Bronchoalveolar fluid is not a major hindrance to virus-mediated gene therapy in cystic fibrosis.

Abstract:

:Successfully targeting the airway epithelium is essential for gene therapy of some pulmonary diseases. However, the airway epithelium is resistant to virus-mediated gene transfer with commonly used vectors. Vectors that interact with endogenously expressed receptors on the apical surface significantly increase gene transfer efficiency. However, other endogenous components involved in host immunity may hinder virus-mediated gene transfer. We tested the effect of bronchoalveolar lavage liquid (BAL) from patients with cystic fibrosis (CF), BAL from subjects without CF (non-CF BAL), Pseudomonas aeruginosa-derived proteins, and an array of inflammatory proteins on gene transfer mediated by adeno-associated virus type 5 (AAV5) and adenovirus targeted to an apically expressed glycosylphosphatidylinositol-modified coxsackie-adenovirus receptor. We found that neither CF BAL nor its components had a significant effect on gene transfer to human airway epithelium by these vectors. Non-CF BAL significantly impaired adenovirus-mediated gene transfer. Removal of immunoglobulins in non-CF BAL restored gene transfer efficiency. As virus vectors are improved and mechanisms of humoral immunity are elucidated, barriers to successful gene therapy found in the complex environment of the human lung can be circumvented.

journal_name

J Virol

journal_title

Journal of virology

authors

Rooney CP,Denning GM,Davis BP,Flaherty DM,Chiorini JA,Zabner J

doi

10.1128/jvi.76.20.10437-10443.2002

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

10437-43

issue

20

eissn

0022-538X

issn

1098-5514

journal_volume

76

pub_type

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