Original Article

Molecular Therapy (2003) 8, 485–494; doi: 10.1016/S1525-0016(03)00182-5

Simultaneous CAR- and alphaV Integrin-Binding Ablation Fails to Reduce Ad5 Liver Tropism

Karine Martin1, Anne Brie1,*, Patrick Saulnier2, Michel Perricaudet1, Patrice Yeh1,* and Emmanuelle Vigne1,*

  1. 1UMR1582 CNRS/IGR/Aventis-Gencell, Villejuif Cedex, France
  2. 2Centre de Référence, IGR/Aventis-Gencell, Institut Gustave Roussy, 94805 Villejuif Cedex, France

Correspondence: Emmanuelle Vigne, Gencell S.A.S., CRVA, 13 Quai Jules Guedes, 94403 Vitry-sur-Seine, France. Fax: 33 1 58 93 24 22. E-mail: emmanuelle.vigne@gencell.com.

*Present address: Gencell S.A.S., 94403 Vitry-sur-Seine, France.

Received 22 October 2002; Accepted 18 May 2003.

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Abstract

Targeting adenovirus encoding therapeutic genes to specific cell types has become a major goal in gene therapy. Coxsackievirus and adenovirus receptor (CAR) and alphaV integrins have been identified as the primary cell surface components that interact with adenovirus type 5 (Ad5)-based vectors during in vitro transduction. Redirecting Ad5-based vectors requires abrogation of the natural interaction between the viral capsid and its cellular receptors and simultaneous introduction of a new binding specificity into the viral capsid. To abrogate native Ad5 tropism, fiber knob mutations Pro409Glu and Lys417Ala were each incorporated into adenoviral vectors, while the RGD motif was deleted from the penton base. In vitro transduction experiments showed that these capsid mutations eliminated Ad5 interactions with CAR and alphaV integrins. Moreover, incorporation in the fiber HI loop of a vitronectin-derived ligand (VN4) specific for the uPAR/CD87 receptor provided the Lys417Ala virus with an alternative entry pathway specific for uPAR-expressing cells, indicating a successful in vitro retargeting of the vector. Unexpectedly, however, simultaneous disruption of Ad5 binding to CAR and alphaV integrins had no effect on liver gene transfer following systemic administration in mice. This study highlights the need to understand better the molecular determinants involved in adenovirus uptake by the liver to control the fate of adenoviral vectors in vivo.

Keywords:

adenovirus vector, targeting, fiber, CAR, alphaV integrins, tropism

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Introduction

Controlling adenovirus (Ad) tropism has become a major challenge to enhance the therapeutic potential of adenovectors, particularly in cancer gene therapy. Indeed, intravascular application of antitumor vectors is a prerequisite to reach all metastases and a maximum of tumor cells within tumors. To this end, Ad vector tropism should be restricted specifically to proliferating/migrating cells from the tumor and/or tumor endothelium, thereby reducing the undesired interactions between virus and nontarget tissues and minimizing possible toxicities and host immune responses 1. The urokinase-type plasminogen activator receptor (uPAR/CD87) is an attractive candidate as target receptor to mediate gene delivery to these cells. uPAR is a multifunctional cell surface receptor that is critically involved in cellular adhesion, migration and invasion, and signaling [for review, see 2]. The expression level of uPAR on cells strongly correlates with their migratory and invasive potential. Upregulation of uPAR constitutes a poor prognosis marker for a variety of metastatic cancers, including breast, prostate, and colon carcinomas 3. uPAR expression has also been identified in the angiogenic vasculature of solid tumors, such as colon and breast carcinomas 4,5.

Adenovirus type 5 (Ad5) attachment to the cell surface is mediated through a high-affinity interaction between the C-terminal knob of the viral fiber protein and the cellular CAR protein (coxsackievirus and adenovirus receptor) 6,7. In a second step, an interaction between the RGD motif of the viral penton base protein with cellular alphaV integrins facilitates internalization of the virus 8,9,10. A direct correlation between CAR expression level and efficiency of adenovirus-mediated gene transfer has been reported in a large number of cell types in vitro 11,12,13,14. In particular, the poor susceptibility of many primary tumors 15,16 to adenovectors is essentially due to low CAR expression. The interaction of fiber knob with CAR has been well characterized. The crystal structure of the Ad12 knob in complex with the N-terminal portion of CAR demonstrated that part of the AB, DE, and FG loops as well as the very short F strand of fiber knob are key players in the binding with CAR 17. Consistently, it was shown that mutagenesis of various residues in these target regions of Ad5 fiber eliminated high-affinity binding to human CAR, eventually resulting in a dramatic decrease in CAR-positive cell transduction in vitro 18,19,20,21,22,23,24,25,26,27.

