Background: Hepatocellular carcinoma (HCC) is the most common
primary cancer of the liver and represents the third most common cause
of death from cancer globally. Limited therapeutic options, especially
in an advanced stage, combined with the presence of underlying liver
dysfunction in most of the patients limit its treatment. Targeted gene
therapy may be a promising treatment in this setting. Transcriptional
targeting of cancer can be achieved using promoters preferentially
active in tumor cells (tumor specific promoters (TSPs)). Glypican 3
(GPC3) is an oncofetal protein belonging to the proteoglycan family
and is highly expressed in HCC and not in normal or cirrhotic liver.
Given the HCC-specific nature of GPC3 expression, we hypothesized
that the promoter for this gene should be preferentially active in
HCC