (ODN h2), 4218 (ODN h3).

Biological Activity and Specificity of ODNs Targeting Individual N Regions.

The N nucleotide insertion sequences present in the junction region of the bcl-2–IgH antisense RNA are potential targets for the antisense approach. We asked whether ODNs complementary to the N regions of the antisense RNA of DOHH2 (n1, n2, and n3) and of SU-DHL4 (n4, n5, and n6) cells had any sequence-specific biological activity. The data (Fig. 2) show that exposure of these cell lines for 72 h with their respective sense ODNs results in almost 60–70% reduction in viable cell number, compared with cells that were untreated or treated with control ODNs.

Figure 2.

Figure 2

Sequence-specific activity of ODNs targeting the N regions of the DOHH2 or the SU-DHL-4 cells. Three phosphodiester sense ODNs complementary to discrete segments of the N regions of DOHH2 cells (A) or SU-DHL-4 cells (B), as shown in Fig. 1, were employed. Antisense, inverted, and scrambled ODNs were used as controls. Untreated cells were considered as further control. All ODNs were administered at 10 μM on day 0 and at 5 μM on days 1 and 2. Cell counting and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide assays were carried out on day 3. Data represent the means ± SEM of five experiments. Statistical significance was measured by Student’s t test; ∗, P < 0.01.

Moreover, although the sense ODN n1 was active on DOHH2 cells but not on SU-DHL4 (Fig. 3), and vice versa for ODN n4, neither of these ODNs was active on the follicular lymphoma cell line K422, whose N region sequence in the bcl-2–IgH antisense transcript differs from that of DOHH2 and SU-DHL4 cells. Likewise, the cell lines K562, Raji, and Jurkat, which carry a normal bcl-2 gene and are thus negative for the presence of bcl-2–IgH sense transcripts, were unresponsive to ODNs n1 and n4. Though not shown, the activity of ODNs n2 and n3 was superimposable on that of ODN n1, and the activity of ODNs n5 and n6 was identical to that of ODN n4. Collectively, these results indicate that sense oligonucleotides complementary to N region sequences of the endogenous bcl-2–IgH antisense RNA markedly affect cell survival in a sequence- and dose-dependent fashion.

Figure 3.

Figure 3

Cell line specificity and dose–response activity of ODNs targeting the N regions of DOHH2 (A and C) and of DHL-4 (B and D) cells. Phosphorothioate sense ODN n1 (A) and ODN n4 (B) were given as a single dose of 10 μM on day 0. Control ODN were the phosphorothioate antisense ODN n1 or ODN n4, respectively. Dose–response activity of ODN n1 (C) or of ODN n4 (D) is shown. Cell count and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide assays were done on day 5. Data, expressed as the viable cell index (48), are the mean ± SEM of three experiments. ∗, P < 0.01.

Antitumor Activity of Sense ODNs Targeting Regions of the bcl-2–IgH Antisense Transcript Shared by the t(14;18) Cell Lines.

The bcl-2–IgH antisense RNA carries invariant nucleotide sequences shared by all the t(14;18)-positive cell lines, located upstream and downstream from the N region, in particular in the 5′ region of the major breakpoint cluster region of bcl-2 and in the 3′ region of the J locus. We have therefore synthesized sense ODNs targeting the bcl-2 region (b1, b2, and b3) and the IgH region (h1, h2, and h3) of the bcl-2–IgH antisense transcript (Fig. 1) and examined their biological effects. All t(14;18)-positive cell lines appeared particularly susceptible to these ODNs (Table 1), as indicated by the 60–70% reduction of viability after 5 days of treatment. These effects were dose-dependent (Table 2). These findings therefore indicate (i) that ODN targeting sequences of the bcl-2–IgH antisense transcript common to all t(14;18)-positive cell lines are biologically active and (ii) that this activity is not influenced by the individual nucleotide sequence present in the region fusing bcl-2 to IgH.

