Schmid R M, Weidenbach H, Yamagushi H, Lührs H, Liptay S, Adler G
Department of Internal Medicine, Ulm University, Germany.
Eur J Clin Invest. 1998 Mar;28(3):220-6. doi: 10.1046/j.1365-2362.1998.00269.x.
Pancreatic cancer represents a malignancy with very poor clinical prognosis and limited therapeutic potential. Recent developments of gene transfer technology offer new therapeutic avenues by delivering recombinant genes directly into normal or neoplastic tissue in vivo.
Here we show that the LacZ marker gene, complexed to cationic liposomes, can be introduced into the pancreas by either intraductal or intra-arterial injection. Expression of the beta-galactosidase gene product was monitored by polymerase chain reaction and histochemistry.
Up to 28 days after in vivo gene transfer, beta-galactosidase activity could be demonstrated in the pancreas. Intraductal application induced gene expression in lining duct cells preferentially. Twenty-four hours after intraductal injection of liposomes, a dose-dependent, transient increase in serum amylase levels was detected. Nevertheless, no histological signs of pancreatitis were evident. Intra-arterial injection resulted in beta-galactosidase expression in endothelial cells of intrapancreatic arteries, as well as in the spleen, lymph nodes and liver, but not in ductal cells of the pancreas. Only occasionally were acinar cells positive for blue staining by either type of treatment.
These experiments demonstrate that in vivo gene transfer into the pancreas is feasible using DNA-liposome complexes. Furthermore, the route of administration largely determines cell type specificity and side-effects. This technique might have an impact for the development of gene therapy strategies for pancreatic diseases.
胰腺癌是一种临床预后很差且治疗潜力有限的恶性肿瘤。基因转移技术的最新进展通过将重组基因直接导入体内的正常或肿瘤组织,提供了新的治疗途径。
在此我们表明,与阳离子脂质体复合的LacZ标记基因可通过导管内或动脉内注射引入胰腺。通过聚合酶链反应和组织化学监测β-半乳糖苷酶基因产物的表达。
在体内基因转移后长达28天,胰腺中均可检测到β-半乳糖苷酶活性。导管内应用优先诱导内衬导管细胞中的基因表达。导管内注射脂质体24小时后,检测到血清淀粉酶水平呈剂量依赖性短暂升高。然而,没有明显的胰腺炎组织学迹象。动脉内注射导致胰腺内动脉内皮细胞以及脾脏、淋巴结和肝脏中β-半乳糖苷酶表达,但胰腺导管细胞中未表达。两种治疗方式仅偶尔有腺泡细胞呈蓝色染色阳性。
这些实验表明,使用DNA-脂质体复合物将基因体内转移到胰腺是可行的。此外,给药途径在很大程度上决定了细胞类型特异性和副作用。该技术可能会对胰腺疾病基因治疗策略的发展产生影响。