Abstract
Gene therapy for cystic fibrosis (CF) will require the safe transfer of CFTR cDNA to airway epithelia in vivo. We showed previously that a recombinant adenovirus, Ad2/ CFTR–1, expresses CFTR in vitro. As adenovirus rarely integrates, treatment will require repeated vector administration. We applied Ad2/CFTR-1 to intrapulmonary airway epithelia of cotton rats and nasal epithelia of Rhesus monkeys. In both species we detected CFTR mRNA and protein after repeated administration and in monkeys, protein was detected six weeks after repeat administration. The vector did not replicate and was rapidly cleared. Despite an antibody response, there was no evidence of a local or systemic inflammatory response after repeat administration. These data indicate that repetitive administration of Ad2/CFTR-1 is both safe and efficacious.
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References
Boat, T.F., Welsh, M.J. & Beaudet, A.L.,Cystolic Fibrosis. In Metabolic. Basis of Inherited Disease. (eds Scriver, C.R. et al.) 2649–2680 (McGraw-Hill, New York, 1989).
Ouinton, P.M. Cystic fibrosis: a disease in electrolyte transport. FASEB J. 4, 2709–2717 (1990).
Boucher, R.C., Knowles, M.R. Stutts, M.J. & Gatzy, J.T. Epithelial dysfunction In cystic fibrosis lung disease. Lung 161, 1–17 (1983).
Rommens, J.M. et al. Identification of the cystic fibrosis gene: chromosome walking and jumping. Science 245, 1059–1065 (1989).
Riordan, J.R. et al. Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA. Science 245, 1066–1073 (1989).
Kerem, B-S. et al. Identification of the cystic fibrosis gene: genetic analysis. Science 245, 1073–1080 (1989).
Welsh, M.J. et al. Cystic fibrosis transmembrane conductance regulator: A chloride channel with novel regulation. Neuron 8, 821–829 (1992).
Mclntosh, I. & Cutting, G.R. Cystic fibrosis transmembrane conductance regulator and etiology and pathogenesis of cystic fibrosis. FASEB J. 6, 2775–2782 (1992).
Riordan, J.R. The cystic fibrosis transmembrane conductance regulator. Ann. Rev. Phystol. 55, 609–630 (1993).
Cheng, S.H. et al. Defective intraCellular transport and processing of CFTR is the molecular basis of most cystic fibrosis. Cell 63, 827–634 (1990).
Denning, G.M., Ostedgaard, L.S. & Welsh, M.J. Abnormal localization of cystic fibrosis transmembrane conductance regulator in primary cultures of cystic fibrosis airway eplthelia. J. Cell Biol. 18, 551–559 (1992).
Kartner, N., Augustlnas, O., Jensen, T.J., Naismith, A.L. & Riordan, J.R. Mislocalization of δF508 CFTR in cystic fibrosis sweat gland. Nature Genet. 1, 321–327 (1992).
Rich, D.P. et al. Expression of cystic fibrosis transmembrane conductance regulator corrects defective chloride channel regulation In cystic fibrosis airway epithelial cells. Nature 347, 358–363 (1990).
Drumm, M.L. et al. Correction of the cystic fibrosis defect in vitro by retrovirus-mediated gene transfer. Cell 62,1227–1233 (1990).
Berkner, K.L. Development of adenovirus vectors for the expression of heterologous genes. Biotechniques 6, 616–629 (1988).
Graham, F.L. & Prevec, L. Adenovirus-based expression vectors and recombinant vaccines. In Vaccines: New Approaches to Immunological Problems. (ed. Ellis, R. W.) 363–390 (Butterworth-Helnemann, Boston, 1992).
Rosenfeld, M.A. et al. Adenovlrus-mediated transfer of a recombinant α1-antitrypsin gene to the lung epithelium In vivo. Science 262, 431–434 (1991).
Rosenfeld, M.A. et al. In vivo transfer of the human cystic fibrosis transmembrane conductance regulator gene to the airway epithelium. Cell 68, 143–155 (1992).
