Kremer E J, Boutin S, Chillon M, Danos O
Programme Thérapie Génique, Généthon III and CNRS URA 1923, 91002 Evry, France.
J Virol. 2000 Jan;74(1):505-12. doi: 10.1128/jvi.74.1.505-512.2000.
Preclinical studies have shown that gene transfer following readministration of viral vectors is often inefficient due to the presence of neutralizing antibodies. Vectors derived from ubiquitous human adenoviruses may have limited clinical use because preexisting humoral and cellular immunity is found in 90% of the population. Furthermore, risks associated with the use of human adenovirus vectors, such as the need to immunosuppress or tolerize patients to a potentially debilitating virus, are avoidable if efficient nonhuman adenovirus vectors are feasible. Plasmids containing recombinant canine adenovirus (CAV) vectors from which the E1 region had been deleted were generated and transfected into a CAV E1-transcomplementing cell line. Vector stocks, with titers greater than or equal to those obtained with human adenovirus vectors, were free of detectable levels of replication-competent CAV and had a low particle-to-transduction unit ratio. CAV vectors were replication defective in all cell lines tested, transduced human-derived cells at an efficiency similar to that of a comparable human adenovirus type 5 vector, and are amenable to in vivo use. Importantly, 49 of 50 serum samples from healthy individuals did not contain detectable levels of neutralizing CAV antibodies.
临床前研究表明,由于存在中和抗体,再次给予病毒载体后的基因转移通常效率低下。源自普遍存在的人类腺病毒的载体可能临床应用有限,因为90%的人群中存在预先存在的体液免疫和细胞免疫。此外,如果高效的非人类腺病毒载体可行,那么与使用人类腺病毒载体相关的风险,如需要对患者进行免疫抑制或使其耐受一种可能使人衰弱的病毒,是可以避免的。构建了含有缺失E1区的重组犬腺病毒(CAV)载体的质粒,并将其转染到CAV E1反式互补细胞系中。病毒载体储备液的滴度大于或等于用人腺病毒载体获得的滴度,未检测到有复制能力的CAV,且颗粒与转导单位的比例较低。CAV载体在所有测试的细胞系中均存在复制缺陷,转导人源细胞的效率与类似的5型人类腺病毒载体相当,且适合体内使用。重要的是,50份健康个体的血清样本中有49份未检测到中和CAV抗体。