Kügler S, Kilic E, Bähr M
University of Göttingen, Department of Neurology, Germany.
Gene Ther. 2003 Feb;10(4):337-47. doi: 10.1038/sj.gt.3301905.
Targeting therapeutic transgene expression to defined tissues is a major task in the development of safe and efficient gene therapy protocols. Recombinant adenovirus is an attractive vector because it can be prepared in huge quantity and new generation vectors possess very large cloning capacities combined with reduced immunogenicity. In the brain, adenovirus transduces mainly glial cells, making it difficult to use this vector system in applications that need expression of therapeutic proteins in neurons. Here, we show that by using a small fragment of the human synapsin 1 gene promoter, we were able to restrict transgene expression from an adenoviral vector exclusively to neurons. Furthermore, we obtained stable long-term transgene expression from this vector in striatum and thalamus at appropriate vector dose. Other promoters like the CMV and U1snRNA promoters also mediated transgene expression over several months, but mainly in glial cells. Although the NSE promoter was relatively neuron specific, it still expressed in glial cells also, and was clearly outperformed by the synapsin promoter with respect to transcriptional neuronal targeting. As an important feature of adenoviral-mediated gene transfer to the brain, we demonstrate that dopaminergic neurons of the substantia nigra do not allow for long-term expression from adenoviral vectors. Strikingly, these neurons appeared to specifically attenuate transgene expression by deleting the adenoviral genome.
将治疗性转基因表达靶向特定组织是安全有效的基因治疗方案开发中的一项主要任务。重组腺病毒是一种有吸引力的载体,因为它可以大量制备,新一代载体具有非常大的克隆能力,同时免疫原性降低。在大脑中,腺病毒主要转导神经胶质细胞,这使得在需要在神经元中表达治疗性蛋白质的应用中难以使用这种载体系统。在这里,我们表明,通过使用人突触素1基因启动子的一小段片段,我们能够将腺病毒载体的转基因表达仅限制在神经元中。此外,在适当的载体剂量下,我们从该载体在纹状体和丘脑中获得了稳定的长期转基因表达。其他启动子,如CMV和U1snRNA启动子,也介导了几个月的转基因表达,但主要在神经胶质细胞中。尽管NSE启动子相对具有神经元特异性,但它也仍在神经胶质细胞中表达,并且在转录神经元靶向方面明显不如突触素启动子。作为腺病毒介导的基因转移到大脑的一个重要特征,我们证明黑质的多巴胺能神经元不允许腺病毒载体进行长期表达。令人惊讶的是,这些神经元似乎通过删除腺病毒基因组来特异性减弱转基因表达。