Department of Biotechnology and Molecular Medicine, AI Virtanen Institute, University of Eastern Finland, Kuopio, Finland.
J Gene Med. 2012 Jan;14(1):35-43. doi: 10.1002/jgm.1637.
Occluded arteries and ischemic tissues cannot always be treated by angioplasty, stenting or by-pass-surgery. Under such circumstances, viral gene therapy may be useful in inducing increased blood supply to ischemic area. There is evidence of improved blood flow in ischemic skeletal muscle and myocardium in both animal and human studies using adenoviral vascular endothelial growth factor (VEGF) gene therapy. However, the expression is transient and repeated gene transfers with the same vector are inefficient due to immune responses.
Different baculoviral vectors pseudotyped with or without vesicular stomatitis virus glycoprotein (VSV-G) and/or carrying woodchuck hepatitis virus post-transcriptional regulatory element (Wpre) were tested both in vitro and in vivo. VEGF-D(ΔNΔC) was used as therapeutic transgene and lacZ as a control. In vivo efficacy was evaluated as capillary enlargement and transgene expression in New Zealand White (NZW) rabbit skeletal muscle.
A statistically significant capillary enlargement was detected 6 days after gene transfer in transduced areas compared to the control gene transfers with baculovirus and adenovirus encoding β-galactosidase (lacZ). Substantially improved gene transfer efficiency was achieved with a modified baculovirus pseudotyped with VSV-G and carrying Wpre. Dose escalation experiments revealed that either too large volume or too many virus particles caused inflammation and necrosis in the target tissue, whereas 10(9) plaque forming units injected in multiple aliquots resulted in transgene expression with only mild immune reactions.
We show the first evidence of biologically significant baculoviral gene transfer in skeletal muscle of NZW rabbits using VEGF-D(ΔNΔC) as a therapeutic transgene.
阻塞的动脉和缺血组织并不总是可以通过血管成形术、支架或旁路手术来治疗。在这种情况下,病毒基因治疗可能有助于诱导缺血区域增加血液供应。在使用腺病毒血管内皮生长因子(VEGF)基因治疗的动物和人体研究中,都有证据表明缺血性骨骼肌和心肌的血流得到改善。然而,由于免疫反应,表达是短暂的,并且使用相同载体进行重复基因转移效率低下。
不同的杆状病毒载体被假型化为带有或不带有水疱性口炎病毒糖蛋白(VSV-G)和/或携带土拨鼠肝炎病毒转录后调节元件(Wpre),并在体外和体内进行了测试。VEGF-D(ΔNΔC)被用作治疗性转基因,而 lacZ 被用作对照。新西兰白兔(NZW)骨骼肌中的毛细血管扩张和转基因表达评估了体内疗效。
与用杆状病毒和腺病毒编码β-半乳糖苷酶(lacZ)进行的对照基因转移相比,转导区域在基因转移后 6 天检测到统计学上显著的毛细血管扩张。使用假型化为 VSV-G 并携带 Wpre 的改良杆状病毒实现了大大提高的基因转移效率。剂量递增实验表明,太大的体积或太多的病毒颗粒会导致靶组织的炎症和坏死,而将 10(9)个噬菌斑形成单位分多次注射则会导致仅轻度免疫反应的转基因表达。
我们首次证明了使用 VEGF-D(ΔNΔC)作为治疗性转基因,杆状病毒基因转移在 NZW 兔骨骼肌中有生物学意义。