辅助病毒依赖型腺病毒载体研究进展

摘要：辅助病毒依赖型腺病毒载体（helper-dependent adenoviral vector,HDAd）缺乏所有腺病毒的编码序列,与非复制型的第一代腺病毒载体（first-generation adenovirus vector,FGAd）相比,具有载体免疫原性低、安全、转移容量大和持续表达等特点,现广泛用于遗传性疾病、神经退行性疾病和肿瘤等的基因治疗和特异性靶向治疗研究。本文综述了HDAd构建和应用等方面的研究进展及未来的发展方向。     

腺病毒载体研究新进展

近年来,病毒载体尤其是腺病毒载体的研究成为治疗研究中的一个热点。本综述了腺病毒载体的构建和应用方面的最新进展,表明腺病毒载体是基因转移的重要手段,具有众多的优点,在基因治疗领域具有广阔的应用前景。     

基因治疗中的动物病毒载体

动物病毒载体在基因转移和治疗中有着重要意义。逆转录病毒载体是目前用子基因治疗最为成功的,已用于多种病例的临床研究;腺病毒载体成功地对多种基因进行了转移,并用于囊性纤维病的基因治疗临床研究;腺病毒相关病毒载体和单纯疤疾病毒载体介导的基因转移在体外培养细胞和动物实验中都取得成功,在某些疾病的基因治疗中显示出特殊的应用价值。     

腺病毒载体衣壳蛋白质的遗传修饰

腺病毒载体是最早用于基因治疗研究的病毒载体之一,也是目前肿瘤基因治疗中最为常见的病毒载体之一,其主要通过靶细胞表面的天然柯萨奇腺病毒受体(coxsackie and adenovirus receptor,CAR)感染宿主细胞。由于大多数肿瘤细胞表面该受体表达水平较低,降低了腺病毒载体对靶细胞的感染效率,从而制约了腺病毒载体在肿瘤基因治疗中的应用。因此,如何提高腺病毒载体对靶细胞的感染效率是腺病毒载体应用于肿瘤基因治疗的关键。目前对腺病毒载体衣壳蛋白质(capsid protein)的遗传修饰是提高其对宿主细胞感染效率的主要途径。本文将对这一领域的主要研究进展作一综述,为该方面的研究提供有用的信息。     

第三代腺病毒载体的研究进展

第三代腺病毒载体(也称为空壳载体,辅助病毒载体等)的研究已近十年,它在研究中所表现出来的特点使大多数研究者认为它是一个很有希望的理想的基因治疗转导载体。但由于生产该类载体的生产系统比较复杂,影响因素多,至今仍不能提供临床级的病毒进行研究。该文首先总结了腺病毒(载体)的性质,回顾了第三代腺病毒载体的产生和研究历程,总结了各生产系统之间的改进与不同,以及第三代腺病毒载体在基因相关疾病中的具体应用,希望对以后空壳载体的发展有所帮助。     

腺病毒载体的高分子修饰

腺病毒载体是基因治疗的常用载体之一,已经广泛应用于肿瘤和遗传疾病等的基因治疗研究中.但是临床发现腺病毒载体有较高的免疫原性,同时缺乏组织或细胞特异性,制约了其在临床上的应用.通过共价键结合或者静电力作用,将高分子修饰到病毒衣壳上,利用高分子的特殊性质可以降低载体的免疫原性和提高载体的靶向性,同时载体保持了较高的转染能力...     

直接转基因技术应用于神经系统基因治疗的研究进展

神经系统疾病的基因治疗是目前神经科学中发展比较迅速的一个领域,近年来研究发现,一此来源于单纯疱疹病毒,腺病毒和腺病毒相关病毒等的重组病毒表达载体能够将外源基因直接导入在体或离体培养的神经细胞。     

基于四环素调控系统的病毒载体在基因治疗中的应用

基因治疗已经发展成为处理各种疾病的理想治疗模式.病毒载体是将基因递送到体内或体外的分裂和非分裂细胞的有效工具.病毒载体基因治疗在临床环境成功应用的一个重要问题是严谨和持续地调控基因表达.目前,已经报道的无毒且严谨的调控转基因表达系统中,四环素转录调控系统是在体内和体外研究最好而且高效的调控系统.Tet调控系统已经被编码在慢病毒属、腺病毒属、腺相关病毒属和逆转录病毒属,而且可以有效地对基因进行调控.将主要讨论已经在Tet调控系统调控下递送基因的主要载体系统及其在基因治疗上的应用.     

