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腺病毒基因疗法在体内可迅速诱导多种趋化因子并引发急性中性粒细胞依赖性肝损伤。

Adenoviral gene therapy leads to rapid induction of multiple chemokines and acute neutrophil-dependent hepatic injury in vivo.

作者信息

Muruve D A, Barnes M J, Stillman I E, Libermann T A

机构信息

Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Hum Gene Ther. 1999 Apr 10;10(6):965-76. doi: 10.1089/10430349950018364.

Abstract

Replication-deficient adenoviruses are known to induce acute injury and inflammation of infected tissues, thus limiting their use for human gene therapy. However, molecular mechanisms triggering this response have not been fully defined. To characterize this response, chemokine expression was evaluated in DBA/2 mice following the intravenous administration of various adenoviral vectors. Administration of adCMVbeta gal, adCMV-GFP, or FG140 intravenously rapidly induced a consistent pattern of C-X-C and C-C chemokine expression in mouse liver in a dose-dependent fashion. One hour following infection with 10(10) PFU of adCMVbeta gal, hepatic levels of MIP-2 mRNA were increased >60-fold over baseline. MCP-1 and IP-10 mRNA levels were also increased immediately following infection with various adenoviral vectors, peaking at 6 hr with >25- and >100-fold expression, respectively. Early induction of RANTES and MIP-1beta mRNA by adenoviral vectors also occurred, but to a lesser degree. The induction of chemokines occurred independently of viral gene expression since psoralen-inactivated adenoviral particles produced an identical pattern of chemokine gene transcription within the first 16 hr of administration. The expression of chemokines correlated as expected with the influx of neutrophils and CD11b+ cells into the livers of infected animals. At high titers, all adenoviral vectors caused significant hepatic necrosis and apoptosis following systemic administration to DBA/2 mice. To investigate the role of neutrophils in this adenovirus-induced hepatic injury, animals were pretreated with neutralizing anti-MIP-2 antibodies or depleted of neutrophils. MIP-2 antagonism and neutrophil depletion both resulted in reduced serum ALT/AST levels and attenuation of the adenovirus-induced hepatic injury histologically, confirming that this early injury is largely due to chemokine production and neutrophil recruitment. Our findings further clarify the early immune response against replication-deficient adenoviral vectors and suggest a strategy to prevent adenovirus-mediated inflammation and tissue injury by interfering with chemokine or neutrophil function.

摘要

已知复制缺陷型腺病毒会引发受感染组织的急性损伤和炎症,因此限制了它们在人类基因治疗中的应用。然而,引发这种反应的分子机制尚未完全明确。为了表征这种反应,在给DBA/2小鼠静脉注射各种腺病毒载体后,评估了趋化因子的表达。静脉注射adCMVβ半乳糖苷酶、adCMV - GFP或FG140会以剂量依赖的方式迅速在小鼠肝脏中诱导出一致的C - X - C和C - C趋化因子表达模式。用10(10) PFU的adCMVβ半乳糖苷酶感染1小时后,肝脏中MIP - 2 mRNA水平比基线增加了60倍以上。在用各种腺病毒载体感染后,MCP - 1和IP - 10 mRNA水平也立即升高,分别在6小时达到峰值,表达量增加了25倍和100倍以上。腺病毒载体也会早期诱导RANTES和MIP - 1β mRNA,但程度较小。趋化因子的诱导独立于病毒基因表达,因为补骨脂素灭活的腺病毒颗粒在给药后的前16小时内产生了相同的趋化因子基因转录模式。趋化因子的表达与中性粒细胞和CD11b +细胞流入受感染动物肝脏的情况如预期的那样相关。在高滴度下,所有腺病毒载体在全身给药给DBA/2小鼠后都会导致明显的肝坏死和凋亡。为了研究中性粒细胞在这种腺病毒诱导的肝损伤中的作用,用中和抗MIP - 2抗体预处理动物或使中性粒细胞耗竭。MIP - 2拮抗作用和中性粒细胞耗竭都导致血清ALT/AST水平降低以及腺病毒诱导的肝损伤在组织学上减轻,证实这种早期损伤主要是由于趋化因子产生和中性粒细胞募集。我们的发现进一步阐明了针对复制缺陷型腺病毒载体的早期免疫反应,并提出了一种通过干扰趋化因子或中性粒细胞功能来预防腺病毒介导的炎症和组织损伤的策略。

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