Puntel M, Curtin J F, Zirger J M, Muhammad A K M, Xiong W, Liu C, Hu J, Kroeger K M, Czer P, Sciascia S, Mondkar S, Lowenstein P R, Castro M G
Department of Medicine, Board of Governors' Gene Therapeutics Research Institute, Cedars-Sinai Medical Center, David Geffen School of Medicine, University of California Los Angeles, 90048, USA.
Hum Gene Ther. 2006 May;17(5):531-44. doi: 10.1089/hum.2006.17.531.
First-generation adenoviral (Ad) and high-capacity adenoviral (HC-Ad) vectors are efficient delivery vehicles for transferring therapeutic transgenes in vivo into tissues/organs. The initial successes reported with adenoviral vectors in preclinical trials have been limited by immune-related adverse side effects. This has been, in part, attributed to the use of poorly characterized preparations of adenoviral vectors and also to the untoward immune adverse side effects elicited when high doses of these vectors were used. HC-Ads have several advantages over Ads, including the lack of viral coding sequences, which after infection and uncoating, makes them invisible to the host's immune system. Another advantage is their large cloning capacity (up to approximately 35 kb). However, accurate characterization of HC-Ad vectors, and of contaminating replication-competent adenovirus (RCA) or helper virus, is necessary before these preparations can be used safely in clinical trials. Consequently, the development of accurate, simple, and reproducible methods to standardize and validate adenoviral preparations for the presence of contaminant genomes is required. By using a molecular method that allows accurate, reproducible, and simultaneous determination of HC-Ad, contaminating helper virus, and RCA genome copy numbers based on real-time quantitative PCR, we demonstrate accurate detection of these three genomic entities, within CsCl-purified vector stocks, total DNA isolated from cells transduced in vitro, and from brain tissue infected in vivo. This approach will allow accurate assessment of the levels and biodistribution of HC-Ad and improve the safety and efficacy of clinical trials.
第一代腺病毒(Ad)和高容量腺病毒(HC-Ad)载体是将治疗性转基因体内转移到组织/器官的有效递送工具。腺病毒载体在临床前试验中最初报道的成功受到免疫相关不良副作用的限制。这在一定程度上归因于使用了特征不明确的腺病毒载体制剂,也归因于使用高剂量这些载体时引发的不良免疫副作用。与Ad相比,HC-Ad有几个优点,包括缺乏病毒编码序列,感染和脱壳后,宿主免疫系统无法识别它们。另一个优点是它们的克隆能力大(高达约35 kb)。然而,在这些制剂能够安全用于临床试验之前,准确表征HC-Ad载体以及污染的复制能力腺病毒(RCA)或辅助病毒是必要的。因此,需要开发准确、简单且可重复的方法来标准化和验证腺病毒制剂中是否存在污染物基因组。通过使用一种基于实时定量PCR能够准确、可重复且同时测定HC-Ad、污染的辅助病毒和RCA基因组拷贝数的分子方法,我们证明了在CsCl纯化的载体储备液、体外转导细胞分离的总DNA以及体内感染脑组织中能够准确检测这三种基因组实体。这种方法将允许准确评估HC-Ad的水平和生物分布,并提高临床试验的安全性和有效性。