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Intracoronary gene transfer of fibroblast growth factor in experimental and clinical myocardial ischemia 成纤维细胞生长因子在实验性和临床心肌缺血中的冠状动脉内基因转移
Pub Date : 2001-12-01 DOI: 10.1163/156855801760107000
H. Hammond
An animal model of stress-induced regional myocardial ischemia was used to test the hypothesis that intracoronary delivery of an adenovirus encoding fibroblast growth factor Type 5 (FGF5) would result in improved blood flow, function and neovascularization in the ischemic region of the heart. These data indicated that this approach could be used safely and effectively in resolving regional myocardial ischemia in the ameroid model. Additional unpublished studies confirmed that a similar effect was achievable through use of other angiogenic transgenes, including FGF Type 4 (FGF4). The published studies using direct intracoronary delivery of adenovirus vectors to the heart is reviewed, with a focus on safety and efficacy. A multicenter Phase 1/Phase 2 clinical trial of intracoronary delivery of FGF4 in patients with angina pectoris was initiated under joint sponsorship of Collateral Therapeutics, Incorporated, Berlex Biosciences and Schering AG. Results of this trial are reviewed. The results of this blinded and randomized clinical trial provided data supporting the initiation of two large scale pivotal clinical trials — in the European Union and the US — of intracoronary delivery of adenovirus encoding FGF4 in treating patients with angina.
采用应激性局部心肌缺血动物模型来验证冠状动脉内递送编码成纤维细胞生长因子5型(FGF5)的腺病毒可改善心脏缺血区域的血流量、功能和新生血管。这些数据表明,该方法可以安全有效地解决ameroid模型局部心肌缺血。其他未发表的研究证实,通过使用其他血管生成转基因,包括FGF4 (FGF4),也可以达到类似的效果。本文综述了已发表的直接冠状动脉内递送腺病毒载体到心脏的研究,重点是安全性和有效性。在Collateral Therapeutics, Incorporated, Berlex Biosciences和Schering AG的联合赞助下,一项针对心绞痛患者冠状动脉内输送FGF4的多中心1/ 2期临床试验启动。本文回顾了本试验的结果。这项盲法随机临床试验的结果为在欧盟和美国启动两项大规模关键临床试验提供了数据支持,即冠状动脉内递送编码FGF4的腺病毒治疗心绞痛患者。
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引用次数: 7
VEGF gene therapy for chronic critical limb ischemia VEGF基因治疗慢性危重肢体缺血
Pub Date : 2001-12-01 DOI: 10.1163/156855801760106984
I. Baumgartner
Therapeutic neovascularization is a new area in cardiovascular medicine that received a lot of attention during the past 4 years. Starting with Schumacher et al.'s trial (1998) using recombinant acidic fibroblast growth factor in a coronary setting of incompletely bypassed patients, and Baumgartner et al.'s gene therapy trial (1998) on a series of patients with critical limb ischemia unsuitable for conventional revascularization, there are presently several ongoing clinical trials. This review article focuses on the rationale of intramuscular gene therapy compared to recombinant protein administration, and gives an overview of the development of vascular endothelial growth factor (VEGF) gene therapy for peripheral arterial occlusive disease. An enormous effort has already been done; much is left to be done. The purpose must be to improve the life of patients.