Table 1.

t(14;18) specific activity of ODNs targeting the bcl-2 regions or the IgH regions

Cell line No. of cells × 10−4 per ml
None b1 b2 b3 h1 h2 h3
DOHH2 85 ± 6 40  ±  3* 46  ±  7* 43  ±  6* 45  ±  4* 45  ±  6* 43  ±  4*
DHL-4 71 ± 2 29  ±  3* 28  ±  5* 32  ±  4* 35  ±  5* 39  ±  6* 34  ±  5*
K422 72 ± 9 36  ±  4* 34  ±  4* 32  ±  7* 37  ±  3* 33  ±  4* 35  ±  4*
K562 62 ± 8 60  ±  6 60  ±  5 80  ±  4 62  ±  6 57  ±  5 59  ±  3
LCL 75 ± 4 70  ±  6 69  ±  6 72  ±  6 70  ±  3 63  ±  6 67  ±  5
RAJI 73 ± 87 74  ±  4 66  ±  7 67  ±  3 68  ±  7 70  ±  7 69  ±  7

Phosphorothioate ODNs were given as a single dose at 10 μM on day 0 and cells were counted on day 5. Data are the mean ± SEM from three experiments. 

*

P < 0.01. 

Table 2.

t(14; 18) dose–response activity of ODNs targeting the bcl-2 regions of the IgH regions

μM No. of DOHH2 cells (×10−4) per ml
b1
h1
S AS S AS
76  ±  4 78  ±  7 83  ±  9 80 ± 7
0.3 78  ±  4 75  ±  7 84  ±  6 78 ± 10
1 52  ±  7* 79  ±  9 55  ±  8* 79 ± 6
3 44  ±  4* 78  ±  7 49  ±  7* 81 ± 5
10 31  ±  6* 67  ±  3 34  ±  8* 68 ± 11
30 27  ±  6 39  ±  9 27  ±  9 43 ± 8

Phosphorothioate ODNs were given as a single dose on day 0. Data are the mean ± SEM from three experiments. 

*

P < 0.01. 

Down-Regulation of bcl2–IgH mRNA and BCL-2 Protein in ODN-Treated Cells.

Cellular levels of bcl-2–IgH mRNA and BCL-2 protein in cells treated with ODNs were evaluated by quantitative reverse transcription-coupled PCR using β2-microglobulin or β-actin (data not shown) as internal standards, and by immunofluorescence, respectively. In Fig. 4 the relative expression of the bcl-2–IgH transcript in K422 cells treated with ODN b1 in the antisense (lanes 1–4) and sense (lanes 5–8) orientation is shown. It can be seen that, compared with cells untreated or treated with control ODNs, those treated with the sense ODN b1 presented a marked reduction of bcl2–IgH mRNA levels. Importantly, this reduction was paralleled by a sharp decrease in BCL-2 protein levels, as revealed by flow cytometric analysis (Fig. 5). In contrast, the amount of BCL-2 protein in cells treated with control ODNs was similar to that of untreated cells (Fig. 5).

Figure 4.

Figure 4

bcl-2 mRNA determination in K422 cells after a 5-day exposure to 10 μM phosphorothioate ODN. Increasing volumes (1, 2, 4, and 8 μl) of amplification products of cDNA from antisense h1 ODN (lanes 1–4)- or from sense h1 ODN (lanes 5–8)-treated cells were used.

Figure 5.

Figure 5

BCL-2 protein levels in K422 cells exposed for 3 days to 10 μM phosphodiester ODN h1. Flow cytometry histograms of untreated cells labeled with an irrelevant mouse immunoglobulin (-·-·-) or with a BCL-2 mAb (- - -) (A) or of cells treated with sense (—), antisense (· · ·), or inverted (- - -) h1 ODNs (B) are shown.

Massive Apoptosis After Long-Term Exposure to Sense ODNs.

