Department of Gastroenterology, The First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.
J Gene Med. 2012 Jul;14(7):482-90. doi: 10.1002/jgm.2642.
The current treatment of ulcerative colitis (UC) is less than ideal and has room for improvement. Bone morphogenetic protein-7 (BMP-7) exerts a protective effect on experimental UC. Hence, we considered that intracolonically (i.c.) administered adeno-associated virus (AAV) delivering BMP-7 might have therapeutic potential for UC.
Recombinant AAV type 2 vectors carrying enhanced green fluorescence protein (AAV-EGFP), LacZ (AAV-LacZ) and BMP-7 (AAV-BMP-7) were generated. Bioluminescence imaging, β-galactosidase assay and western blotting were applied to determine the colonic expression of EGFP, LacZ and BMP-7, respectively, after i.c. administration of the AAVs. Disease activity index (DAI) was observed daily during the 7 days of dextran sulphate sodium (DSS) treatment initiated 4 days after i.c. AAV-BMP-7, AAV-LacZ or phosphate-buffered saline. The colonic pathological morphology, mucosal myeloperoxidase (MPO) activity, malondialdehyde content, superoxide dismutase activity and proliferating cell nuclear antigen were determined at the end of DSS treatment.
When i.c administered to rats, AAV could efficiently transduce the colonic mucosa. Enema with AAV-BMP-7 significantly ameliorated DSS-induced colitis as indicated by reduced DAI, decreased macroscopic and histological scores and declined MPO activity compared to the controls. Furthermore i.c. AAV-BMP-7 significantly prevented oxidant damage and attenuated complementary mucosal cell proliferation in the DSS-treated rat colons.
Our data demonstrate that i.c. administration of AAV-BMP-7 efficiently mediates the ectopic BMP-7 expression in rat colon and further ameliorates DSS-induced UC in rats, suggesting that i.c. AAV-BMP-7 has the potential to be developed into an alternative therapeutic measure for the treatment of UC.
溃疡性结肠炎(UC)的当前治疗效果不理想,仍有改进的空间。骨形态发生蛋白 7(BMP-7)对实验性 UC 具有保护作用。因此,我们认为经结肠内(i.c.)给予携带 BMP-7 的腺相关病毒(AAV)可能具有治疗 UC 的潜力。
生成了携带增强型绿色荧光蛋白(AAV-EGFP)、LacZ(AAV-LacZ)和 BMP-7(AAV-BMP-7)的重组 AAV 2 型载体。通过生物发光成像、β-半乳糖苷酶测定和 Western blot 分别检测经 i.c.给予 AAV 后 EGFP、LacZ 和 BMP-7 的结肠表达。在 i.c.给予 AAV-BMP-7、AAV-LacZ 或磷酸盐缓冲盐水后 4 天开始用葡聚糖硫酸钠(DSS)处理 7 天期间,每天观察疾病活动指数(DAI)。在 DSS 处理结束时,测定结肠病理形态、粘膜髓过氧化物酶(MPO)活性、丙二醛含量、超氧化物歧化酶活性和增殖细胞核抗原。
当 i.c.给予大鼠时,AAV 可有效转导结肠粘膜。与对照组相比,经灌肠给予 AAV-BMP-7 可显著改善 DSS 诱导的结肠炎,表现为 DAI 降低、大体和组织学评分降低以及 MPO 活性降低。此外,i.c. AAV-BMP-7 可显著预防 DSS 处理大鼠结肠中的氧化损伤并减弱补充性粘膜细胞增殖。
我们的数据表明,i.c.给予 AAV-BMP-7 可有效地介导大鼠结肠中的异位 BMP-7 表达,并进一步改善 DSS 诱导的 UC,提示 i.c. AAV-BMP-7 具有开发为治疗 UC 的替代治疗措施的潜力。