治疗性新生血管是近4年来心血管医学研究的一个新领域。从Schumacher等人的试验(1998)开始,在冠状动脉不完全旁路患者中使用重组酸性成纤维细胞生长因子,以及Baumgartner等人的基因治疗试验(1998),对一系列不适合常规血供重建术的严重肢体缺血患者进行试验,目前有几个正在进行的临床试验。本文综述了肌内基因治疗与重组蛋白治疗的基本原理,并综述了血管内皮生长因子(VEGF)基因治疗外周动脉闭塞性疾病的进展。已经做出了巨大的努力;还有很多事情要做。目的必须是改善病人的生活。
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引用次数: 0
Atrial natriuretic peptide gene transfer and regulated expression in primary vascular smooth muscle cells 心房利钠肽基因在原代血管平滑肌细胞中的转移及调控表达
Pub Date : 2001-08-01 DOI: 10.1163/156855800750367455
M. Wei, Jianping Wang, H. Xia, Qong Li, M. West
In vitro tests were performed to evaluate the suitability of primary vascular smooth muscle cells (VSMCs) as targets for retroviral vector-mediated atrial natriuretic peptide (ANP) gene transfer, tetracycline (Tet)-regulated expression of ANP transgene and microencapsulation for an ex vivo approach of ANP gene therapy. Rat ANP cDNA was thus cloned from rat atrial tissue, and then sub-cloned and packaged into retroviral vectors comprising standard or Tet-regulated gene expression cassettes. After high efficiency of marker LacZ gene transfer was demonstrated, the expression of immuno-reactive ANP (irANP) was analysed. Our results showed that, unlike non-transduced or LacZ-transduced control VSMCs, LrASN/PA317-transduced VSMCs secreted a significant amount of irANP (425 ± 50 pg/ml/105cells/24 hours, at peak). Importantly enough, LNtetPrtTFrA/PA317-transduced VSMCs were shown to exhibit efficient Tet-regulated expression of irANP with nontoxic concentrations of doxycycline. The biological activity of irANP produced by such engineered VSMCs was evidenced by cyclic GMP (cGMP) activation in LrASN-transduced VSMCs or in VSMCs exposed to conditioned media harvested from VSMCs secreting irANP. Further studies showed that transduced VSMCs synthesised and secreted more irANP than either rat primary endothelial cells, or skin fibroblasts or a transformed mouse fibroblast cell line. Most importantly, micro-encapsulation of engineered VSMCs in alginate did not alter Tet-regulated expression and long-term secretion of irANP. These results suggest that encapsulated engineered VSMCs may prove instrumental in longterm in vivo studies on ANP function and in the development of an ex vivo ANP gene therapy approach for disease states such as hypertension and congestive heart failure.
通过体外实验,评估了原代血管平滑肌细胞(VSMCs)作为逆转录病毒载体介导的心房利钠肽(ANP)基因转移、四环素(Tet)调控的ANP转基因表达和微胶囊化在ANP基因体外治疗中的适用性。因此,从大鼠心房组织中克隆大鼠ANP cDNA,然后亚克隆并包装成逆转录病毒载体,包括标准或tet调节的基因表达盒。在证明了标记物LacZ基因高效转移后,分析了免疫反应性ANP (irANP)的表达。我们的研究结果表明,与未转导或lacz转导的对照VSMCs不同,LrASN/ pa317转导的VSMCs分泌大量的irANP(425±50 pg/ml/105个细胞/24小时,峰值)。重要的是,LNtetPrtTFrA/ pa317转导的VSMCs在无毒的强力霉素浓度下表现出有效的tet调节的irANP表达。这种工程VSMCs产生的irANP的生物活性可以通过lras转导的VSMCs或暴露于从分泌irANP的VSMCs收集的条件培养基中的VSMCs中激活环GMP (cGMP)来证明。进一步的研究表明,转导的VSMCs比大鼠原代内皮细胞、皮肤成纤维细胞或转化的小鼠成纤维细胞系合成和分泌更多的irANP。最重要的是,在海藻酸盐中微胶囊化工程VSMCs不会改变tet调控的irANP的表达和长期分泌。这些结果表明,包封的工程VSMCs可能有助于ANP功能的长期体内研究,并有助于开发用于高血压和充血性心力衰竭等疾病状态的体外ANP基因治疗方法。
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引用次数: 1
DNA-based vaccines against malaria and other diseases - from the laboratory to the clinic 针对疟疾和其他疾病的dna疫苗——从实验室到临床
Pub Date : 2001-08-01 DOI: 10.1163/156855800750367437
D. Doolan, S. Hoffman
The technology of DNA vaccination has facilitated a revolutionary approach to developing an effective vaccine against complex pathogens, such as the Plasmodium spp. parasites that cause malaria, for which vaccines are not yet available. Their capacity to induce the CD8C T cell dependent CTL and IFN-γ responses which have heretoforth been difficult to induce by the more conventional vaccine technologies has now been established in mice, monkeys and humans, in malaria as well as in other disease systems. Despite the fact that the first and second generation DNA vaccines on their own have not been optimal, the potential of promising immune enhancement strategies for DNA vaccination suggests that the current efforts in this field are warranted.