Mastrangeli, A. et al. Diversity of airway epithelial Cell targets for in vivo recombinant adenovirus-medlated gene transfer. J. din. Invest. 91, 225–234 (1993).
Engelhardt, J.F. et al. Direct gene transfer of human CFTR into human bronchial epithelia of xenografts with EI-deletedadenoviruses. Nature Genet. 4, 27–34 (1993).
Rich, D.P. et al. Development and analysis of recombinant adenoviruses for gene therapy of cystic fibros. Hum. gene Ther. 4, 461–476 (1993).
Prince, G.A. et al. Pathogenesis of adenovirus type 5 pneumonia in cotton rats (Sigmodon hispidus). J. Virol. 67, 101–111 (1993).
Ginsberg, H.S. et al. Role of early region E (E3) in pathogenesis of adenovirus disease. Proc. natn. Acad. Sci. U.S.A. 86, 3823–3827 (1989).
Harkema, R. et al. Non-olfactory surface epithelium of the nasalcavity of the bonnet monkey: A morphologic and morphometric study of the transitional and respiratory epithelium. Am. J. Anat. 180, 266–279 (1987).
Knowles, M., Gatzy, J. & Boucher, R. Relative ion permeability of normal and cystic fibrosis nasal epithelium. J. din. Invest. 71, 1410–1417 (1983).
Yankaskas, J.R., Cotton, C.U., Knowles, M.R., Gatzy, J.T. & Boucher, R.C. Culture of human nasal epithelial cells on collagen matrix supports. A comparison of bioelectric properties of normal and cystic fibrosis epithelia. Am. Rev. respir. Dis. 132, 1281–1287 (1985).
Welsh, M.J. Electrolyte transport by airway epithelia. Physiol. Rev. 67, 1143–1184 (1987).
Trapnell, B.C. et al. Expression of the cystic fibrosis transmembrane conductance regulator gene in the respiratory tract of normal individuals and individuals with cystic fibrosis. Proc. nafn. Acad. Sci. U.S.A. 88, 6565–6569 (1991).
Engelhardt, J.F. & Wilson, J.M. Submucosal glands are the predominant site of CFTR expression inthe human bronchus. Nature Genet 2, 240–248 (1992).
Johnson, L.G. et al. Efficiency of gene transfer for restoration of normal airway epithelial function in cystic fibrosis. Nature Genet. 2, 21–25 (1992).
Ginsberg, H.S. et al. A mouse model for investigating the molecular pathogenesis of adenovirus pneumonia. Proc. natn. Acad. Sci. U.S.A. 88, 1651–1655 (1991).
Graham, F.L., Smiley, J., Russell, W.L. & Nairn, A.N. Characterization of a human cell line transformed by DNA from adenovirus 5. J. gen. Virol. 36, 59–72 (1977).
Denning, G.M., Ostedgaard, L.S., Cheng, S.H., Smith, A.E. & Welsh, M.J. Localization of cystic fibrosis transmembrane conductance regulator in chloride secretory epithelia. J. din. Invest. 89, 339–349 (1992).
Chomczynski, P. & Sacchi, N. Single-step method of RNA isolation by acid guanldinium thiocyanate-phenol-chloroform extraction. Analytical Biochemistry 162, 156–159 (1987).
Hanson, C.A., Holbrook, E.A., Sheldon, S., Schnitzer, B. & Roth, M. Detection of Philadelphia chromosome-positive Cells from glass slide smears using the polymerase chain reaction. Am. J. Pathoi. 137,1–6 (1990).
Sambrook, J., Fritsch, E.F. & Maniatis, T. in Molecular Cloning: A Laboratory Manual (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, 1989).
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Zabner, J., Petersen, D., Puga, A. et al. Safety and efficacy of repetitive adenovirus–mediated transfer of CFTR cDNA to airway epithelia of primates and cotton rats. Nat Genet 6, 75–83 (1994). https://doi.org/10.1038/ng0194-75
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DOI: https://doi.org/10.1038/ng0194-75