Gonçalves Manuel A F V, Holkers Maarten, Cudré-Mauroux Christophe, van Nierop Gijsbert P, Knaän-Shanzer Shoshan, van der Velde Ietje, Valerio Dinko, de Vries Antoine A F
Gene Therapy Section, Department of Molecular Cell Biology, Leiden University Medical Center, Wassenaarseweg 72, 2333 AL Leiden, The Netherlands.
Mol Ther. 2006 May;13(5):976-86. doi: 10.1016/j.ymthe.2005.11.018. Epub 2006 Jan 26.
Duchenne muscular dystrophy (DMD) is caused by mutations in the dystrophin gene (DMD), making it amenable to gene- or cell-based therapies. Another possible treatment entails the combination of both principles by transplantation of autologous myogenic cells after their genetic complementation. This approach requires efficient and stable transduction of these cells with recombinant DMD. Recently, we generated a dual high-capacity (hc) adenovirus (Ad)-adeno-associated virus (AAV) hybrid vector (HV) that can deliver two full-length dystrophin-encoding modules into target cells. We showed that HV transduction of human cells containing AAV Rep proteins leads to the insertion of foreign DNA into the AAVS1 locus. Here, we improved HV entry into muscle cells from DMD patients. After having verified that these cells barely express the coxsackie B virus and Ad receptor (CAR), which constitutes the attachment molecule for Ad serotype 5 (Ad5) fibers, we equipped dual hcAd/AAV HV particles with Ad serotype 50 fiber domains to achieve CAR-independent uptake. These retargeted vectors complemented much more efficiently the genetic defect of dystrophin-defective myoblasts and myotubes than their isogenic counterparts with conventional Ad5 fibers. Importantly, the accumulation of beta-dystroglycan along the membranes of vector-treated DMD myotubes indicated proper assembly of dystrophin-associated glycoprotein complexes.
杜氏肌营养不良症(DMD)由肌营养不良蛋白基因(DMD)突变引起,因此适合采用基于基因或细胞的疗法。另一种可能的治疗方法是在自体成肌细胞进行基因互补后进行移植,将这两种原理结合起来。这种方法需要用重组DMD对这些细胞进行高效且稳定的转导。最近,我们构建了一种双高容量(hc)腺病毒(Ad)-腺相关病毒(AAV)杂交载体(HV),它可以将两个全长肌营养不良蛋白编码模块递送至靶细胞。我们发现,含有AAV Rep蛋白的人类细胞经HV转导后,外源DNA会插入到AAVS1位点。在此,我们改进了HV进入DMD患者肌肉细胞的方式。在确认这些细胞几乎不表达柯萨奇B病毒和Ad受体(CAR)后,我们为双hcAd/AAV HV颗粒配备了Ad血清型50纤维结构域,以实现不依赖CAR的摄取。与具有传统Ad5纤维的同基因载体相比,这些重新靶向的载体能更有效地弥补肌营养不良蛋白缺陷的成肌细胞和肌管的基因缺陷。重要的是,在载体处理的DMD肌管膜上β-肌营养不良聚糖的积累表明肌营养不良蛋白相关糖蛋白复合物组装正常。