基因治疗导入载体的研究进展

基因治疗在恶性肿瘤、癌症、遗传性疾病和心脑血管等疾病的治疗中开始应用,临床治疗效果明显。基因治疗中的关键技术是选用合适的载体将外源基因高效导入受体靶细胞,综述了基因治疗中病毒和非病毒载体的研究进展。     

腺病毒载体在疫苗研究中的应用

以病毒为载体的活疫苗为疾病预防和治疗研究提供了新手段。目前用于疫苗研究的病毒载体主要包括痘苗病毒载体、腺病毒载体、腺相关病毒载体、单纯疱疹病毒载体及逆转录病毒载体等。其中,重组腺病毒载体因其基因组大小适中,易于基因重组操作,繁殖滴度高,易于大量制备和保存,宿主范围广,转导效率高,安全性好,能刺激机体产生强烈的体液和细胞免疫反应等特点,而被广泛应用于重要感染性疾病及恶性肿瘤的疫苗研究。腺病毒载体在人免疫缺陷病毒(HIV)疫苗研究和临床试验中的成败更是备受关注。然而,与其他载体疫苗一样,机体对载体的免疫反应仍是阻碍腺病毒载体疫苗在临床中广泛应用的主要问题。那么,腺病毒载体解决这类问题的优势何在?我们简要综述腺病毒载体的特点及其在疫苗研究中的应用和存在的问题,为进一步优化和利用腺病毒载体在疫苗方面的研究提供参考。     

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

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.     

The evolution of heart gene delivery vectors

Gene therapy holds promise for treating numerous heart diseases. A key premise for the success of cardiac gene therapy is the development of powerful gene transfer vehicles that can achieve highly efficient and persistent gene transfer specifically in the heart. Other features of an ideal vector include negligible toxicity, minimal immunogenicity and easy manufacturing. Rapid progress in the fields of molecular biology and virology has offered great opportunities to engineer various genetic materials for heart gene delivery. Several nonviral vectors (e.g. naked plasmids, plasmid lipid/polymer complexes and oligonucleotides) have been tested. Commonly used viral vectors include lentivirus, adenovirus and adeno-associated virus. Among these, adeno-associated virus has shown many attractive features for pre-clinical experimentation in animal models of heart diseases. We review the history and evolution of these vectors for heart gene transfer.     

Gene transfer into mammalian somatic cells in vivo.

Direct gene transfer into mammalian somatic tissues in vivo is a developing technology with potential application for human gene therapy. During the past 2 years, extensive progress and numerous breakthroughs have been made in this area of research. Genetically engineered retroviral vectors have been used successfully to infect live animals, effecting foreign gene expression in liver, blood vessels, and mammary tissues. Recombinant adenovirus and herpes simplex virus vectors have been utilized effectively for in vivo gene transfer into lung and brain tissues, respectively. Direct injection or particle bombardment of DNA has been demonstrated to provide a physical means for in situ gene transfer, while carrier-mediated DNA delivery techniques have been extended to target specific organs for gene expression. These technological developments in conjunction with the initiation of the NIH human gene therapy trials have marked a milestone in developing new medical treatments for various genetic diseases and cancer. Various in vivo gene transfer techniques should also provide new tools for basic research in molecular and developmental genetics.     

肿瘤基因治疗中腺病毒载体改造热点

在病毒介导的肿瘤基因治疗的研究中,腺病毒具有多种优点使其成为基因治疗中使用最多的载体之一.但腺病毒也存在许多问题迫使科学家们去不断的优化它,以达到更好的治疗效果.其中对腺病毒外壳蛋白的改造、对腺病毒基因组的改造以及使用化学修饰剂对腺病毒进行修饰改造一直是研究的热点,本文就对腺病毒改造的热点研究及取得的新成果作一评述.     