The fate of lymphoma cell lines after long-term incubation with ODNs was investigated. Both t(14;18)-positive and -negative cell lines were treated daily with control or sense ODNs and examined at various times for cell viability. During the first 10–12 days, there was a 40–70% drop in viable cells in cultures treated with sense ODNs, relative to cultures treated with control ODNs (Figs. 6 and 7). Strikingly, however, by 14 days sudden and complete cell death occurred in sense-ODN-treated cultures, and this event, which took place quickly (2–3 h; Fig. 8) and was consistently reproducible in several independent experiments, was sequence-specific, in agreement with the results shown in Figs. 2 and 3 and Tables 1 and 2. No significant growth alterations were noted either in samples treated with control ODNs or in cells not expected to be targeted by the sense ODN.

Figure 6.

Figure 6

Sequence-specific cell death induced by sense ODNs targeting different regions of the hybrid bcl-2–IgH antisense RNA. Phosphodiester sense ODNs complementary to sequences of the N region of the DOHH2 (ODN n1) (A) and of the SU-DHL-4 cells (ODN n4) (B) or the bcl-2 (ODN b1) (C) and the IgH regions (ODN h1) (D) of the bcl-2–IgH antisense transcript were given at 10 μM on day 0 and at 5 μM the following days as in Fig. 2. The respective antisense, inverted, scramble, and mismatched ODNs were also used. Cells were counted every 4 days. Data are the means from three experiments.

Figure 7.

Figure 7

Cell-line-specific death by ODNs targeting different regions of the hybrid bcl-2–IgH antisense RNA. Sense phosphodiester ODNs spanning the N region of the DOHH2 cell line (ODN n1) (A), the N region of the SU-DHL-4 cell line ODN n4 (B), the bcl-2 portion (ODN b1) (C), or the IgH portion (ODN h1) (D) of the hybrid antisense RNA, were given as indicated in Fig. 4. Cells were counted every 4 days. Data are means from three experiments.

Figure 8.

Figure 8

TUNEL assay and DNA distribution in DHL-4 cells after exposure to ODNs. DHL-4 cells, either untreated (158 158 158) or treated with sense (190) or antisense (- - -) ODN h1 (1 μM/day) were labeled either by the TUNEL assay and analyzed by flow cytometry (A) or were stained with propidium iodine as indicated in MATERIALS AND METHODS and analyzed by flow cytometry (B).

DISCUSSION

The expression of the antiapoptotic gene bcl-2 can be down-regulated in a sequence-specific manner by antisense ODNs targeting the AUG initiation codon of the bcl-2 mRNA (40). Because this event is accompanied by the onset of apoptotic cell death (41), it has been proposed that bcl-2-specific antisense ODNs may play a relevant role in the treatment of follicular lymphomas, characterized by overexpression of bcl-2 as result of the t(14;18) chromosomal translocation (42, 43). Nevertheless, since the sequence of this ODNs is not tumor-specific, their therapeutic advantage may be limited by the fact that they can have profound effects on a wide variety of tissues that normally express bcl-2. To overcome this limitation, we have explored the possibility of down-regulating the chimeric bcl2–IgH transcript of follicular lymphomas without affecting the normal bcl-2 transcript, by using ODN sequences targeting the tumor-specific junction region originating from the fusion between the bcl-2 and IgH genes that includes the N region insertions (16).

During the course of these studies, we have unexpectedly found that all t(14;18)-positive follicular lymphomas do express, in addition to the normal oriented bcl-2–IgH transcript, a bcl-2–IgH transcript in the antisense orientation. Because endogenous antisense transcripts, already described for other genes (44), seem to influence the stability of the relevant mRNA regulating gene expression, we reasoned that the modulation of the antisense bcl-2–IgH mRNA by specific ODNs could affect the expression of the sense bcl-2–IgH mRNA, and this might open up a new perspective in antisense strategy. Indeed, the results provided in the present study point out that the bcl-2–IgH antisense transcript is a biologically relevant target for the ODN strategy. We have in fact shown that phosphodiester and phosphorothioate ODNs targeting different parts of the bcl-2–IgH mRNA induce programmed death efficiently in cells carrying the t(14;18) translocation but not in those without this cytogenetic abnormality. In addition, we show that the sense ODNs are equally effective in inducing apoptotic response, irrespective of the nucleotide sequence used to target the bcl-2–IgH antisense RNA. This finding is actually in contrast with data indicating that the effectiveness of antisense ODNs is largely dependent on the targeted region of the mRNA. This could be explained by the different features of the bcl-2–IgH antisense RNA compared with mRNAs in regard to nuclear compartimentalization, lack of an open reading frame or splicing sequences, or half-life.