The contribution of CAR to in vivo gene transfer remains, however, unclear. Although high levels of CAR expression are observed in several mice organs, liver is by far the major tissue transduced following Ad5 intravenous administration 28,29. Until recently, it was accepted that CAR interaction was the major determinant of hepatocyte transduction in vivo and that eliminating knob binding to CAR would result in the loss of Ad5 hepatotropism. Unexpectedly, fiber mutations that abolish interaction with CAR were reported to be not sufficient to impair liver gene transfer following intravenous injection in mice 21,24,25,27, showing that other pathways are likely involved in the uptake of adenoviral vectors by liver. In particular, Einfeld et al. have reported that the disruption of both CAR and alphaV integrin interactions may be critical for effectively reducing Ad5 native tropism 26.

In this study, we investigated the possibility of developing Ad5 vectors genetically engineered to specifically target the uPAR/CD87. We combined capsid mutations designed to ablate CAR and alphaV integrin binding, with the insertion in the fiber knob of a vitronectin peptide displaying high affinity for uPAR. This study reports the in vitro and in vivo transduction properties of the capsid-modified vectors.

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Results

Construction of capsid-modified viruses

The crystal structure of the Ad12 fiber knob in complex with domain I of CAR 17 has revealed the key residues involved in the Ad12 knob–CAR interface, in particular AB loop proline 418 and aspartate 415, leucine 426, and lysine 429. Abrogating the interactions between CAR and P418 or L426 resulted in the complete elimination of the binding of the Ad12 knob to CAR 17. Based on the structural superimposition of the very similar Ad12 and Ad5 knob, we hypothesized that the Ad5 residues P409 and K417 should play in the interaction between Ad5 knob and CAR the same critical role as Ad12 P418 and L426, respectively. Accordingly, we constructed the two fiber-mutated vectors Ad-P409E and Ad-K417A by incorporating the P409E and K417A mutations into the fiber knob of the control Ad-CTL vector (Table 1). As a control, we generated Ad-DeltaTAYT, the fiber of which carries a deletion previously shown to diminish fiber-dependent adenoviral gene transfer 18. We further modified the viral capsid of control Ad-CTL and mutant Ad-K417A by deleting the RGD motif from their penton base (Table 1). To retarget the vector to the uPAR receptor, we inserted the 12-amino-acid VN4 peptide into the HI fiber loop of control Ad-CTL and mutant Ad-K417A or Ad-K417A-PBmu (Table 1). All vectors express the nuclear beta-galactosidase from the human cytomegalovirus promoter/enhancer. All viruses were viable, and if suitable infection conditions were provided (see Materials and Methods for details), expansion of the vectors in production runs showed comparable yields for the modified and control vectors (Table 1).


We analyzed viral purified preparations by Western blotting using antibodies directed against the fiber or the whole Ad5 capsid (not shown). This evidenced that the protein profiles of all viruses were comparable to that of control vector Ad-CTL and that all viruses incorporated the modified fiber proteins in stoichiometric amounts in the viral capsid. Furthermore, the precursors of the viral pVI, pVII, and pVIII proteins were not detected, indicating a normal proteolytic processing. That the HPLC profiles of modified capsids (not shown) were unchanged compared to Ad-CTL suggests that fiber mutations did not critically interfere with capsid assembly and maturation steps necessary to allow subsequent effective entry into cells. Finally, we confirmed by electron microscopy (not shown) that viral particles of all mutant viruses were similar in aspect to those of the control virus (no abnormal aggregation or degradation).

In vitro characterization of the mutant viruses

We first investigated the impact of the fiber knob mutations on the efficiency of gene transfer into the CAR- and alphaV-integrin-positive 293 cells. beta-Galactosidase activity following infection of these cells with Ad-P409E, Ad-K417A, and Ad-DeltaTAYT mutants was 20- to 100-fold lower than with the control virus Ad-CTL (Fig. 1A and data not shown). Moreover, infection was not inhibited by preincubation with a saturating concentration of soluble knob (Fig. 1A), suggesting that knob did not mediate viral attachment to the cell and that the corresponding mutations P409E, K417A, and DeltaTAYT had a significant effect on CAR binding. To study directly the interaction between the modified viruses and CAR, we immobilized soluble CAR on nitrocellulose membranes and tested it for its ability to bind to the different viruses (Fig. 1B). As expected, the three fiber-mutated viruses were no longer able to bind to soluble CAR.

