Abstract
Uveitis is a sight threatening inflammatory disorder that remains a significant cause of visual loss. We investigated lentiviral gene delivery of interleukin 1 receptor antagonist (IL-1ra) or interleukin (IL)-10 to ameliorate murine endotoxin-induced uveitis (EIU). An human immunodeficiency virus-1-based vector containing the mIL-1ra or mIL-10 cDNA demonstrated high expression of biologically active cytokine. Following administration of Lenti.GFP into the anterior chamber, transgene expression was observed in corneal endothelial cells, trabecular meshwork and iris cells. To treat EIU, mice were injected with Lenti.IL-1ra, Lenti.IL-10 or a combination of these. EIU was induced 14 days after vector administration and mice were culled 12 h following disease induction. Lenti.IL-1ra or Lenti.IL-10-treated eyes showed significantly lower mean inflammatory cell counts in the anterior and posterior chambers compared with controls. The aqueous total protein content was also significantly lower in treated eyes, demonstrating better preservation of the blood-ocular barrier. Furthermore, the treated eyes showed less in vivo fluorescein leakage from inner retinal vessels compared with controls. The combination of both IL-1ra and IL-10 had no additive effect. Thus, lentiviral gene delivery of IL-1ra or IL-10 significantly reduces the severity of experimental uveitis, suggesting that lentiviral-mediated expression of immunomodulatory genes in the anterior chamber offers an opportunity to treat uveitis.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Reeves SW, Sloan FA, Lee PP, Jaffe GJ . Uveitis in the elderly: epidemiological data from the national long-term care survey medicare cohort. Ophthalmology 2006; 113: 307.
Edelsten C, Reddy MA, Stanford MR, Graham EM . Visual loss associated with pediatric uveitis in English primary and referral centers. Am J Ophthalmol 2003; 135: 676–680.
Gritz DC, Wong IG . Incidence and prevalence of uveitis in Northern California; the Northern California Epidemiology of Uveitis Study. Ophthalmology 2004; 111: 491–500.
Imrie FR, Dick AD . Nonsteroidal drugs for the treatment of noninfectious posterior and intermediate uveitis. Curr Opin Ophthalmol 2007; 18: 212–219.
Broderick CA, Smith AJ, Balaggan KS, Georgiadis A, Buch PK, Trittibach PC et al. Local administration of an adeno-associated viral vector expressing IL-10 reduces monocyte infiltration and subsequent photoreceptor damage during experimental autoimmune uveitis. Mol Ther 2005; 12: 369–373.
Robertson M, Liversidge J, Forrester JV, Dick AD . Neutralizing tumor necrosis factor-alpha activity suppresses activation of infiltrating macrophages in experimental autoimmune uveoretinitis. Invest Ophthalmol Vis Sci 2003; 44: 3034–3041.
Tynjala P, Lindahl P, Honkanen V, Lahdenne P, Kotaniemi K . Infliximab and etanercept in the treatment of chronic uveitis associated with refractory juvenile idiopathic arthritis. Ann Rheum Dis 2007; 66: 548–550.
Smith JR, Verwaerde C, Rolling F, Naud MC, Delanoye A, Thillaye-Goldenberg B et al. Tetracycline-inducible viral interleukin-10 intraocular gene transfer, using adeno-associated virus in experimental autoimmune uveoretinitis. Hum Gene Ther 2005; 16: 1037–1046.
Rosenbaum JT, McDevitt HO, Guss RB, Egbert PR . Endotoxin-induced uveitis in rats as a model for human disease. Nature 1980; 286: 611–613.
Forrester JV, Worgul BV, Merriam Jr GR . Endotoxin-induced uveitis in the rat. Albrecht Von Graefes Arch Klin Exp Ophthalmol 1980; 213: 221–233.
Baeuerle PA, Henkel T . Function and activation of NF-kappa B in the immune system. Annu Rev Immunol 1994; 12: 141–179.
Baeuerle PA, Baltimore D . NF-kappa B: ten years after. Cell 1996; 87: 13–20.
de Vos AF, Klaren VN, Kijlstra A . Expression of multiple cytokines and IL-1RA in the uvea and retina during endotoxin-induced uveitis in the rat. Invest Ophthalmol Vis Sci 1994; 35: 3873–3883.
