Gordon J W
Department of Obstetrics/Gynecology and Reproductive Science, Mt. Sinai School of Medicine, 1 Gustave L. Levy Place, New York, New York 10029, USA.
Mol Ther. 2001 Apr;3(4):557-64. doi: 10.1006/mthe.2001.0290.
The risk of insertion of adenovirus gene therapy DNA into female germ cells during the course of somatic gene therapy was stringently tested in the mouse by injecting up to 10(10) infectious particles directly into the ovary and by incubating naked oocytes in a solution of 2 x 10(8) particles/ml for 1 h prior to in vitro fertilization (IVF). The vector used was a recombinant adenovirus carrying the bacterial lacZ gene driven by the cytomegalovirus promoter (Adbeta-gal). Ovaries were stained for LacZ activity, or immunochemically for LacZ, 5-7 days after injection. Although very large amounts of LacZ activity and protein were detected, all positive staining was in the thecal portion of the ovary, with no staining seen in oocytes. In another series of experiments, mice with injected ovaries were mated, and preimplantation embryos or fetuses were analyzed either for LacZ expression or by PCR for lacZ DNA. None of 202 preimplantation embryos stained positively for LacZ and none of 58 fetuses were positive for DNA by PCR analysis. Finally, more than 1400 eggs were fertilized after exposure to the vector prior to IVF and stained as morulae for LacZ activity. Fewer than 2% of the embryos stained positively for LacZ, and experiments indicated that the staining was due to incomplete washing of the eggs prior to IVF. These data provide strong evidence that adenoviruses cannot infect oocytes and that the risk of female germ-line transduction with such vectors is very low.
在体细胞基因治疗过程中,腺病毒基因治疗DNA插入雌性生殖细胞的风险在小鼠中进行了严格测试。通过直接向卵巢注射多达10¹⁰个感染性颗粒,并在体外受精(IVF)前将裸卵母细胞在2×10⁸颗粒/毫升的溶液中孵育1小时。所使用的载体是一种携带由巨细胞病毒启动子驱动的细菌lacZ基因的重组腺病毒(Adβ-gal)。注射后5 - 7天,对卵巢进行LacZ活性染色,或对LacZ进行免疫化学染色。尽管检测到大量的LacZ活性和蛋白质,但所有阳性染色都在卵巢的卵泡膜部分,卵母细胞中未见染色。在另一系列实验中,将注射了卵巢的小鼠进行交配,并对植入前胚胎或胎儿进行LacZ表达分析或通过PCR检测lacZ DNA。202个植入前胚胎中没有一个LacZ染色呈阳性,58个胎儿中没有一个通过PCR分析DNA呈阳性。最后,超过1400个卵子在IVF前暴露于载体后受精,并作为桑椹胚对LacZ活性进行染色。不到2%的胚胎LacZ染色呈阳性,实验表明染色是由于IVF前卵子洗涤不完全所致。这些数据提供了有力证据,表明腺病毒不能感染卵母细胞,并且此类载体导致雌性生殖系转导的风险非常低。