Figure 1.
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In vitro CAR binding of fiber-modified viruses. (A) Competition experiment with soluble knob in 293 cells. Confluent monolayers of 293 were preincubated in the absence or presence of 10 mug/ml Ad5 knob protein for 30 min at room temperature. Each virus was then added to the cells at an m.o.i. of 50 VP/cell and incubated for 30 min at room temperature. Cells were washed twice with PBS and incubated for 24 h at 37°C in MEM–10% FBS. beta-Galactosidase activity was measured in a chemiluminescence assay. (B) In vitro binding of fiber-modified viruses to soluble CAR. Soluble CAR was immobilized on nitrocellulose membranes. Membranes were blocked in PBS–5% nonfat milk and then incubated overnight at 4°C with 109 or 1010 VP of virus. Detection was performed as described under Materials and Methods.

Full figure and legend (220K)

To evaluate the influence of the RGD motif deletion from Ad-CTL and Ad-K417A penton base on binding to alphaV integrins, we infected the CAR-negative/alphaV integrin-positive L929 cells 30 using conditions allowing significant gene transfer with the control vector Ad-CTL (multiplicity of infection (m.o.i.) 10,000 viral particles (VP)/cell and 48 h incubation of the virus onto cells). As expected, both RGD-deleted viruses Ad-PBmu and Ad-K417A-PBmu were unable to transduce L929 cells (Fig. 2). In addition, Ad-P409E, Ad-K417A, and Ad-DeltaTAYT were capable of transducing these CAR-negative cells as efficiently as Ad-CTL, indicating that the P409E, K417A, and DeltaTAYT fiber mutations did not affect any characteristics of the virion required to allow efficient intracellular trafficking following internalization.

Figure 2.
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CAR-negative/alphaV integrin-positive cell transduction with capsid-modified viruses. Modified and control viruses were incubated with L929 cells at an m.o.i. of 10,000 VP/cell for 48 h at 37°C before beta-galactosidase activity was measured in a chemiluminescence assay.

Full figure and legend (114K)

Incorporation of a targeting ligand

We next investigated the feasibility of retargeting the Ad5 virion to the uPAR. We had previously demonstrated that the Ad-VN4 vector (Table 1), of which the HI loop of the knob is substituted with VN4, a high-affinity ligand for uPAR derived from human vitronectin, transduces uPAR-positive cells in a CAR-independent manner (E. Vigne, manuscript in preparation). Therefore, the VN4 peptide was introduced into viruses Ad-K417A and Ad-K417A-PBmu to generate mutant viruses Ad-K417A-VN4 and Ad-K417A-VN4-PBmu. We first compared the transduction properties of these viruses in the uPAR-positive 293 cells. Fig. 3A shows that vectors Ad-VN4 and Ad-K417A-VN4, which display the VN4 peptide in an otherwise wild-type or K417A-mutated fiber knob, transduce these uPAR-positive cells with equally high efficiency. Furthermore, while transduction with Ad-CTL was inhibited by addition of soluble knob, this had little to no effect on infection with both VN4-containing vectors, providing further evidence that VN4 could mediate cell entry in a CAR-independent way. In addition, we showed that Ad-K417A-VN4 was unable to bind to immobilized soluble CAR (data not shown), indicating that the VN4 insertion in Ad-K417A did not restore binding to CAR by altering the knob structure. Infection of uPAR-positive L929 cells confirmed that the VN4 insertion provides the Ad5 virion with an efficient CAR-independent entry pathway. In addition, this demonstrated that the RGD deletion from the Ad-K417A-VN4 capsid had a minor impact on cell transduction (Fig. 3B). Altogether, these results demonstrated that the inclusion of the VN4 peptide in the fiber knob of a CAR- and integrin-binding ablated vector allows efficient retargeting of the adenoviral vector to an alternative cell-surface receptor.

Figure 3.
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In vitro retargeting of Ad5 to uPAR-positive cells. (A) Competition experiment with soluble knob in 293 cells. Confluent monolayers of 293 cells (CAR+, alphaV integrin+, uPAR+) were preincubated in the presence or absence of 10 mug/ml Ad5 knob protein for 30 min at room temperature. Each virus was then added to the cells at an m.o.i. of 50 VP/cell and incubated for 30 min at room temperature. Cells were washed twice with PBS and incubated for 24 h at 37°C in MEM–10% FBS. beta-Galactosidase activity was measured in a chemiluminescence assay. (B) Transduction efficiency of capsid-modified viruses in L929 cells. Viruses were incubated on L929 cells (CAR-, alphaV integrin+, uPAR+) at an m.o.i. of 10,000 VP/cell for 24 h at 37°C before beta-galactosidase activity was measured in a chemiluminescence assay.

