Mitani K, Kubo S
Department of Microbiology, Immunology & Molecular Genetics, UCLA School of Medicine, Los Angeles, CA 90095-1747, USA.
Curr Gene Ther. 2002 May;2(2):135-44. doi: 10.2174/1566523024605591.
Recombinant adenoviral vectors have served as one of the most efficient gene delivery vehicles in vivo thus far. Multiply attenuated or completely gutless adenoviral vectors have been developed to achieve long-term gene expression in animal models by overcoming cellular immunity against de novo synthesized adenoviral proteins. However, since adenovirus lacks native integration machinery, the goal of gene therapy obtaining permanent expression cannot be realized with current adenoviral vector systems. Recent studies have shown that replication-incompetent adenoviral vectors randomly integrate into host chromosomes at frequencies of 0.001-1% of infected cells. To improve the integration frequencies of adenoviral vectors, a variety of hybrid vectors combining the highly efficient DNA delivery of adenovirus with the integrating machinery of retroviruses, adeno-associated viruses, and transposons, have been emerging. These hybrid vectors have shown promise, at least in in vitro systems. Furthermore, adenoviral vectors have shown potential as gene targeting vectors. These developments should eventually lead to more effective gene therapy vectors that can transduce a myriad of cell types stably in vivo.
重组腺病毒载体是迄今为止体内最有效的基因传递载体之一。为了克服针对新合成腺病毒蛋白的细胞免疫,人们已经开发出多种减毒或完全无肠道的腺病毒载体,以在动物模型中实现长期基因表达。然而,由于腺病毒缺乏天然整合机制,目前的腺病毒载体系统无法实现基因治疗获得永久表达的目标。最近的研究表明,无复制能力的腺病毒载体以0.001%-1%的感染细胞频率随机整合到宿主染色体中。为了提高腺病毒载体的整合频率,各种将腺病毒高效DNA传递与逆转录病毒、腺相关病毒和转座子的整合机制相结合的杂交载体不断涌现。这些杂交载体至少在体外系统中已显示出前景。此外,腺病毒载体已显示出作为基因靶向载体的潜力。这些进展最终应能带来更有效的基因治疗载体,能够在体内稳定转导多种细胞类型。