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A variety of signal transduction pathways are disturbed in basal cell carcinoma (BCC), resulting in increased tumor cell proliferation and angiogenesis and diminished apoptosis. The protein c-Jun is active in various tumors, including BCCs, but not in normal adult tissues. DNAzymes are single strands of DNA that bind and degrade messenger RNA. The DNAzyme Dz13 was designed to bind specifically to Jun mRNA; in preclinical models, Dz13 caused tumor cell apoptosis, inhibited angiogenesis, and stimulated adaptive immune responses. Researchers conducted a phase I trial in nine patients with BCC to determine the safety and tolerability of Dz13.
Three 3-patient groups received single intratumoral injections of 10, 30, or 100 µg of Dz13. Three adver…