Full figure and legend (230K)

In general, strong uPAR expression is observed in organs undergoing extensive tissue remodeling and in migrating cells. Accordingly, uPAR has been shown to be absent from quiescent hepatocytes 28. We evaluated the permissivity of rat primary hepatocytes, known to be CAR- and alphaV integrin-positive 31, to the VN4-displaying viruses. As expected, the CAR-binding-ablated Ad-K417A was ineffective in transducing these cells (Fig. 4) and Ad-K417A-VN4 reporter gene expression was not different from that of Ad-K417A. This result provided further evidence that the VN4 inclusion did not restore binding to CAR. Most importantly, this demonstrated that the VN4 insertion did not confer to the retargeted vectors an entry pathway suitable for the uPAR-negative hepatocytes.

Figure 4.
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Transduction efficiency of capsid-modified viruses in rat primary hepatocytes. Rat primary hepatocytes were incubated with the control or capsid-modified viruses or medium alone (NI) at an m.o.i. of 100 VP/cell for 30 min at 37°C. Cells were washed twice with PBS and further incubated with fresh medium at 37°C for 24 h. beta-Galactosidase activity was measured using a chemiluminescence reporter assay.

Full figure and legend (118K)

In vivo characterization of the capsid-modified viruses after systemic delivery

Intravenous administration of Ad5-based vectors in mice results in preferential transgene expression in the liver, which is the prominent organ for CAR expression. To compare the liver tropism of our mutant viruses, we injected C57BL/6 mice intravenously with 3 times 1010 VP of viruses. We assessed the liver transduction efficiency by determining beta-galactosidase expression and vector DNA content 2 days postinjection. Fig. 5 shows no significant difference in beta-galactosidase activity between the CAR-binding-ablated Ad-K417A and Ad-P409E vectors and the control Ad-CTL. We obtained similar results with Ad-DeltaTAYT (not shown), indicating that CAR-binding ablation through P409E and K417A knob mutations or DeltaTAYT deletion did not modify Ad5 liver tropism. Most interestingly, mutant Ad-K417A-PBmu, whose interactions with both CAR and alphaV integrins were abolished by simultaneous K417A knob mutation and deletion of the RGD motif from the penton base, transduced liver as well as the control vector Ad-CTL (Fig. 5). Importantly, the VN4 insertion in the HI loop of Ad-CTL, Ad-K417A, or Ad-K417A-PBmu virus did not influence liver gene transfer either (not shown). Using real-time PCR, we found a similar number of relative vector copies for each vector in the liver, thus confirming the gene expression results (Table 2 and data not shown). Immunohistochemical staining for beta-galactosidase confirmed the results of the enzymatic activity assay and the PCR analysis (data not shown), showing that all vectors transduced hepatocytes equally well.

Figure 5.
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In vivo characterization of capsid-modified viruses after systemic delivery. C57BL/6 mice were injected with buffer (NI) or 3 times 1010 VP of control or modified viruses. Animals were sacrificed at day 2 following injection. Liver, heart, lung, kidney, and spleen were collected 48 h postinjection. The average beta-galactosidase activity level normalized to the protein content of the samples plusminus SEM is shown for each treatment group (n = 10 per group).

Full figure and legend (118K)


We analyzed additional tissues from these mice for beta-galactosidase expression to examine the vector distribution. The level of transduction detected with Ad-CTL in spleen, lung, heart, and kidney was less than or equal to0.2% of that found in the liver and most often not significantly above the background (Fig. 5). Consequently, we used real-time Taqman PCR analysis to quantify the vector distribution more accurately. Importantly, Taqman PCR allowed the detection of significant amounts of vector DNA in all organs. We found that CAR-binding ablation alone had no significant effect on the level of vector genomes in any of the tissues tested (Table 2). In contrast, Ad-K417A-PBmu levels were significantly reduced relative to Ad-K417A levels in the heart (P < 0.03), lung (P < 0.01), and kidney (P < 0.02). Taken together, these results indicate an absence of effect on liver transduction of the fiber and penton base modifications and an alteration of the distribution to other organs following the concomitant loss of CAR and integrin binding.

