Bloquel C, Denys A, Boissier M C, Apparailly F, Bigey P, Scherman D, Bessis N
Inserm, Eri-18, F-93017 Bobigny, France.
J Gene Med. 2007 Nov;9(11):986-93. doi: 10.1002/jgm.1088.
Anti-inflammatory gene therapy is promising in inflammatory diseases such as rheumatoid arthritis (RA). We have previously demonstrated that intra-muscular (i.m.) electrotransfer (ET) of plasmids encoding three different human tumor necrosis factor-alpha-soluble receptor I variants (hTNFR-Is) exert protective effects in an experimental RA model. However, such a systemic approach could be responsible for side effects. The present study aimed at performing an intra-articular (i.a.) gene therapy by electrotransfer using the hTNFR-Is plasmids.
We evaluated targeting of mice joints by CCD optical imaging after i.a. ET of a luciferase-encoding plasmid and we showed that ET led to strongly increased transgene expression in a plasmid dose-dependent manner. Moreover, articular and seric hTNFR-Is was detectable for 2 weeks. As expected, systemic hTNFR-Is rates were lower after i.a. ET than after i.m. ET. A longer protein secretion could be achieved with several i.a. ETs. Also, we observed that hTNFR-Is expression within arthritic joints was slightly higher than in normal joints.
In collagen-induced arthritis (CIA), a mouse model for RA, we demonstrated that hTNFR-Is/mIgG1-encoding plasmid i.a. ET decreased joint destruction in the ankles. In conclusion, our results suggest that local TNFR-Is gene therapy may play a role in decreasing joint destruction in CIA.
抗炎基因疗法在类风湿关节炎(RA)等炎性疾病中颇具前景。我们之前已经证明,编码三种不同人类肿瘤坏死因子-α可溶性受体I变体(hTNFR-Is)的质粒经肌肉内(i.m.)电转染(ET)在实验性RA模型中发挥保护作用。然而,这种全身性方法可能会导致副作用。本研究旨在使用hTNFR-Is质粒通过电转染进行关节内(i.a.)基因治疗。
我们在关节内电转染编码荧光素酶的质粒后,通过电荷耦合器件(CCD)光学成像评估小鼠关节的靶向性,结果显示电转染以质粒剂量依赖性方式导致转基因表达显著增加。此外,关节和血清中的hTNFR-Is在2周内均可检测到。正如预期的那样,关节内电转染后的全身性hTNFR-Is水平低于肌肉内电转染后。多次关节内电转染可实现更长时间的蛋白质分泌。而且,我们观察到关节炎关节内的hTNFR-Is表达略高于正常关节。
在RA的小鼠模型胶原诱导性关节炎(CIA)中,我们证明关节内电转染编码hTNFR-Is/mIgG1的质粒可减少踝关节的关节破坏。总之,我们的结果表明局部TNFR-Is基因治疗可能在减少CIA的关节破坏中发挥作用。