Forbes S J, Themis M, Alison M R, Selden C, Coutelle C, Hodgson H J
Liver Group Laboratory, Imperial College Medical School at The Hammersmith Hospital, London, UK.
Gene Ther. 1998 Apr;5(4):552-5. doi: 10.1038/sj.gt.3300613.
The liver is an important target organ for gene therapy but its mitotic quiescence makes it resistant to integrative gene transfer. Retrovirus-based vectors integrate into liver cells in vivo but require the liver to be primed before transduction; experimentally a 70% hepatectomy is commonly used to stimulate regeneration, rendering the liver susceptible to transduction during the resulting wave of cell proliferation. Our aim was to develop a clinically acceptable method of inducing hepatocyte replication before in vivo retroviral gene transfer which is both simple and effective. We have used the physiological hormone tri-iodothyronine (T3) to stimulate hepatocyte replication. A single dose of T3 (400 micrograms/100 g bw) was given subcutaneously to euthyroid rats. This produced a labelling index of 31.7% in the hepatocyte population without histological or biochemical evidence of preceding liver damage. Following T3 administration the rat livers were transfected in vivo with an amphotropic retrovirus, TELCeB/AF-7 which encodes the beta-galactosidase reporter gene together with a nuclear localisation signal. Transgene expression was noted only within the liver where 1.3% of hepatocytes expressed the beta-galactosidase enzyme. This compared to 5.2% of hepatocytes transduced following a 70% hepatectomy, and 0.02% in animals receiving neither T3 nor partial hepatic resection before transduction. T3 administration is a simple way to prime the liver before in vivo retroviral vector-based gene transfer.
肝脏是基因治疗的重要靶器官,但其有丝分裂静止状态使其对整合性基因转移具有抗性。基于逆转录病毒的载体可在体内整合到肝细胞中,但在转导前需要对肝脏进行预处理;在实验中,通常采用70%肝切除术来刺激肝脏再生,使肝脏在随后的细胞增殖浪潮中易于被转导。我们的目标是开发一种临床可接受的方法,在体内逆转录病毒基因转移前诱导肝细胞复制,该方法既简单又有效。我们使用生理激素三碘甲状腺原氨酸(T3)来刺激肝细胞复制。给甲状腺功能正常的大鼠皮下注射单剂量的T3(400微克/100克体重)。这在肝细胞群体中产生了31.7%的标记指数,且没有先前肝脏损伤的组织学或生化证据。给予T3后,用编码β-半乳糖苷酶报告基因以及核定位信号的双嗜性逆转录病毒TELCeB/AF-7对大鼠肝脏进行体内转染。仅在肝脏内观察到转基因表达,其中1.3%的肝细胞表达β-半乳糖苷酶。相比之下,70%肝切除术后转导的肝细胞为5.2%,而在转导前既未接受T3也未接受部分肝切除的动物中为0.02%。给予T3是在基于逆转录病毒载体的体内基因转移前预处理肝脏的一种简单方法。