DNA疫苗接种技术促进了一种革命性的方法来开发针对复杂病原体的有效疫苗,例如导致疟疾的疟原虫,目前还没有疫苗。它们诱导CD8C T细胞依赖性CTL和IFN-γ反应的能力迄今为止难以通过更传统的疫苗技术诱导,现在已经在小鼠,猴子和人类,疟疾以及其他疾病系统中建立起来。尽管第一代和第二代DNA疫苗本身并不是最佳的,但有希望的DNA疫苗免疫增强策略的潜力表明,目前在这一领域的努力是有必要的。
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引用次数: 2
Adult and embryonic-like stem cells: toward a major gene therapy breakthrough relying on autologous multipotent stem cells 成体和胚胎样干细胞:依赖自体多能干细胞的重大基因治疗突破
Pub Date : 2001-08-01 DOI: 10.1163/156855800750367428
R. Bertolotti
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引用次数: 2
Dual-regulated gene expression in mammalian cells, a novel approach to gene therapy 哺乳动物细胞双调控基因表达:基因治疗的新途径
Pub Date : 2001-08-01 DOI: 10.1163/156855800750367446
M. Fussenegger
A variety of heterologous mammalian gene regulation systems are currently available for use in human gene therapy and tissue engineering. While individual gene regulation concepts vary significantly in key characteristics (regulation profiles, basal expression levels, human compatibility, immunogenicity, pharmacokinetics and bioavailability of the inducing agent), most of them are sufficiently elaborated to be considered for preclinical research and clinical gene therapy trials. As forefront basic research describes the cell-cycle, differentiation and apoptosis regulatory networks in mammalian cells as an increasingly complex highly interconnected globular regulon, it becomes apparent that many human diseases may originate from the slightest expression imbalances of key regulatory genes. We believe that successful gene therapy of such diseases will involve complex multi-(level) regulated multigene interventions based on a combination of several human-compatible heterologous gene regulation systems which enable optimal integration of therapeutic interventions into the cellular regulon as well as well-balanced expression of several therapeutic transgenes. Although such multiregulated multigene expression scenarios are still a vision, the following are already a scientific reality with cultured cells: (i) combination of two human compatible gene regulation systems to enable dual-regulated expression technology for independent adjustment of two different gene activities, (ii) regulatory cascades for muli-level regulated multigene interventions, and (iii) dual-autoregulated expression configurations for one-step installation of multi-level or reciprocal regulation of heterologous gene expression. This review summarizes pioneering efforts to establish dual-regulated expression technology, a strategy to combine more than one heterologous gene regulation system, to achieve difficult-to-attain cell phenotypes relevant for gene therapy, tissue engineering and basic research.
多种异源哺乳动物基因调控系统目前可用于人类基因治疗和组织工程。虽然各个基因调控概念在关键特征(调控谱、基础表达水平、人体相容性、免疫原性、药代动力学和诱导剂的生物利用度)上存在显著差异,但它们中的大多数都得到了充分阐述,可以用于临床前研究和临床基因治疗试验。随着前沿基础研究将哺乳动物细胞的细胞周期、分化和凋亡调控网络描述为一个日益复杂的高度互联的球形调控,很明显,许多人类疾病可能源于关键调控基因的最轻微表达失衡。我们认为,成功的基因治疗这些疾病将涉及复杂的多(水平)调控的多基因干预,该干预基于几种人类相容的异源基因调控系统的组合,使治疗干预与细胞调控的最佳整合以及几种治疗性转基因的良好平衡表达。虽然这种多调控的多基因表达场景仍然是一个愿景,但以下已经是培养细胞的科学现实:(1)结合两种人类相容的基因调控系统,使双调控表达技术能够独立调节两种不同的基因活性;(2)多级调控的多基因干预的调控级联;(3)双自动调控的表达配置,用于一步安装多级或相互调节异种基因表达。本文综述了建立双调控表达技术的开创性工作,双调控表达是一种结合多个异源基因调控系统的策略,以实现与基因治疗、组织工程和基础研究相关的难以获得的细胞表型。
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引用次数: 12
Spliceosome-mediated RNA trans -splicing in gene therapy and genomics 剪接体介导的RNA反式剪接在基因治疗和基因组学中的应用
Pub Date : 2000-08-15 DOI: 10.1163/156855800744584
M. Garcia-Blanco, M. Puttaraju, S. Mansfield, L. Mitchell
In human cells, the majority of the primary transcripts synthesized by RNA polymerase II contain interruptions in the coding sequences, which are known as introns. The spliceosome, a macromolecular enzyme, precisely and efficiently removes these introns in a process known as pre-messenger RNA splicing. This enzyme is also capable of recombining two RNAs in trans in a process known as spliceosome-mediated RNA trans -splicing. In this review, we highlight technologies that take advantage of this RNA trans -splicing, from gene therapy to genomics.
