Li Zhi, Yao Hong, Ma Yan, Dong Qingming, Chen Yangchao, Peng Ying, Zheng Bo-jian, Huang Jian-dong, Chan Chu-yan, Lin Marie C, Sung Joseph J, Yuen Kwok Yun, Kung Hsiang-fu, He Ming-Liang
Department of Microbiology, The University of Hong Kong, Hong Kong, China.
J Gene Med. 2008 Jun;10(6):619-27. doi: 10.1002/jgm.1174.
Interferon-alpha2 (IFNalpha2) is routinely used for anti-hepatitis B virus (HBV) treatment. However, the therapeutic efficiency is unsatisfactory, particularly in East Asia. Such inefficiency might be a result of the short half-life, relatively low local concentration and strong side-effects of interferons. Frequent and repeated injection is also a big burden for patients. In the present study, a single dose of vector-delivered IFNalpha1 was tested for its anti-HBV effects.
Adeno-associated viral vector (AAV-IFNalpha1) was generated to deliver the IFNalpha1 gene into hepatocytes. IFNalpha1, hepatitis B surface (HBsAg) and e (HBeAg) antigens were measured by enzyme-linked immunosorbent assay and/or western blotting. The level of viral DNA was measured by quantitative real-time polymerase chain reaction.
AAV-IFNalpha1 effectively transduced HBV-producing cells (HepAD38) and mouse hepatocytes, where IFNalpha1 was expressed in a stable manner. Both intracellular and extracellular HBsAg and HBeAg were significantly reduced in vitro. In the HBV-producing mice, the concentration of IFNalpha1 in the liver was eight-fold higher than that in plasma. Compared with control groups, HBeAg/HBsAg antigen levels were reduced by more than ten-fold from day 1-5, and dropped to an undetectable level on day 9 in the AAV-IFNalpha1 group. Concurrently, the level of viral DNA decreased over 30-fold for several weeks.
A single dose administration of AAV-IFNalpha1 viral vector displayed prolonged transgene expression and superior antiviral effects both in vitro and in vivo. Therefore, the use of AAV-IFNalpha1 might be a potential alternative strategy for anti-HBV therapy.
干扰素α2(IFNα2)常用于抗乙型肝炎病毒(HBV)治疗。然而,其治疗效果并不理想,尤其是在东亚地区。这种低效可能是由于干扰素半衰期短、局部浓度相对较低以及副作用较强所致。频繁重复注射对患者来说也是一个很大的负担。在本研究中,测试了单剂量载体递送的IFNα1的抗HBV效果。
构建腺相关病毒载体(AAV-IFNα1),将IFNα1基因导入肝细胞。通过酶联免疫吸附测定和/或蛋白质印迹法检测IFNα1、乙型肝炎表面(HBsAg)和e(HBeAg)抗原。通过定量实时聚合酶链反应测量病毒DNA水平。
AAV-IFNα1有效转导产生HBV的细胞(HepAD38)和小鼠肝细胞,并在其中稳定表达IFNα1。在体外,细胞内和细胞外的HBsAg和HBeAg均显著降低。在产生HBV的小鼠中,肝脏中IFNα1的浓度比血浆中高8倍。与对照组相比,AAV-IFNα1组中HBeAg/HBsAg抗原水平从第1天到第5天降低了10倍以上,并在第9天降至不可检测水平。同时,病毒DNA水平在数周内下降了30倍以上。
单剂量给予AAV-IFNα1病毒载体在体外和体内均显示出延长的转基因表达和优异的抗病毒效果。因此,使用AAV-IFNα1可能是抗HBV治疗的一种潜在替代策略。