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Discussion

In this study, we endeavored to retarget Ad5-based vectors by simultaneous removal of CAR and alphaV integrin binding and appending a new entry pathway. Structural analysis 17 has initially revealed that human CAR binds the Ad12 fiber knob at the interface between two adjacent knob monomers, specifically the AB loop, the DE loop, and the F strand of one monomer and the FG loop of the adjacent monomer. Surface plasmon resonance and competition experiments based on mutants of the Ad5 fiber knob domain further confirmed that the CAR-binding site of the Ad5 fiber knob consists of part of the AB and DG loops and of the B, E, and F beta strands 18,19,32. To ablate Ad5 binding to CAR and/or alphaV integrins, we generated vectors whose fiber knob residue P409 or K417 was mutated and/or whose penton base was deleted from its RGD motif (Table 1). Using optimized conditions, all viruses could be grown in a standard E1-transcomplementing cell line without complementing for the fiber or providing an alternative binding between the virus and the packaging cells. A systematic control evidenced that the quality of the purified viral batches was the same for all viruses, so that the differences of transduction features could not be ascribed to a variable quality of preparations.

The in vitro characterization of the mutant viruses revealed the dramatic impact of the AB loop mutations P409E and K417A on CAR binding and subsequent gene transfer efficiency. Indeed, viruses Ad-P409E and Ad-K417A exhibited a significant reduction in the transduction efficiency for CAR-positive cells such as 293 cells (Fig. 1A) or primary rat hepatocytes (Fig. 4). The low-level transduction observed was not inhibited by recombinant Ad5 knob in 293 cells (Fig. 1A), providing further evidence that these viruses have no residual CAR-binding activity. This was also evidenced by the absence of detectable binding of these viruses to immobilized soluble CAR (Fig. 1B). The effect of P409E and K417A knob mutations is in agreement with previous reports showing that binding to soluble CAR of recombinant Ad5 knob displaying P409A or K417G mutations is abrogated 18 and that the Ad5 knob P409 is a contact residue with CAR 32. To disable the Ad5 cell entry pathway further, the K417A fiber mutation was combined with the deletion of the RGD penton base motif, thereby preventing the virus from interacting with cellular alphaV integrins. The impact of the RGD deletion from wild-type or K417A capsids was dramatic in the CAR-negative/alphaV integrin-positive L929 cells, in which gene transfer with both the RGD-deleted Ad-PBmu and the doubly ablated Ad-K417A-PBmu vectors was virtually abolished (Fig. 2). Importantly, the three CAR-binding-ablated Ad-P409E, Ad-K417A, and Ad-DeltaTAYT vectors transduced these cells as efficiently as the control vector, indicating that P409A, K417A, and DeltaTAYT fiber mutations had no impact on any intracellular trafficking steps following virion internalization.

The development of retargeted vectors relies on the identification and validation of targeting ligands. In another study (E. Vigne, manuscript in preparation), we have shown that VN4, a 12-amino-acid peptide of the human vitronectin displaying a strong affinity for the uPAR 33, can provide Ad5-based vectors with an alternative entry pathway when incorporated within the knob HI loop. uPAR is an attractive target for mediating binding of engineered adenoviral vectors. Indeed, it is known to be critically involved in cellular adhesion, migration, and invasion and has been widely reported to be overexpressed in migrating cells such as vascular smooth muscle cells, tumor cells (from both primary bed and metastases), and activated endothelium 2. Here, we showed that the VN4 peptide could provide to the Ad-K417A and Ad-K417A-PBmu vectors a very efficient CAR-independent entry pathway in uPAR-positive cell lines (Fig. 3B). Moreover, we demonstrated that VN4 inclusion in the HI loop did not alter the knob structure in such a way that it could rescue the CAR-binding deficiency. Most importantly, we showed that the VN4 peptide did not provide an entry pathway suitable for hepatocyte infection (Fig. 4), setting up the VN4-displaying CAR- and alphaV integrin-binding-ablated vectors as good candidates for in vivo retargeting to uPAR-positive tissues.

