Graduate Institute of Biomedical Sciences, Chang Gung University, Taoyuan 333, Taiwan.
Hum Gene Ther. 2013 Jan;24(1):48-57. doi: 10.1089/hum.2012.039. Epub 2012 Nov 14.
Asthma is a chronic airway inflammatory disease characterized by eosinophilic infiltration and airway hyperresponsiveness. The over-activated Th2 and lung epithelium cells express many different cytokines, and chemokines mainly contribute to the severity of lung inflammation. Clara cell 10 kD protein (CC10) is highly expressed in airway epithelium cells and exhibits anti-inflammatory and immunomodulatory effects. Adeno-associated virus (AAV) 2/9 vector, composed of AAV2 rep and AAV9 cap genes, can efficiently and specifically target lung epithelium cells. Thus, AAV2/9 vector might carry therapeutic potential gene sequences for the treatment of asthma. This study tested whether AAV2/9 vector carrying CC10 could reduce inflammatory and asthmatic responses in OVA-induced asthmatic mouse model. The results showed that AAV2/9-CC10 vector virus significantly reduced airway hyperresponsiveness, CCL11, interleukin (IL)-4, IL-5, IL-6, IL-13, and eosinophilia in the lungs of sensitized mice. CC10 level in OVA-sensitized mice was rescued with the administration of AAV2/9-CC10 vector virus. Lung tissue remodeling, including collagen deposition and goblet cell hyperplasia, was also alleviated. However, serum levels of OVA-specific IgG1 and IgE as well as Th2 cytokine levels in OVA-stimulated splenocyte culture supernatants were at the comparable levels to the sensitized control group. The results demonstrate that AAV2/9-CC10 vector virus relieved local inflammatory and asthmatic responses in lung. Therefore, we propose that AAV2/9-CC10 vector virus guaranteed sufficient CC10 expression and had an anti-inflammatory effect in asthmatic mice. It might be applied as a novel therapeutic approach for asthma.
哮喘是一种慢性气道炎症性疾病,其特征为嗜酸性粒细胞浸润和气道高反应性。过度激活的 Th2 和肺上皮细胞表达许多不同的细胞因子和趋化因子,主要导致肺炎症的严重程度。克拉拉细胞 10kD 蛋白(CC10)在气道上皮细胞中高度表达,具有抗炎和免疫调节作用。腺相关病毒(AAV)2/9 载体由 AAV2 复制子和 AAV9 衣壳基因组成,能够高效且特异性地靶向肺上皮细胞。因此,AAV2/9 载体可能携带治疗哮喘的潜在基因序列。本研究旨在探讨携带 CC10 的 AAV2/9 载体是否能减轻卵清蛋白(OVA)诱导的哮喘小鼠模型中的炎症和哮喘反应。结果显示,AAV2/9-CC10 载体病毒显著降低了致敏小鼠的气道高反应性、CCL11、白细胞介素(IL)-4、IL-5、IL-6、IL-13 和嗜酸性粒细胞浸润。AAV2/9-CC10 载体病毒给药可恢复 OVA 致敏小鼠的 CC10 水平。肺组织重塑,包括胶原沉积和杯状细胞增生,也得到了缓解。然而,OVA 特异性 IgG1 和 IgE 血清水平以及 OVA 刺激的脾细胞培养上清液中 Th2 细胞因子水平与致敏对照组相当。结果表明,AAV2/9-CC10 载体病毒减轻了肺部的局部炎症和哮喘反应。因此,我们提出 AAV2/9-CC10 载体病毒保证了足够的 CC10 表达,并对哮喘小鼠具有抗炎作用。它可能作为一种治疗哮喘的新方法。