Innate immune response to adenoviral vectors is mediated by both Toll-like receptor-dependent and -independent pathways

Recombinant adenoviral vectors have been widely used for gene therapy applications and as vaccine vehicles for treating infectious diseases such as human immunodeficiency virus disease. The innate immune response to adenoviruses represents the most significant hurdle in clinical application of adenoviral vectors for gene therapy, but it is an attractive feature for vaccine development. How adenovirus activates innate immunity remains largely unknown. Here we showed that adenovirus elicited innate immune response through the induction of high levels of type I interferons (IFNs) by both plasmacytoid dendritic cells (pDCs) and non-pDCs such as conventional DCs and macrophages. The innate immune recognition of adenovirus by pDCs was mediated by Toll-like receptor 9 (TLR9) and was dependent on MyD88, whereas that by non-pDCs was TLR independent through cytosolic sensing of adenoviral DNA. Furthermore, type I IFNs were pivotal in innate and adaptive immune responses to adenovirus in vivo, and type I IFN blockade diminished immune responses, resulting in more stable transgene expression and reduction of inflammation. These findings indicate that adenovirus activates innate immunity by its DNA through TLR-dependent and -independent pathways in a cell type-specific fashion, and they highlight a critical role for type I IFNs in innate and adaptive immune responses to adenoviral vectors. Our results that suggest strategies to interfere with type I IFN pathway may improve the outcome of adenovirus-mediated gene therapy, whereas approaches to activate the type I IFN pathway may enhance vaccine potency.     

Long-lasting adenovirus transgene expression in mice through neonatal intrathymic tolerance induction without the use of immunosuppression.

The major barrier to the clinical application of adenovirus gene therapy for diseases that require stable transgene expression is the immunogenicity of recombinant adenovirus, which ordinarily limits the duration of its effects to a period of about 2 weeks. We postulated that tolerance to adenovirus could be induced and transgene expression could be prolonged if T lymphocytes underwent thymic selection in the presence of adenovirus antigens. Mice were inoculated in the thymus with a recombinant adenovirus containing the lacZ marker gene during the neonatal period at a time before T-cell maturation had occurred. When the virus was administered intravenously to these mice in adulthood, they were found to have an impaired adenovirus-specific cytotoxic T-lymphocyte response which allowed prolonged hepatic lacZ expression, for up to 260 days. The ability to achieve unresponsiveness to a recombinant adenovirus after inoculation of the thymus in neonates extends the paradigm of intrathymic tolerance induction. Furthermore, this model will enable the study of stable adenovirus transgene expression in vivo without the use of immunosuppression and ultimately may have clinical utility.     

Cell Culture Processes for the Production of Viral Vectors for Gene Therapy Purposes

Gene therapy is a promising technology for the treatment of several acquired and inherited diseases. However, for gene therapy to be a commercial and clinical success, scalable cell culture processes must be in place to produce the required amount of viral vectors to meet market demand. Each type of vector has its own distinct characteristics and consequently its own challenges for production. This article reviews the current technology that has been developed for the efficient, large-scale manufacture of retrovirus, lentivirus, adenovirus, adeno-associated virus and herpes simplex virus vectors.     

Highly specific expression of luciferase gene in lungs of naïve nude mice directed by prostate-specific antigen promoter

PSA promoter has been demonstrated the utility for tissue-specific toxic gene therapy in prostate cancer models. Characterization of foreign gene overexpression in normal animals elicited by PSA promoter should help evaluate therapy safety. Here we constructed an adenovirus vector (AdPSA-Luc), containing firefly luciferase gene under the control of the 5837 bp long prostate-specific antigen promoter. A charge coupled device video camera was used to non-invasively image expression of firefly luciferase in nude mice on days 3, 7, 11 after injection of 2 x 10(9)PFU of AdPSA-Luc virus via tail vein. The result showed highly specific expression of the luciferase gene in lungs of mice from day 7. The finding indicates the potential limitations of the suicide gene therapy of prostate cancer based on selectivity of PSA promoter. By contrary, it has encouraging implications for further development of vectors via PSA promoter to enable gene therapy for pulmonary diseases.