腺病毒介导的基因转移至大鼠肝脏:逆行胆管内给药和顺行门静脉内给药的比较研究

Adenovirus-mediated gene transfer into rat livers: comparative study of retrograde intrabiliary and antegrade intraportal administration.

作者信息

Kuriyama Shigeki, Yoshiji Hitoshi, Nakai Seiji, Deguchi Akihiro, Uchida Naohito, Kimura Yasuhiko, Inoue Hideyuki, Kinekawa Fumihiko, Ogawa Mutsumi, Nonomura Takako, Masaki Tsutomu, Kurokohchi Kazutaka, Watanabe Seishiro

机构信息

Third Department of Internal Medicine, Kagawa University School of Medicine, Kagawa 761-0793, Japan.

出版信息

Oncol Rep. 2005 Jan;13(1):69-74.

DOI:
Abstract

To examine the feasibility of liver-directed in vivo gene therapy, we administered recombinant adenoviruses carrying a reporter lacZ gene retrogradely into the common bile duct of rats, as well as antegradely into the portal vein. Transduction efficiency of the lacZ gene in the liver was estimated not only histochemically by X-gal staining, but also quantitatively by a chemiluminescent reporter gene assay. Retrograde infusion of adenoviruses into the common bile duct was shown to successfully induce transgene expression in the liver. Transduction efficiency induced by intrabiliary adenoviral administration was not significantly different from that induced by intraportal adenoviral administration. Although transgene expression induced not only by intraportal, but also by intrabiliary adenoviral administration was observed predominantly at periportal areas, a considerable number of cells expressing the transgene were detectable even in lobular and centrilobular areas. Mild infiltration of inflammatory cells into the liver and mild hyperplastic changes of hepatocytes were observed after intrabiliary and intraportal adenoviral administration. However, hepatic damage estimated pathologically was not substantial. Furthermore, although intrabiliary and intraportal adenoviral administration resulted in very mild elevation of liver-related serum biochemical parameters, apparent complications were not observed in any rats. Our results demonstrated in the present study suggest that retrograde administration of adenoviruses into the common bile duct can induce efficient transgene expression in the liver without causing severe adverse effects, supporting the feasibility of adenovirus-mediated gene transfer into the liver in clinical settings by means of endoscopic retrograde cholangiography.

摘要

为了研究肝靶向体内基因治疗的可行性,我们将携带报告基因lacZ的重组腺病毒逆行注入大鼠胆总管以及顺行注入门静脉。不仅通过X-gal染色进行组织化学评估,还通过化学发光报告基因检测法定量评估肝脏中lacZ基因的转导效率。结果显示,将腺病毒逆行注入胆总管可成功诱导肝脏中的转基因表达。经胆管内腺病毒给药诱导的转导效率与经门静脉内腺病毒给药诱导的转导效率无显著差异。尽管经门静脉内和经胆管内腺病毒给药诱导的转基因表达主要出现在门静脉周围区域,但即使在小叶和中央小叶区域也可检测到相当数量的表达转基因的细胞。经胆管内和经门静脉内腺病毒给药后,观察到肝脏有轻度炎症细胞浸润和肝细胞轻度增生性改变。然而,病理评估的肝损伤并不严重。此外,尽管经胆管内和经门静脉内腺病毒给药导致肝脏相关血清生化参数略有升高,但在任何大鼠中均未观察到明显的并发症。我们在本研究中的结果表明,将腺病毒逆行注入胆总管可在肝脏中诱导有效的转基因表达,而不会引起严重的不良反应,这支持了在临床环境中通过内镜逆行胆管造影术将腺病毒介导的基因转移到肝脏的可行性。

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