Ohshima Sachiko, Shin Jin-Hong, Yuasa Katsutoshi, Nishiyama Akiyo, Kira Junichi, Okada Takashi, Takeda Shin'ichi
Department of Molecular Therapy, National Institute of Neuroscience, National Center of Neurology and Psychiatry, Tokyo, Japan.
Mol Ther. 2009 Jan;17(1):73-80. doi: 10.1038/mt.2008.225. Epub 2008 Oct 21.
Recombinant adeno-associated virus (rAAV)-mediated gene transfer is an attractive approach to the treatment of Duchenne muscular dystrophy (DMD). We investigated the muscle transduction profiles and immune responses associated with the administration of rAAV2 and rAAV8 in normal and canine X-linked muscular dystrophy in Japan (CXMD(J)) dogs. rAAV2 or rAAV8 encoding the lacZ gene was injected into the skeletal muscles of normal dogs. Two weeks after the injection, we detected a larger number of beta-galactosidase-positive fibers in rAAV8-transduced canine skeletal muscle than in rAAV2-transduced muscle. Although immunohistochemical analysis using anti-CD4 and anti-CD8 antibodies revealed less T-cell response to rAAV8 than to rAAV2, beta-galactosidase expression in rAAV8-injected muscle lasted for <4 weeks with intramuscular transduction. Canine bone marrow-derived dendritic cells (DCs) were activated by both rAAV2 and rAAV8, implying that innate immunity might be involved in both cases. Intravenous administration of rAAV8-lacZ into the hind limb in normal dogs and rAAV8-microdystrophin into the hind limb in CXMD(J) dogs resulted in improved transgene expression in the skeletal muscles lasting over a period of 8 weeks, but with a declining trend. The limb perfusion transduction protocol with adequate immune modulation would further enhance the rAAV8-mediated transduction strategy and lead to therapeutic benefits in DMD gene therapy.
重组腺相关病毒(rAAV)介导的基因转移是治疗杜氏肌营养不良症(DMD)的一种有吸引力的方法。我们研究了在正常犬和日本犬X连锁肌营养不良症(CXMD(J))犬中,与rAAV2和rAAV8给药相关的肌肉转导情况和免疫反应。将编码lacZ基因的rAAV2或rAAV8注射到正常犬的骨骼肌中。注射两周后,我们在rAAV8转导的犬骨骼肌中检测到比rAAV2转导的肌肉中更多的β-半乳糖苷酶阳性纤维。尽管使用抗CD4和抗CD8抗体的免疫组织化学分析显示,与rAAV2相比,对rAAV8的T细胞反应较少,但肌肉内转导时,rAAV8注射肌肉中的β-半乳糖苷酶表达持续时间不到4周。rAAV2和rAAV8均可激活犬骨髓来源的树突状细胞(DC),这意味着两种情况下可能都涉及先天免疫。对正常犬后肢静脉注射rAAV8-lacZ,对CXMD(J)犬后肢静脉注射rAAV8-微肌营养不良蛋白,可使骨骼肌中的转基因表达改善,持续8周,但呈下降趋势。采用适当免疫调节的肢体灌注转导方案将进一步增强rAAV8介导的转导策略,并在DMD基因治疗中带来治疗益处。