Several groups have identified fiber knob mutations that successfully ablate the virus–CAR interaction in vitro. Indeed, substitutions in the AB loop (S408E 21, S408E–P409G 24, R412AEK417 right arrow SGGG 26) and in the DE loop (Y477A 27), and to a lesser extent in the CD loop (V441A–K442A [20]), as well as mutations in the FG loop (deletion of T489AYT492 18, Y491D, A494D, or A503D 21), induce a dramatic reduction in transduction of various CAR-positive cell lines. However, the contribution of CAR to in vivo gene transfer to the liver is much less clear. All published studies except that of Einfeld et al. 26 have shown that eliminating CAR binding through discrete knob mutation does not alter in vivo distribution following systemic delivery in the mice 21,24,25,27. In the present study, we also report no significant reduction in liver transduction with the CAR-binding-ablated viruses displaying mutations P409A, K417A, or DeltaTAYT (Fig. 5 and Table 2 and data not shown). That these CAR-binding-ablated viruses were unable to transduce primary rat hepatocytes in vitro (Fig. 4 and data not shown) provides further evidence that in vivo hepatic gene transfer occurs mainly in a CAR-independent manner. Einfeld et al. have reported a dramatic drop in liver transduction with a virus disabled in both CAR and alphaV integrin interactions 26. In contrast, we observed that the Ad-K417A-PBmu vector, which combines the K417A CAR-ablating mutation and the deletion of the penton base RGD motif, transduces liver cells as well as the control vector (Fig. 5 and Table 2), demonstrating that the concomitant disruption of binding to CAR and alphaV integrin is not sufficient to abolish liver tropism in vivo. In addition, we did not observe any effect of the sole deletion of the RGD motif from penton base (Ad-PBmu) on liver gene transfer (data not shown). Most importantly, that the VN4 insertion in the HI loop of our capsid mutant vectors had no impact on gene transfer to the liver provided evidence that this peptide does not direct the vector to unexpected target in healthy animals.

In agreement with published data 21,24,26,27, the study of the vector distribution in tissues other than the liver revealed that the sole abolition of the CAR binding does not result in any modification of the transduction of the lung, heart, kidney, and spleen (Fig. 5 and Table 2). In contrast, the additional deletion of the RGD motif from the penton base caused a marked reduction in the level of vector genomes detected in the lung, heart, and kidney. These results corroborate those obtained by Einfeld et al. 26 and demonstrate the strong influence of the penton base interaction in most tissues apart from liver.

Two other groups 24,25 have reported liver transduction data inconsistent with those described by Einfeld et al. 26. Smith et al. were unable to reproduce the effect on liver transduction of the R412AEK417 right arrow SGGG mutation 24 and suggested that this discrepancy could be related to polymorphism in the viral backbone or capsid. Another explanation for this observation could be that the specific mutations of the fiber and penton base used by Einfeld et al. may result in some unexpected and efficient uptake by specialized cells (such as macrophages) or organs in a CAR/integrin-independent manner, thus preventing the vector from efficiently infecting hepatocytes. Finally, as exemplified by Mizuguchi et al. with Ad vectors containing an RGD peptide in fiber HI loop 25, the systematic inclusion of the influenza HA epitope in the vector capsids may retarget the vectors to untargeted cells such as erythrocytes, thereby explaining the dramatic decrease in liver gene transfer.

Altogether, the evidence that the elimination of Ad5 binding to CAR alone, to alphaV integrins alone, or to both targets does not reduce Ad5 liver tropism implies that virus entry can occur in vivo independent of CAR and alphaV integrins. Some studies using chimeric vectors provide additional clues to understanding the Ad5 entry pathway in the liver. The subgroup B Ad3 and Ad35 serotypes are known to bind to a receptor distinct from CAR. Consistently, it has been reported that chimeric viruses containing the Ad3 or Ad35 knob fused to an Ad3 shaft (6 repeats long) or to an Ad5 shaft (22 repeats long) transduce cells in vitro in a CAR-independent fashion 34,35,36. Yet in vivo, the long-shafted vector exhibits an intact hepatotropism, confirming that liver gene transfer occurs in a CAR-independent way 34,35,36. In contrast, the short-shafted vectors demonstrated a 10-fold reduction in liver gene transfer. One explanation for the difference between liver transduction with short- and long-shafted vectors is that a short shaft may confer to the virion physical properties unsuitable for accessing hepatocytes. Liver vessels exhibit pores up to 100 nm in width, whereas the Ad5 virion has a diameter of 80 nm without the fibers 37. As they can infect hepatocytes efficiently, Ad5-based vectors displaying long and flexible fibers should have a total diameter inferior to the size of the pores. Shortening the fiber shaft may result in relative shaft rigidity, providing the virion with a total diameter larger than the pore size and thus preventing it from escaping vasculature and accessing hepatocytes. Alternatively, one possible role of the shaft could be to bind to cellular receptors such as heparan sulfate glycosaminoglycans, known to mediate Ad5 binding to primary mouse hepatocytes and other cells 24,38. Accordingly, this hypothesis may account for the lack of impact of CAR-binding-ablating knob mutations on liver tropism of viruses displaying an intact Ad5 shaft and may explain the discrepancy between hepatotropism of short- and long-shafted vectors.

