Morse M A
Department of Medicine, Molecular Therapeutics Program, Duke University Medical Center, Durham, NC 27710, USA.
Curr Opin Mol Ther. 2000 Aug;2(4):448-52.
Cationic lipid-DNA complexes are being evaluated for local or systemic therapeutic gene transfer. These positively charged liposomes fuse with negatively charged cell membranes and deliver the enclosed plasmid and its encoded gene to target tissues. This system has relevance for delivering genes to both normal and damaged or malignant tissues including phagocytes, tumor cells, endothelium and possibly parenchymal cells. Among the approaches being actively evaluated is the delivery of immunostimulatory cytokine genes (such as IL-2, IFN alpha or IL-12) into tumors. It is hypothesized that the local cytokine release will attract or induce antitumor immune responses. Valentis, (formerly GeneMedicine), has developed a plasmid encoding human IL-2 complexed with the liposomal preparation of DOTMA and cholesterol and has initiated phase I studies of intratumoral injection in head and neck cancer patients. Other routes of administration (intravenous and intratracheal), cytokines (IL-2) and proprietary liposomal-DNA complexes are being evaluated in preclinical models.
阳离子脂质 - DNA复合物正在接受局部或全身治疗性基因转移的评估。这些带正电荷的脂质体与带负电荷的细胞膜融合,并将包裹的质粒及其编码基因递送至靶组织。该系统对于将基因递送至正常、受损或恶性组织(包括吞噬细胞、肿瘤细胞、内皮细胞以及可能的实质细胞)均具有重要意义。正在积极评估的方法之一是将免疫刺激细胞因子基因(如白细胞介素 - 2、α干扰素或白细胞介素 - 12)递送至肿瘤。据推测,局部细胞因子释放将吸引或诱导抗肿瘤免疫反应。Valentis(前身为基因医学公司)已研发出一种编码人白细胞介素 - 2的质粒,该质粒与DOTMA和胆固醇的脂质体制剂复合,并已启动对头颈部癌患者进行瘤内注射的I期研究。其他给药途径(静脉内和气管内)、细胞因子(白细胞介素 - 2)以及专利脂质体 - DNA复合物正在临床前模型中进行评估。