在人类细胞中,大多数由RNA聚合酶II合成的初级转录本包含编码序列的中断,即内含子。剪接体是一种大分子酶,在称为前信使RNA剪接的过程中精确有效地去除这些内含子。这种酶也能够在一个被称为剪接体介导的RNA反式剪接的过程中重组两个反式RNA。在这篇综述中,我们重点介绍了利用这种RNA反式剪接的技术,从基因治疗到基因组学。
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引用次数: 14
MLV-derived retroviral pseudotype vectors mlv衍生的逆转录病毒伪型载体
Pub Date : 2000-08-15 DOI: 10.1163/156855800744601
J. Stitz, C. Buchholz, K. Cichutek
One of the strategies used to alter the tropism of retroviral vectors involves the substitution of their envelope glycoproteins with those of other viruses. This results in the generation of pseudotype vector particles exhibiting properties that may be advantageous for gene transfer into certain human cells. Moreover, when the envelope glycoproteins from simian and human immunodeficiency viruses were used to pseudotype Murine Leukemia Virus (MLV), the resulting vectors mediated selective gene transfer into defined human cell types. Enhanced transduction efficacy and cell targeting via retroviral pseudotype vectors may be important prerequisites for future gene therapy applications.
用于改变逆转录病毒载体的向性的策略之一包括用其他病毒的包膜糖蛋白替代它们的包膜糖蛋白。这导致产生的伪型载体颗粒显示出可能有利于基因转移到某些人类细胞中的特性。此外,当猴免疫缺陷病毒和人类免疫缺陷病毒的包膜糖蛋白被用于假型小鼠白血病病毒(MLV)时,所产生的载体介导选择性基因转移到确定的人类细胞类型中。通过逆转录病毒假型载体增强转导效果和细胞靶向可能是未来基因治疗应用的重要先决条件。
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引用次数: 2
Antiangiogenic gene therapy 抗血管生成基因疗法
Pub Date : 2000-08-15 DOI: 10.1163/156855800744575
Yihai Cao
A number of potent endogenous inhibitors targeting the tumor vasculature have recently been identified in tumor-bearing animals. Some of these angiogenesis inhibitors, including angiostatin, endostatin, and serpin antithrombin, seem to act specifically on the proliferating endothelial cells in the newly formed blood vessels. The discovery of these specific endothelial inhibitors not only increases our understanding of the functions of these molecules in the regulation of physiological and pathological angiogenesis, but also provides an important therapeutic strategy for cancer treatment. Several studies have demonstrated that antiangiogenic protein therapy with these inhibitors significantly suppresses the growth of a variety of tumors in mice. However, the dosages of these endogenous inhibitors used in animal studies seem to be too high for clinical trials. Other disadvantages of antiangiogenic protein therapy include repeated injections, prolonged treatment, potential transmission of toxins and infectious particles, and high cost for manufacturing large amounts of protein molecules. Thus, alternative approaches need to be developed in order to improve the antiangiogenic therapy with endogenous inhibitors. Perhaps gene therapy aimed to express these potent angiogenesis inhibitors in vivo is the most promising alternative approach that could transfer antiangiogenic therapy from animal experiments into the clinic. Although the development of this field is still in its early stages, several studies in animals have already provided evidence that this is a promising approach in the treatment of cancer. In this review article, I will discuss the therapeutic potentials of antiangiogenic molecules expressed from gene therapy vectors.
