Sirninger Jeffrey, Muller Christian, Braag Sofia, Tang Qiushi, Yue Hungwen, Detrisac Carol, Ferkol Thomas, Guggino William B, Flotte Terence R
Powell Gene Therapy Center, UF Genetics Institute, Department of Pediatrics and Molecular Genetics and Microbiology, University of Florida College of Medicine, Gainesville, FL 32619-0296, USA.
Hum Gene Ther. 2004 Sep;15(9):832-41. doi: 10.1089/hum.2004.15.832.
Despite extensive experience with recombinant adeno-associated virus (rAAV) 2 vectors in the lung, gene expression has been low in the context of cystic fibrosis (CF) gene therapy, where the large size of the cystic fibrosis transmembrane conductance regulator (CFTR) coding sequence has prompted the use of compact endogenous promoter elements. We evaluated the possibility that gene expression from recombinant adeno-associated virus (rAAV) could be improved by using alternate AAV capsid serotypes that target different cell-surface receptors (i.e., rAAV5) and/or using stronger promoters. The relative activities of the cytomegalovirus (CMV) Rous sarcoma virus (RSV) promoter, the CMV enhancer/beta-actin (CB) promoter combination, and the CMV enhancer/RSV promoter hybrid were assessed in vitro in a CF bronchial cell line. The CB promoter was the most efficient. AAV capsid serotypes, rAAV2 and rAAV5, were also compared, and rAAV5 was found to be significantly more efficient. Based on these studies a rAAV5-CB-promoter-driven CFTR minigene vector was then used to correct the CF chloride transport defect in vitro, as well as the hyperinflammatory lung phenotype in Pseudomonas-agarose bead challenged CF mouse lungs in vivo. These studies provide functional characterization of a new version of rAAV-CFTR vectors.
尽管重组腺相关病毒(rAAV)2载体在肺部有广泛应用经验,但在囊性纤维化(CF)基因治疗中基因表达一直较低,在CF基因治疗中,囊性纤维化跨膜传导调节因子(CFTR)编码序列的大尺寸促使人们使用紧凑的内源性启动子元件。我们评估了通过使用靶向不同细胞表面受体的替代AAV衣壳血清型(即rAAV5)和/或使用更强的启动子来提高重组腺相关病毒(rAAV)基因表达的可能性。在体外,在CF支气管细胞系中评估了巨细胞病毒(CMV)劳氏肉瘤病毒(RSV)启动子、CMV增强子/β-肌动蛋白(CB)启动子组合以及CMV增强子/RSV启动子杂合体的相对活性。CB启动子效率最高。还比较了AAV衣壳血清型rAAV2和rAAV5,发现rAAV5效率显著更高。基于这些研究,随后使用rAAV5-CB启动子驱动的CFTR小基因载体在体外纠正CF氯转运缺陷,并在体内纠正铜绿假单胞菌-琼脂糖珠攻击的CF小鼠肺部的高炎症肺表型。这些研究提供了新型rAAV-CFTR载体的功能特性。