Planck SR, Huang XN, Robertson JE, Rosenbaum JT . Cytokine mRNA levels in rat ocular tissues after systemic endotoxin treatment. Invest Ophthalmol Vis Sci 1994; 35: 924–930.
Shen DF, Buggage RR, Eng HC, Chan CC . Cytokine gene expression in different strains of mice with endotoxin-induced uveitis (EIU). Ocul Immunol Inflamm 2000; 8: 221–225.
Tuaillon N, Shen DF, Berger RB, Lu B, Rollins BJ, Chan CC . MCP-1 expression in endotoxin-induced uveitis. Invest Ophthalmol Vis Sci 2002; 43: 1493–1498.
Jacquemin E, De Kozak Y, Thillaye B, Courtois Y, Goureau O . Expression of inducible nitric oxide synthase in the eye from endotoxin-induced uveitis rats. Invest Ophthalmol Vis Sci 1996; 37: 1187–1196.
Bellot JL, Palmero M, Garcia-Cabanes C, Espi R, Hariton C, Orts A . Additive effect of nitric oxide and prostaglandin-E2 synthesis inhibitors in endotoxin-induced uveitis in the rabbit. Inflamm Res 1996; 45: 203–208.
Arend WP . The balance between IL-1 and IL-1Ra in disease. Cytokine Growth Factor Rev 2002; 13: 323–340.
Hill N, Sarvetnick N . Cytokines: promoters and dampeners of autoimmunity. Curr Opin Immunol 2002; 14: 791–797.
Riley JK, Takeda K, Akira S, Schreiber RD . Interleukin-10 receptor signaling through the JAK-STAT pathway. Requirement for two distinct receptor-derived signals for anti-inflammatory action. J Biol Chem 1999; 274: 16513–16521.
Hayashi S, Guex-Crosier Y, Delvaux A, Velu T, Roberge FG . Interleukin 10 inhibits inflammatory cells infiltration in endotoxin-induced uveitis. Graefes Arch Clin Exp Ophthalmol 1996; 234: 633–636.
Bainbridge JW, Stephens C, Parsley K, Demaison C, Halfyard A, Thrasher AJ et al. In vivo gene transfer to the mouse eye using an HIV-based lentiviral vector; efficient long-term transduction of corneal endothelium and retinal pigment epithelium. Gene Therapy 2001; 8: 1665–1668.
Demaison C, Brouns G, Blundell MP, Goldman JP, Levinsky RJ, Grez M et al. A defined window for efficient gene marking of severe combined immunodeficient-repopulating cells using a gibbon ape leukemia virus-pseudotyped retroviral vector. Hum Gene Ther 2000; 11: 91–100.
Tschernutter M, Schlichtenbrede FC, Howe S, Balaggan KS, Munro PM, Bainbridge JW et al. Long-term preservation of retinal function in the RCS rat model of retinitis pigmentosa following lentivirus-mediated gene therapy. Gene Therapy 2005; 12: 694–701.
Yanez-Munoz RJ, Balaggan KS, MacNeil A, Howe SJ, Schmidt M, Smith AJ et al. Effective gene therapy with nonintegrating lentiviral vectors. Nat Med 2006; 12: 348–353.
Qin L, Ding Y, Pahud DR, Chang E, Imperiale MJ, Bromberg JS . Promoter attenuation in gene therapy: interferon-gamma and tumor necrosis factor-alpha inhibit transgene expression. Hum Gene Ther 1997; 8: 2019–2029.
Cominelli F, Nast CC, Clark BD, Schindler R, Lierena R, Eysselein VE et al. Interleukin 1 (IL-1) gene expression, synthesis, and effect of specific IL-1 receptor blockade in rabbit immune complex colitis. J Clin Invest 1990; 86: 972–980.
Cominelli F, Nast CC, Duchini A, Lee M . Recombinant interleukin-1 receptor antagonist blocks the proinflammatory activity of endogenous interleukin-1 in rabbit immune colitis. Gastroenterology 1992; 103: 65–71.
