Jakob Marcus, Mühle Christiane, Park Jung, Weiss Susi, Waddington Simon, Schneider Holm
Department of Experimental Medicine I, Nikolaus Fiebiger Centre of Molecular Medicine, University of Erlangen-Nuernberg, Germany.
J Gene Med. 2005 May;7(5):630-7. doi: 10.1002/jgm.718.
Recombinant adeno-associated viruses have been used successfully in a number of pre-clinical and clinical gene therapy studies. Since there is a broad consensus that gene therapy must not lead to germ-line transmission, the potential of such vectors for inadvertent gene transfer into germ cells deserves special attention. This applies in particular to pre- or perinatal vector application which has been considered for diseases presenting with morbidity already at birth.
AAV serotype 2 derived vectors carrying a beta-galactosidase reporter gene or human clotting factor IX cDNA were injected intraperitoneally or via a yolk sac vein into mouse fetuses or administered intravascularly to newborn mice. Tissue samples of the treated animals including the gonads as well as sperm DNA, obtained by differential lysis of one testis of each male animal, and the offspring of all treated mice were investigated for the presence of vector DNA by nested PCR. In positive samples, the copy number of the vector was determined by quantitative real-time PCR.
AAV vectors administered intraperitoneally or intravascularly to fetal or newborn mice reached the gonads of these animals and persisted there for time periods greater than one year. Intravascular injection of the vector resulted more frequently in gene transfer to the gonads than intraperitoneal injection. Vector copy numbers in the gonads ranged from 0.3 to 74 per 10(4) cell equivalents. However, neither in isolated sperm DNA from the treated animals nor in their offspring were vector sequences detectable.
These data suggest the risk of inadvertent germ-line transmission following prenatal or early postnatal AAV type 2 mediated gene delivery to be very low.
重组腺相关病毒已成功应用于多项临床前和临床基因治疗研究。由于人们普遍认为基因治疗不应导致生殖系传播,因此这类载体意外将基因转移到生殖细胞中的可能性值得特别关注。这尤其适用于已被考虑用于出生时就出现发病情况的疾病的产前或围产期载体应用。
将携带β-半乳糖苷酶报告基因或人凝血因子IX cDNA的2型腺相关病毒血清型载体经腹腔注射或通过卵黄囊静脉注射到小鼠胎儿体内,或对新生小鼠进行血管内给药。通过对每只雄性动物的一个睾丸进行差异裂解获得包括性腺在内的受试动物的组织样本以及精子DNA,并通过巢式PCR检测所有受试小鼠的后代中是否存在载体DNA。对于阳性样本,通过定量实时PCR确定载体的拷贝数。
经腹腔或血管内给予胎儿或新生小鼠的腺相关病毒载体到达了这些动物的性腺,并在那里持续存在了一年以上的时间。血管内注射载体比腹腔注射更频繁地导致基因转移到性腺。性腺中的载体拷贝数范围为每10(4)个细胞当量0.3至74。然而,在受试动物的分离精子DNA及其后代中均未检测到载体序列。
这些数据表明产前或产后早期2型腺相关病毒介导的基因传递后发生意外生殖系传播的风险非常低。