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Article
Nature Genetics  13, 54 - 62 (1996)
doi:10.1038/ng0596-54

Effective treatment of familial hypercholesterolaemia in the mouse model using adenovirus−mediated transfer of the VLDL receptor gene

Karen E. Kozarsky1, Karin Jooss1, Mary Donahee1, Jerome F. Strauss III2 & James M. Wilson1, 3, 4

  1Institute for Human Gene Therapy, Departments of Molecular and Cellular Engineering University of Pennsylvania, Philadelphia, Pennsylvania, USA

  2Institute for Human Gene Therapy, Obstetrics and Gynecology, the University of Pennsylvania, Philadelphia, Pennsylvania, USA

  3The Wistar Institute, 3601 Spruce Street Philadelphia, Pennsylvania 19104−4268, USA

  4, Correspondence should be addressed to J.M.W.3

Liver directed gene transfer with adenoviral vectors is being considered for the treatment of several metabolic diseases, including familial hypercholesterolaemia (FH). Gene replacement therapy of human low density lipoprotein (LDL) receptor gene into the murine model of FH transiently corrected the dyslipidaemia; however, humoral and cellular immune responses to LDL receptor developed — possibly contributing to the associated hepatitis and extinguishing of transgene expression. We evaluated an alternative strategy of ectopic expression in the liver of the very low density lipoprotein (VLDL) receptor, which is homologous to the LDL receptor but has a different pattern of expression. Infusion of recombinant adenoviruses containing the VLDL receptor gene corrected the dyslipidaemia in the FH mouse and circumvented immune responses to the transgene leading to a more prolonged metabolic correction.

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EISSN: 1546-1718
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