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用于视网膜基因转移的基于猿猴免疫缺陷病毒的慢病毒载体:成年大鼠的临床前安全性研究。

Simian immunodeficiency virus-based lentivirus vector for retinal gene transfer: a preclinical safety study in adult rats.

作者信息

Ikeda Y, Goto Y, Yonemitsu Y, Miyazaki M, Sakamoto T, Ishibashi T, Tabata T, Ueda Y, Hasegawa M, Tobimatsu S, Sueishi K

机构信息

Division of Pathophysiological and Experimental Pathology, Department of Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

出版信息

Gene Ther. 2003 Jul;10(14):1161-9. doi: 10.1038/sj.gt.3301973.

Abstract

Although lentivirus vectors hold promise for ocular gene therapy, they also have potential safety issues, particularly in the case of the current human immunodeficiency virus-based vectors. We recently developed a novel lentivirus vector derived from the nonpathogenic simian immunodeficiency virus from African green monkeys (SIVagm) to minimize these potentials. In this preclinical study, we evaluated whether SIV vector could be efficiently and safely applicable to retinal gene transfer by assessing the transgene expression, retinal function and histology over a 1-year period following subretinal injection in adult rats. The functional assessment via electroretinogram after both titers of SIV-lacZ (2.5 x 10(7) or 2.5 x 10(8) transducing units/ml) injection revealed both the dark and light adaptations to soon be impaired, in a dose-dependent manner, after a buffer injection as well, and all of them recovered to the control range by day 30. In both titers tested, the retinas demonstrated a frequent transgene expression mainly in the retinal pigment epithelium; however, the other retinal cells rarely expressed the transgene. Retinas exposed to a low titer virus showed no significant inflammatory reaction throughout the observation period, and also maintained the transgene expression over a 1-year period. In the retinas exposed to a high titer virus, however, mononuclear cell infiltration persisted in the subretinal area, and the retina that corresponded to the injected area finally underwent degeneration by around day 90. No retinal neoplastic lesions could be found in any animals over the 1-year period. We thus propose that SIV-mediated stable gene transfer might be useful for ocular gene transfer; however, more attention should be paid to avoiding complications when administering high titer lentivirus to the retina.

摘要

尽管慢病毒载体有望用于眼部基因治疗,但它们也存在潜在的安全问题,特别是对于目前基于人类免疫缺陷病毒的载体而言。我们最近开发了一种源自非洲绿猴非致病性猿猴免疫缺陷病毒(SIVagm)的新型慢病毒载体,以尽量减少这些潜在风险。在这项临床前研究中,我们通过评估成年大鼠视网膜下注射后1年内的转基因表达、视网膜功能和组织学,来评估SIV载体是否能有效且安全地应用于视网膜基因转移。注射两种滴度的SIV-lacZ(2.5×10⁷或2.5×10⁸转导单位/毫升)后通过视网膜电图进行的功能评估显示,注射缓冲液后,暗适应和明适应也很快以剂量依赖的方式受损,并且所有这些在第30天时恢复到对照范围。在测试的两种滴度中,视网膜主要在视网膜色素上皮中频繁出现转基因表达;然而,其他视网膜细胞很少表达转基因。暴露于低滴度病毒的视网膜在整个观察期内未显示出明显的炎症反应,并且在1年内也维持了转基因表达。然而,在暴露于高滴度病毒的视网膜中,视网膜下区域持续存在单核细胞浸润,并且对应于注射区域的视网膜最终在大约第90天时发生退化。在1年期间,任何动物均未发现视网膜肿瘤性病变。因此,我们认为SIV介导的稳定基因转移可能对眼部基因转移有用;然而,在向视网膜施用高滴度慢病毒时应更加注意避免并发症。

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