Thomas TK, Will PC, Srivastava A, Wilson CL, Harbison M, Little J et al. Evaluation of an interleukin-1 receptor antagonist in the rat acetic acid-induced colitis model. Agents Actions 1991; 34: 187–190.
McCall RD, Haskill S, Zimmermann EM, Lund PK, Thompson RC, Sartor RB . Tissue interleukin 1 and interleukin-1 receptor antagonist expression in enterocolitis in resistant and susceptible rats. Gastroenterology 1994; 106: 960–972.
Lim WK, Fujimoto C, Ursea R, Mahesh SP, Silver P, Chan CC et al. Suppression of immune-mediated ocular inflammation in mice by interleukin 1 receptor antagonist administration. Arch Ophthalmol 2005; 123: 957–963.
Teoh SC, Sharma S, Hogan A, Lee R, Ramanan AV, Dick AD . Tailoring biological treatment: anakinra treatment of posterior uveitis associated with the CINCA syndrome. Br J Ophthalmol 2007; 91: 263–264.
Grool TA, van Dullemen H, Meenan J, Koster F, ten Kate FJ, Lebeaut A et al. Anti-inflammatory effect of interleukin-10 in rabbit immune complex-induced colitis. Scand J Gastroenterol 1998; 33: 754–758.
Apparailly F, Verwaerde C, Jacquet C, Auriault C, Sany J, Jorgensen C . Adenovirus-mediated transfer of viral IL-10 gene inhibits murine collagen-induced arthritis. J Immunol 1998; 160: 5213–5220.
Fang IM, Lin CP, Yang CH, Chiang BL, Yang CM, Chau LY et al. Inhibition of experimental autoimmune anterior uveitis by adenovirus-mediated transfer of the interleukin-10 gene. J Ocul Pharmacol Ther 2005; 21: 420–428.
De Kozak Y, Thillaye-Goldenberg B, Naud MC, Da Costa AV, Auriault C, Verwaerde C . Inhibition of experimental autoimmune uveoretinitis by systemic and subconjunctival adenovirus-mediated transfer of the viral IL-10 gene. Clin Exp Immunol 2002; 130: 212–223.
Makarov SS, Olsen JC, Johnston WN, Anderle SK, Brown RR, Baldwin Jr AS et al. Suppression of experimental arthritis by gene transfer of interleukin 1 receptor antagonist cDNA. Proc Natl Acad Sci USA 1996; 93: 402–406.
Pan RY, Chen SL, Xiao X, Liu DW, Peng HJ, Tsao YP . Therapy and prevention of arthritis by recombinant adeno-associated virus vector with delivery of interleukin-1 receptor antagonist. Arthritis Rheum 2000; 43: 289–297.
Huhn RD, Radwanski E, O'Connell SM, Sturgill MG, Clarke L, Cody RP et al. Pharmacokinetics and immunomodulatory properties of intravenously administered recombinant human interleukin-10 in healthy volunteers. Blood 1996; 87: 699–705.
Gouze JN, Gouze E, Palmer GD, Liew VS, Pascher A, Betz OB et al. A comparative study of the inhibitory effects of interleukin-1 receptor antagonist following administration as a recombinant protein or by gene transfer. Arthritis Res Ther 2003; 5: R301–R309.
Barbara G, Xing Z, Hogaboam CM, Gauldie J, Collins SM . Interleukin 10 gene transfer prevents experimental colitis in rats. Gut 2000; 46: 344–349.
Fukumoto T, Matsukawa A, Ohkawara S, Takagi K, Yoshinaga M . Administration of neutralizing antibody against rabbit IL-1 receptor antagonist exacerbates lipopolysaccharide-induced arthritis in rabbits. Inflamm Res 1996; 45: 479–485.
Seely AJ, Pascual JL, Christou NV . Science review: cell membrane expression (connectivity) regulates neutrophil delivery, function and clearance. Crit Care 2003; 7: 291–307.
Ikeda M, Ikeda U, Shimada K, Minota S, Kano S . Regulation of ICAM-1 expression by inflammatory cytokines in rat mesangial cells. Cytokine 1996; 8: 109–114.
