Enhanced iodide transport after transfer of the human sodium iodide symporter gene is associated with lack of retention and low absorbed dose

Gene Ther. 2003 May;10(9):774-80. doi: 10.1038/sj.gt.3301943.


Transfer of the sodium iodide symporter (hNIS) has been proposed as a new principle of cancer gene therapy. Using clinically relevant doses of (131)I for the treatment of NIS-expressing prostate carcinoma cells, we investigated the kinetics and the absorbed doses obtained in these tumors. hNIS-expressing cell lines accumulated up to 200 times more iodide when compared to wild-type cells. However, a rapid efflux of the radioactivity (80%) occurred during the first 20 min after replacement of the medium. In rats, the hNIS-expressing tumors accumulated up to 20 times more iodide when compared to contralateral transplanted wild-type tumors. After 24 h and doses of 550, 1200 or 2400 MBq/m(2) hNIS-expressing tumors lost 89, 89 and 91% of the initial activity, respectively. Dosimetric calculations showed that 1200 MBq/m(2) resulted in 3+/-0.5 Gy (wild-type tumor 0.15+/-0.1 Gy) and 2400 MBq/m(2) resulted in 3.1+/-0.9 Gy (wild-type tumor 0.26+/-0.02 Gy). Although transduction of the hNIS gene induces iodide transport in rat prostate adenocarcinoma a rapid efflux occurs, which leads to a low absorbed dose in genetically modified tumors. With regard to a therapeutic application additional conditions need to be defined leading to iodide trapping.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorption
  • Adenocarcinoma / metabolism
  • Adenocarcinoma / radiotherapy*
  • Animals
  • Biological Transport
  • Genetic Therapy / methods*
  • Genetic Vectors / pharmacology
  • Humans
  • Immunohistochemistry / methods
  • Iodides / metabolism*
  • Iodine Radioisotopes / pharmacokinetics
  • Iodine Radioisotopes / therapeutic use*
  • Male
  • Neoplasms, Experimental
  • Prostatic Neoplasms / metabolism
  • Prostatic Neoplasms / radiotherapy*
  • Rats
  • Rats, Inbred Strains
  • Retroviridae / genetics
  • Symporters / analysis
  • Symporters / genetics*
  • Transduction, Genetic / methods
  • Tumor Cells, Cultured


  • Iodides
  • Iodine Radioisotopes
  • Symporters
  • sodium-iodide symporter