Overall, the results presented here combined with previous reports 21,24,25,27 highlight the gap between the in vitro two-step entry pathway accepted for Ad5 and the mechanisms by which Ad5-based vectors infect hepatocytes in vivo. The identification of all the parameters involved in liver transduction should be essential for the development of fully detargeted and ultimately retargeted vectors. When such vectors are available, the VN4 peptide may prove useful for subsequent systemic delivery to specific tissues.

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Materials and methods

Cells
 

Cell culture media were from Gibco (Gibco, Invitrogen Corp., Cergy-Pontoise, France) and fetal bovine serum (FBS) was from Hyclone (Logan, UT, USA).

The 293 cell line (CRL1573, American Type Culture Collection, Rockville, MD, USA) was grown in modified Eagle's medium (MEM) supplemented with 10% FBS. The W162 cell line 39 and the 911 cells (kindly provided by Dr. R. Hoeben, University of Leiden, The Netherlands) were maintained in Dulbecco MEM (DMEM) supplemented with 10% FBS. Rat primary hepatocytes were kindly provided by Dr. C. Gianini (Institut Pasteur–Necker, Paris, France) 40. L929 murine fibrosarcoma cells were obtained from Dr. U. Greber (Institute of Molecular Biology, Zurich, Switzerland) and maintained in DMEM supplemented with 10% FBS.

Adenoviral vector construction and production
 

Ad-CTL virus is derived from Ad5 and deleted for both the E1 and the E3 regions 41. All viruses were constructed using homologous recombinational cloning in Escherichia coli and have a CMV/LacZ expression cassette in place of the E1 genes 41. All fiber modifications were obtained using standard molecular biology techniques. Plasmid adenoviral backbones pKM14, pKM16, and AE77c display the P409E, K417A, and DeltaTAYT knob mutations, respectively. AE43c and pKM17 plasmid backbones were derived from control AE18c and pKM16 by substitution of the G538TQETGDTTPS548 residues from the HI fiber loop with the RGHSRGRNQNSR VN4 ligand flanked with GSS linkers 33. AE74c, pKM22, and pKM25 backbones were obtained from AE18c, pKM16, and pKM17, respectively, by replacement of the penton base H337AIRGDTFAT346 sequence with a threonine–serine motif. All plasmids were checked by restriction analysis and DNA sequencing. Following transfection of plasmid backbones in standard E1-transcomplementing cells (911 or 293 cells), the corresponding viruses were generated, amplified, and purified from cell lysates by two successive CsCl ultracentrifugation steps 42 and titrated by HPLC 43. Typically, high-titer purified preparations of Ad-VN4, Ad-PBmu, Ad-K417A-VN4, and control Ad-CTL were obtained using standard procedures (m.o.i. of 100 VP/cell and harvest 3 days postinfection). In the cases of Ad-P409E, Ad-K417A, Ad-K417A-PBmu, and Ad-DeltaTAYT viruses, infection was performed at an m.o.i. of 100 or 1000 VP/cell, and cells were harvested at complete cytopathic effect, i.e., 3 to 5 days following infection. All subsequent experiments were performed with at least two independent purified preparations of each virus, so that results presented in this paper are representative.

In vitro transduction experiments
 

All the experiments were performed in 12-well dishes in duplicate. For 293 competition experiments, cell monolayers were preincubated 30 min at room temperature with 10 mug/ml of purified recombinant Ad5 knob (a kind gift from Dr. R. Gerard, University of Michigan, Ann Arbor, MI, USA) or phosphate-buffered saline (PBS), before addition of the virus at an m.o.i. of 50 VP/cell. Thirty minutes later, cells were washed twice with PBS and further incubated 24 h at 37°C with fresh medium. L929 cells and rat primary hepatocytes were infected at an m.o.i. of 10,000 and 100 VP/cell, respectively. After 1 h or 30 min incubation at 37°C, cells were washed twice with PBS and further incubated with fresh medium 24 to 48 h at 37°C.

beta-Galactosidase activity of the whole-cell extracts was quantified in a chemiluminescence assay (Clontech, Palo Alto, CA, USA) according to the supplier's recommendations. Protein concentration was determined using the Bio-Rad Protein Assay with bovine serum albumin as standard.