Dinarello CA . The IL-1 family and inflammatory diseases. Clin Exp Rheumatol 2002; 20: S1–13.
Becker MD, Garman K, Whitcup SM, Planck SR, Rosenbaum JT . Inhibition of leukocyte sticking and infiltration, but not rolling, by antibodies to ICAM-1 and LFA-1 in murine endotoxin-induced uveitis. Invest Ophthalmol Vis Sci 2001; 42: 2563–2566.
Whitcup SM, DeBarge LR, Rosen H, Nussenblatt RB, Chan CC . Monoclonal antibody against CD11b/CD18 inhibits endotoxin-induced uveitis. Invest Ophthalmol Vis Sci 1993; 34: 673–681.
Koizumi K, Poulaki V, Doehmen S, Welsandt G, Radetzky S, Lappas A et al. Contribution of TNF-alpha to leukocyte adhesion, vascular leakage, and apoptotic cell death in endotoxin-induced uveitis in vivo. Invest Ophthalmol Vis Sci 2003; 44: 2184–2191.
Yang GY, Mao Y, Zhou LF, Gong C, Ge HL, Betz AL . Expression of intercellular adhesion molecule 1 (ICAM-1) is reduced in permanent focal cerebral ischemic mouse brain using an adenoviral vector to induce overexpression of interleukin-1 receptor antagonist. Brain Res Mol Brain Res 1999; 65: 143–150.
Sarra GM, Stephens C, Schlichtenbrede FC, Bainbridge JW, Thrasher AJ, Luthert PJ et al. Kinetics of transgene expression in mouse retina following sub-retinal injection of recombinant adeno-associated virus. Vision Res 2002; 42: 541–549.
Lai YK, Shen WY, Brankov M, Lai CM, Constable IJ, Rakoczy PE . Potential long-term inhibition of ocular neovascularisation by recombinant adeno-associated virus-mediated secretion gene therapy. Gene Therapy 2002; 9: 804–813.
Abordo-Adesida E, Follenzi A, Barcia C, Sciascia S, Castro MG, Naldini L et al. Stability of lentiviral vector-mediated transgene expression in the brain in the presence of systemic antivector immune responses. Hum Gene Ther 2005; 16: 741–751.
Muhaya M, Calder VL, Towler HM, Jolly G, McLauchlan M, Lightman S . Characterization of phenotype and cytokine profiles of T cell lines derived from vitreous humour in ocular inflammation in man. Clin Exp Immunol 1999; 116: 410–414.
Symons JA, Dickens EM, Di Giovine F, Duff GW . Measurement of Interleukin-1 activity. In: Clemens MJ, Morris AG, Gearing AJH (eds). Lymphokines and interferons, a practical approach. IRL Press: Oxford, UK, 1987, pp270–272.
Acknowledgements
This work was supported by The Sir Jules Thorn Charitable Trust, Moorfields Eye Hospital Special Trustees, the UK Department of Health and the Department of Health's National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and the UCL Institute for Ophthalmology. Personal support was provided to PT by the Swiss National Science Foundation, the Alfred A Vogt Foundation and the Swiss Fund for Preventing and Fight of the Blindness.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Trittibach, P., Barker, S., Broderick, C. et al. Lentiviral-vector-mediated expression of murine IL-1 receptor antagonist or IL-10 reduces the severity of endotoxin-induced uveitis. Gene Ther 15, 1478–1488 (2008). https://doi.org/10.1038/gt.2008.109
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/gt.2008.109
Keywords
This article is cited by
-
Spotlight on pyroptosis: role in pathogenesis and therapeutic potential of ocular diseases
Journal of Neuroinflammation (2022)
-
Recent advances in the management of non-infectious posterior uveitis
International Ophthalmology (2020)
-
AAV-mediated expression of HLA-G1/5 reduces severity of experimental autoimmune uveitis
Scientific Reports (2019)
-
The diagnosis and treatment of primary vitreoretinal lymphoma: a review
International Journal of Retina and Vitreous (2018)
-
The emerging role of interleukin (IL)-1 in the pathogenesis and treatment of inflammatory and degenerative eye diseases
Clinical Rheumatology (2017)