Mastorakos Panagiotis, Zhang Clark, Berry Sneha, Oh Yumin, Lee Seulki, Eberhart Charles G, Woodworth Graeme F, Suk Jung Soo, Hanes Justin
Center for Nanomedicine, The Wilmer Eye Institute, Johns Hopkins University School of Medicine, 400 N. Broadway, Baltimore, MD, 21231, USA.
Department of Ophthalmology, The Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD, 21297, USA.
Adv Healthc Mater. 2015 May;4(7):1023-33. doi: 10.1002/adhm.201400800. Epub 2015 Mar 11.
Gene delivery to the central nervous system (CNS) has potential as a means for treating numerous debilitating neurological diseases. Nonviral gene vector platforms are tailorable and can overcome key limitations intrinsic to virus-mediated delivery; however, lack of clinical efficacy with nonviral systems to date may be attributed to limited gene vector dispersion and transfection in vivo. It is shown that the brain extracellular matrix (ECM) strongly limits penetration of polymer-based gene vector nanoparticles (NP) through the brain parenchyma, even when they are very small (<60 nm) and coated with a polyethylene glycol (PEG) corona of typical density. Following convection enhanced delivery (CED), conventional gene vectors are confined to the injection site, presumably by adhesive interactions with the brain ECM and do not provide gene expression beyond the point of administration. In contrast, it is found that incorporating highly PEGylated polymers allows the production of compacted (≈43 nm) and colloidally stable DNA NP that avoid adhesive trapping within the brain parenchyma. When administered by CED into the rat striatum, highly PEGylated DNA NP distribute throughout and provide broad transgene expression without vector-induced toxicity. The use of these brain-penetrating gene vectors, in conjunction with CED, offers an avenue to improve gene therapy for CNS diseases.
基因传递至中枢神经系统(CNS)具有作为治疗多种使人衰弱的神经疾病手段的潜力。非病毒基因载体平台具有可定制性,并且能够克服病毒介导传递所固有的关键限制;然而,迄今为止非病毒系统缺乏临床疗效可能归因于基因载体在体内的分散和转染受限。研究表明,脑细胞外基质(ECM)强烈限制基于聚合物的基因载体纳米颗粒(NP)穿透脑实质,即使它们非常小(<60 nm)并且包覆有典型密度的聚乙二醇(PEG)冠层。在对流增强递送(CED)之后,传统基因载体局限于注射部位,推测是由于与脑ECM的粘附相互作用,并且在给药点之外不提供基因表达。相比之下,研究发现掺入高度聚乙二醇化的聚合物能够产生紧密的(≈43 nm)且胶体稳定的DNA NP,其可避免在脑实质内被粘附捕获。当通过CED给予大鼠纹状体时,高度聚乙二醇化的DNA NP能够在整个区域分布并提供广泛的转基因表达,而无载体诱导的毒性。使用这些脑穿透性基因载体并结合CED,为改善中枢神经系统疾病的基因治疗提供了一条途径。