In vitro binding of modified viruses to soluble CAR
 

Soluble CAR (0.5 or 0.05 mug; a kind gift from Dr. D. Curiel, University of Alabama, Birmingham, AL, USA) was immobilized onto a nitrocellulose membrane. After being blocked for 1 h in PBS–5% non-fat dry milk, membranes were incubated with 109 or 1010 VP of virus in PBS–0.5% nonfat dry milk at 4°C overnight. After two washes in PBS–0.5% nonfat dry milk–0.05% Igepal CA-630 (Sigma, France), membranes were incubated with a 1/2000 dilution of the L5 antibody that recognizes the whole Ad5 virion, for 2 h at room temperature. Membranes were washed twice and incubated with a 1/100,000 dilution of goat anti-rabbit secondary antibody conjugated to horseradish peroxidase (Jackson ImmunoResearch Laboratories, West Grove, PA, USA). The blot was finally revealed using the ECL Western blot detection kit (Amersham-France, France) according to the supplier's recommendations.

In vivo experiments
 

Control or modified virus (3 times 1010 VP) was injected in the retro-orbital plexus of 6- to 8-week-old female C57BL/6 mice (Janvier, Le Genest-St-Isle, France). Animals were sacrificed 2 days following injection and liver, heart, lung, kidney, and spleen were collected, frozen in liquid nitrogen. and kept at -80°C until analysis. Fifty milligrams of liver tissue were placed in lysing matrix tubes containing 1 ml of suitable buffer and homogenized via the FastPrep System (Bio 101, Vista, CA, USA). Resulting homogenates were clarified by centrifugation at 12,000 rpm for 10 min at 4°C. For protein extraction, the lysis buffer was 0.2% Triton X-100, 0.5 mM DTT, 100 mM potassium phosphate, and one Complete protease inhibitor cocktail tablet (Roche Diagnostics, Meylan, France) per 25 ml of buffer. After centrifugation, the supernatant was measured for beta-galactosidase activity using a chemiluminescence assay (Clontech). Protein content was determined using the Bio-Rad Protein Assay.

For DNA extraction, the Promega Wizard Genomic DNA Purification Kit Nuclei Lysis Solution was used as lysis buffer. After centrifugation, total DNA was recovered according to the manufacturer's instructions. Absorbances at 260 and 280 nm were measured and after proper dilution 50 ng of genomic DNA was subjected to quantitative PCR in duplicate samples.

Quantitative PCR
 

A real-time PCR was performed using the ABI Prism 7700 system and buffers provided by the manufacturer (Perkin–Elmer Applied Biosystems, Foster City, CA, USA) with 50 ng of each sample. The primers (sense 5'-YCCCATGGAYGAGCCCACMCT-3' and antisense 5'-GAGAASGGBGTGCGCAGGTASAS-3') and the fluorogenic probe (5'-CACCAGCCACACCGCGGCGTCATCGA-3') are located in the hexon gene (Y = C or T, M = A or C, S = G or C, and B = C or G or T) (P. Saulnier et al., manuscript in preparation). The probe was linked at its 5' terminus with a reporter dye (6-carboxyfluorescein) and with a quencher dye (6-carboxy-N,N,N',N'-tetramethylrhodamine) at its 3' end. One microgram of human and murine genomic DNA (Roche Molecular Biochemicals, Meylan, France) was used to show the specificity of the Ad5 PCR. Samples were submitted to 50 PCR cycles with continuous monitoring of the fluorescence.

Statistical analysis
 

All in vivo data are shown as means plusminus standard error of the mean. Statistical analysis was performed using unpaired t test with Welch. Threshold for significance was set to P = 0.05.

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Acknowledgements

We thank Pierre Boulanger (Université Claude Bernard, Lyon, France), Karim Benihoud (UMR 1582, Institut Gustave Roussy, France), Jean-François Dedieu (Gencell S.A., S., France), and Martine Latta-Mahieu (Aventis Pharma, France) for their constant interest and critical reading of the manuscript; Chantal Carrez (Aventis Pharma, France) for helpful advice in knob mutation design; Paule Opolon (UMR 1582, Institut Gustave Roussy, France) and Elisabeth Connault (UMR 1582, Institut Gustave Roussy, France) for their constant assistance with the in vivo studies; Stéphanie Esselin (UMR 1582, Institut Gustave Roussy, France) for technical assistance; and the entire staff of the animal facility at Institut Gustave Roussy. K.M. was supported by the Ministère de la Recherche et la Technologie (MRT) and the Association pour la Recherche contre le Cancer (ARC).

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