最近在荷瘤动物中发现了一些针对肿瘤血管的有效内源性抑制剂。其中一些血管生成抑制剂,包括血管抑制素、内皮抑制素和蛇形蛋白抗凝血酶,似乎专门作用于新形成的血管中增殖的内皮细胞。这些特异性内皮抑制剂的发现不仅增加了我们对这些分子在生理和病理血管生成调节中的功能的理解,而且为癌症治疗提供了重要的治疗策略。几项研究表明,用这些抑制剂进行抗血管生成蛋白治疗可显著抑制小鼠多种肿瘤的生长。然而,在动物研究中使用的这些内源性抑制剂的剂量对于临床试验来说似乎太高了。抗血管生成蛋白治疗的其他缺点包括重复注射、治疗时间延长、毒素和感染性颗粒的潜在传播以及制造大量蛋白质分子的高成本。因此,需要开发替代方法,以改善内源性抑制剂的抗血管生成治疗。也许基因疗法旨在体内表达这些有效的血管生成抑制剂是最有希望的替代方法,可以将抗血管生成治疗从动物实验转移到临床。虽然这一领域的发展仍处于早期阶段,但几项动物研究已经提供了证据,表明这是一种治疗癌症的有希望的方法。在本文中,我将讨论基因治疗载体表达的抗血管生成分子的治疗潜力。
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引用次数: 1
Targeted inhibition of type I procollagen synthesis by antisense DNA oligonucleotides 反义DNA寡核苷酸对I型前胶原合成的靶向抑制
Pub Date : 2000-08-15 DOI: 10.1163/156855800744610
Catherine H. Wu, C. Walton, George Y Wu
In hepatic fibrosis, the connective tissue biomatrix of the liver changes from the normal matrix, rich in basement membrane collagens, to a matrix enriched in interstitial fibrillar collagens. Type I collagen is the predominant component of thick fibrous bands found in matrix in advanced fibrosis. The aim of the current research was to determine whether a therapeutic approach could be developed that would specifically target collagen-producing cells to reduce the synthesis and accumulation of type I collagen. Antisense DNA oligonucleotides directed against specific sequences within α1(I) and α2(I) mRNA of type I procollagen were complexed to a cell-specific carrier, and screened for their effectiveness in reducing α1(I) and α2(I) mRNA levels. Two antisense DNA oligonucleotides delivered by the carrier were found to be most effective in reducing α1(I) and α2(I) mRNA and total collagen accumulation in the cells, but had no effect on reducing β-actin mRNA in the same cells. At similar concentrations, free antisense DNA oligonucleotides were not effective in inhibiting collagen synthesis, and/or in decreasing cellular concentrations of α1(I) or α2(I) mRNA. Collagen synthesis and mRNA levels in cells lacking receptors that recognize the carrier protein were not changed after treatment with complexed antisense DNA. The results indicate that antisense oligonucleotides can be targeted to cell types, and were effective inhibiting collagen synthesis in those cells.
在肝纤维化中,肝脏的结缔组织生物基质从富含基底膜胶原的正常基质转变为富含间质纤维胶原的基质。I型胶原是晚期纤维化基质中厚纤维带的主要成分。目前研究的目的是确定是否可以开发一种治疗方法,专门针对产生胶原蛋白的细胞来减少I型胶原蛋白的合成和积累。将针对I型前胶原α1(I)和α2(I) mRNA特异性序列的反义DNA寡核苷酸与细胞特异性载体络合,筛选其降低α1(I)和α2(I) mRNA水平的效果。载体传递的两种反义DNA寡核苷酸对减少细胞中α1(I)和α2(I) mRNA和总胶原积累最有效,但对减少相同细胞中β-肌动蛋白mRNA无影响。在相同浓度下,游离反义DNA寡核苷酸在抑制胶原合成和/或降低α1(I)或α2(I) mRNA的细胞浓度方面没有效果。在缺乏识别载体蛋白受体的细胞中,复合反义DNA处理后,胶原合成和mRNA水平没有改变。结果表明,反义寡核苷酸可以靶向细胞类型,并能有效抑制这些细胞的胶原合成。
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引用次数: 4
期刊
Gene therapy and regulation
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