Rip Jaap, Sierts Jeroen A, Vaessen Stefan F C, Kastelein John J P, Twisk Jaap, Kuivenhoven Jan Albert
Department of Vascular Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Atherosclerosis. 2007 Sep;194(1):55-61. doi: 10.1016/j.atherosclerosis.2006.09.023. Epub 2006 Nov 7.
Overexpression of lipoprotein lipase (LPL) protects against atherosclerosis in genetically engineered mice. We tested whether a gene therapy vector that delivers human (h) LPL(S447X) cDNA to skeletal muscle could induce similar effects.
LDL receptor knockout (LDLr-/-) mice were injected intramuscular (i.m.) with adeno-associated virus serotype 1 (AAV1) LPL(S447X) or PBS. Four weeks later they were started on an atherogenic diet for 12 weeks. After termination, atherosclerosis was assessed and homogenates of muscle and liver tissue were analyzed.
AAV1-treated mice showed hLPL concentrations of 768+/-293 ng/mL in post-heparin plasma associated with 48% reductions of fasting triglycerides (TG) levels (p<0.0001). In the absence of an effect on total cholesterol (TC) levels, no effects on atherosclerosis were found. An increase in lipid content of injected muscles was accompanied by a significant decrease of TG (-20%, p<0.0001) and free cholesterol (FC) content (-24%, p<0.0001) in liver homogenates.
The data show that transgenic hLPL(S447X) on top of endogenous murine LPL reduces fasting TG levels in plasma but has no effect on atherosclerosis in LDLr-/- mice. While lipid accumulation in the injected muscle was anticipated, this coincided with an interesting decrease of both TG and FC in liver homogenates.
脂蛋白脂肪酶(LPL)的过表达可保护基因工程小鼠免受动脉粥样硬化的影响。我们测试了一种将人(h)LPL(S447X)cDNA传递至骨骼肌的基因治疗载体是否能诱导类似的效果。
给低密度脂蛋白受体敲除(LDLr-/-)小鼠肌肉内(i.m.)注射1型腺相关病毒(AAV1)LPL(S447X)或磷酸盐缓冲液(PBS)。四周后,让它们开始接受致动脉粥样化饮食12周。处死小鼠后,评估动脉粥样硬化情况,并分析肌肉和肝脏组织的匀浆。
接受AAV1治疗的小鼠肝素后血浆中hLPL浓度为768±293 ng/mL,同时空腹甘油三酯(TG)水平降低了48%(p<0.0001)。在对总胆固醇(TC)水平无影响的情况下,未发现对动脉粥样硬化有影响。注射肌肉的脂质含量增加,同时肝脏匀浆中的TG(-20%,p<0.0001)和游离胆固醇(FC)含量(-24%,p<0.0001)显著降低。
数据表明,在小鼠内源性LPL基础上的转基因hLPL(S447X)可降低血浆中的空腹TG水平,但对LDLr-/-小鼠的动脉粥样硬化无影响。虽然预计注射的肌肉中会有脂质蓄积,但这同时伴随着肝脏匀浆中TG和FC有趣的降低。