Abstract
Inflammation and immune reaction, or pre-existing immunity towards commonly used viral vectors for gene therapy severely impair long-term gene expression in the central nervous system (CNS), impeding the possibility to repeat the therapeutic intervention. Here, we show that injection of a helper-dependent adenoviral (HD-Ad) vector by lumbar puncture into the cerebrospinal fluid (CSF) of non-human primates allows long-term (three months) infection of neuroepithelial cells, also in monkeys bearing a pre-existing anti-adenoviral immunity. Intrathecal injection of the HD-Ad vector was not associated with any sign of systemic or local toxicity, nor by signs of a CNS-specific immune reaction towards the HD-Ad vector. Injection of HD-Ad vectors into the CSF circulation may thus represent a valuable approach for CNS gene therapy allowing for long-term expression and re-administration.
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Acknowledgements
This work was supported by grants from the Italian Multiple Sclerosis Foundation (FISM), the Myelin Project, the Cariplo Foundation and the Italian Ministry of Education and Scientific Research (MIUR-FIRB). We thank P Moullier and M Coville from the Animal Science Department of the Boisbonne Center, Nantes, for technical help and fruitful discussion.
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Butti, E., Bergami, A., Recchia, A. et al. Absence of an intrathecal immune reaction to a helper-dependent adenoviral vector delivered into the cerebrospinal fluid of non-human primates. Gene Ther 15, 233–238 (2008). https://doi.org/10.1038/sj.gt.3303050
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DOI: https://doi.org/10.1038/sj.gt.3303050