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Immunological thresholds in neurological gene therapy: highly efficient elimination of transduced cells might be related to the specific formation of immunological synapses between T cells and virus-infected brain cells

Published online by Cambridge University Press:  13 July 2007

Carlos Barcia
Affiliation:
Gene Therapeutics Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room 5094, Los Angeles, USA
Christian Gerdes
Affiliation:
Molecular Medicine and Gene Therapy Unit, Room 1.302, Stopford Building, University of ManchesterUK
Wei-Dong Xiong
Affiliation:
Gene Therapeutics Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room 5094, Los Angeles, USA
Clare E. Thomas
Affiliation:
Molecular Medicine and Gene Therapy Unit, Room 1.302, Stopford Building, University of ManchesterUK
Chunyan Liu
Affiliation:
Gene Therapeutics Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room 5094, Los Angeles, USA
Kurt M. Kroeger
Affiliation:
Gene Therapeutics Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room 5094, Los Angeles, USA
Maria G. Castro
Affiliation:
Gene Therapeutics Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room 5094, Los Angeles, USA Departments of Medicine, and Molecular and Medical Pharmacology, David Gerfen School of Medicine, University of California Los Angeles, USA
Pedro R. Lowenstein*
Affiliation:
Gene Therapeutics Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room 5094, Los Angeles, USA Departments of Medicine, and Molecular and Medical Pharmacology, David Gerfen School of Medicine, University of California Los Angeles, USA
*
Correspondence should be addressed to Pedro R. Lowenstein, Gene Therapeutics Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room 5090, Los Angeles, CA 90048, USA phone: +1 310 423 7330 fax: +1 310 423 7308 email: lowensteinp@cshs.org

Abstract

First-generation adenovirus can be engineered with powerful promoters to drive expression of therapeutic transgenes. Numerous clinical trials for glioblastoma multiforme using first generation adenoviral vectors have either been performed or are ongoing, including an ongoing, Phase III, multicenter trial in Europe and Israel (Ark Therapeutics, Inc.). Although in the absence of anti-adenovirus immune responses expression in the brain lasts 6–18 months, systemic infection with adenovirus induces immune responses that inhibit dramatically therapeutic transgene expression from first generation adenoviral vectors, thus, potentially compromising therapeutic efficacy. Here, we show evidence of an immunization threshold for the dose that generates an immune response strong enough to eliminate transgene expression from the CNS. For the systemic immunization to eliminate transgene expression from the brain, ≥1×107 infectious units (iu) of adenovirus need to be used as immunogen. Furthermore, this immune response eliminates >90% of transgene expression from 1×107–1×103 iu of vector injected into the striatum 60 days earlier. Importantly, elimination of transgene expression is independent of the nature of the promoter that drives transgene expression and is accompanied by brain infiltration of CD8+ T cells and macrophages. In conclusion, once the threshold for systemic immunization (i.e. 1×107 iu) is crossed, the immune response eliminates transgene expression by >90% even from brains that receive as little as 1000 iu of adenoviral vectors, independently of the type of promoter that drives expression.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2007

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