Adams R M, Soriano H E, Wang M, Darlington G, Steffen D, Ledley F D
Howard Hughes Medical Institute, Baylor College of Medicine, Houston, TX 77030.
Proc Natl Acad Sci U S A. 1992 Oct 1;89(19):8981-5. doi: 10.1073/pnas.89.19.8981.
Experiments in animal models suggest that it is feasible to consider hepatic gene therapy using a strategy in which hepatocytes would be isolated by partial hepatectomy, transduced with recombinant retroviral vectors containing genes of therapeutic importance, and then transplanted back into the patient by autologous hepatocellular transplantation. The application of this strategy in clinical trials will require adapting these methods to human cells. We describe the transduction of primary human hepatocytes with two forms of retroviral vectors: amphotropic vectors, which have been used previously in clinical trials, and xenotropic vectors, which have a different host range. Human hepatocytes were harvested from organs preserved in Belzer's solution and were cultivated in a serum-free, tyrosine-free, hormonally defined medium. These cells proliferated for 3-5 days in culture, exhibited characteristic hepatocyte morphology, and expressed liver-specific functions, including phenylalanine hydroxylase, alpha 1-antitrypsin, and glutamine synthase. Transduction with an amphotropic LNL6 retroviral vector resulted in stable incorporation of the provirus into 1% of the cells as estimated by semiquantitative PCR. Consistently higher transduction efficiencies (as much as 10% of the cells) were observed with a xenotropic N2 vector. These data support the feasibility of using LNL6 as a marker gene in clinical trials of hepatocellular transplantation. These data also suggest that the efficiency of transducing hepatocytes with amphotropic vectors in animal models may not accurately reflect the utility of these vectors for human applications. Consideration should be given to the use of xenotropic vectors for optimizing the efficiency of transduction for human applications.
动物模型实验表明,采用一种策略进行肝脏基因治疗是可行的,该策略是通过部分肝切除术分离肝细胞,用含有具有治疗重要性基因的重组逆转录病毒载体进行转导,然后通过自体肝细胞移植将其重新移植回患者体内。将该策略应用于临床试验需要使这些方法适用于人类细胞。我们描述了用两种形式的逆转录病毒载体对原代人肝细胞进行转导:嗜异性载体,此前已用于临床试验;异嗜性载体,其宿主范围不同。从保存在Belzer溶液中的器官中获取人肝细胞,并在无血清、无酪氨酸、激素限定的培养基中培养。这些细胞在培养中增殖3至5天,呈现出特征性的肝细胞形态,并表达肝脏特异性功能,包括苯丙氨酸羟化酶、α1-抗胰蛋白酶和谷氨酰胺合成酶。用嗜异性LNL6逆转录病毒载体转导后,通过半定量PCR估计,前病毒稳定整合到1%的细胞中。使用异嗜性N2载体观察到一致更高的转导效率(高达10%的细胞)。这些数据支持在肝细胞移植临床试验中使用LNL6作为标记基因的可行性。这些数据还表明,在动物模型中用嗜异性载体转导肝细胞的效率可能无法准确反映这些载体在人类应用中的效用。应考虑使用异嗜性载体来优化人类应用中转导的效率。