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Article
Nature Medicine  5, 1143 - 1149 (1999)
doi:10.1038/13467

Tissue-specific consequences of the anti-adenoviral immune response: implications for cardiac transplants

Sherri Y. Chan1, Kewang Li1, Joseph R. Piccotti1, Marisa C. Louie1, Thomas A. Judge2, Laurence A. Turka2, Ernst J. Eichwald3 & D. Keith Bishop1

1  Section of General Surgery, Department of Surgery, University of Michigan School of Medicine, Ann Arbor, Michigan 48109-0654, USA

2  Department of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania 19104-6069, USA

3  Department of Pathology, University of Utah, Salt Lake City, Utah 84132, USA

Correspondence should be addressed to D. Keith Bishop keith.bishop@umich.edu
The immune response to adenoviral vectors can induce inflammation and loss of transgene expression in transfected tissues. This would limit the use of adenovirus-mediated gene transfer in disease states in which long-term gene expression is required. While studying the effect of the anti-adenoviral immune response in transplantation, we found that transgene expression persisted in cardiac isografts transfected with an adenovirus encoding beta-galactosidase. Transfected grafts remained free of inflammation, despite the presence of an immune response to the vector. Thus, adenovirus-mediated gene transfer may have therapeutic value in cardiac transplantation and heart diseases. Furthermore, immunological limitations of adenoviral vectors for gene therapy are not universal for all tissue types.

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Nature Medicine
ISSN: 1078-8956
EISSN: 1546-170X
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