Recently, the antisense activity of ODNs has been questioned because of the evidence that these molecules can elicit sequence-independent effects, particularly, the phosphorothioate derivatives also used for in vivo studies (45). To rule out the possibility that our results were due to nonspecific effects of the sense ODNs, their activity was always compared with that of several control ODNs (unmodified and phosphorothioate-modified) used at equimolar doses on cell lines carrying or not carrying the t(14;18) translocation. The antisense mechanism is further supported by the absolute cell specificity shown by the ODNs used in these studies. ODNs targeting the unique nucleotide sequence present in the N region of the DOHH2 antisense transcript were characterized by an absolute DOHH2-restricted apoptotic activity. In a specular way, the activity of ODNs targeting the N region of the SU-DHL-4 cell line was restricted to the SU-DHL-4 cell line. The ODN treatment of other human cell lines or normal bone marrow cells (data not shown) was not effective. Besides the junction-targeted oligonucleotides, other active sense-oriented ODNs were those complementary upstream from the bcl-2 major breakpoint region and downstream from the J segment of the IgH locus. The activity of these sense ODNs with all t(14;18) cell lines but not with those negative for this translocation provides the basis for the development of tumor-specific ODNs for the treatment of t(14;18) follicular lymphomas.

The finding that none of the antisense ODNs targeting the bcl-2–IgH mRNA affected the growth of the follicular lymphoma cells remains to be considered. Apart from the possibile competition exerted by the antisense transcript with the ODN-targeted sequences in the mRNA, it must be considered that most of the effective anti-bcl-2 ODNs so far described are clustered in a region straddling the transcription initiation site that is generally believed to be very sensitive to ODN targeting (1). The different localization of our targeted regions (the 3′ untranslated region) and the generally higher level of mRNAs compared with the relative antisense transcripts (26) may account for these negative results. The low expression level of antisense transcripts did not allow us to provide direct evidence for the ODN-mediated down-regulation of the bcl-2–IgH antisense RNA. However, our results strongly argue in favor of a true antisense mechanism of action of the sense ODNs used.

The massive cell death observed at the end of the long-term t(14;18) cell treatment is noteworthy. The growth rate inhibition (survival disadvantage) observed during the first 12-day ODN exposure was followed by a fulminant unexpected death of the t(14;18) cell population. Although difficult to explain, this finding might be reminiscent of the massive disappearance, by 2–4 weeks of age, of the B and T cells in the lymphoid organs of the bcl-2 null homozygous mice (46, 47). Irrespective of the targeted region in the bcl-2–IgH antisense transcript, the complete cell death produced by our ODNs was strictly restricted to t(14;18) cell lines. In conclusion, this finding that the antisense transcripts can be efficiently targeted by ODNs opens new possibilities for the pharmacological control of gene expression by these compounds.

Acknowledgments

We thank Dr. Antonella Aiello for invaluable help and suggestions, Dr. Mary Forrest for the revision of the text, and Dr. Roberto Di Cintio for the editing of the manuscript. This research was supported by the Consiglio Nazionale delle Ricerche (Applicazioni Cliniche della Ricerca Oncologica), Rome; Associazione Italiana per la Ricerca sul Cancro, Milan; and Ministero dell’Università e della Ricerca Scientifica e Tecnologica. S.M. and S.T. were supported by Consorzio Milano Ricerche, A.Q. by Associazione Italiana per la Ricerca sul Cancro, and A.B. by Fandazione Italiana per la Ricerca sul Cancro.

ABBREVIATIONS

ODN

oligodeoxynucleotide

TUNEL

terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling

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