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01. Gene therapy Boulikas.pdf - Gene therapy & Molecular Biology

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esistant to 1M guanidine extraction (Bodnar et al, 1989;<br />

Schaack et al, 1990; Fredman and Engler, 1993).<br />

Three types of internal matrix structures were<br />

recognized in HeLa cells infected with adenovirus 2; an<br />

amorphously dense region; granular regions representing<br />

virus capsid assembly structures; and filaments connecting<br />

these regions to one another and to the peripheral lamina<br />

(Zhonghe et al, 1987); the perinuclear matrix was also<br />

rearranged after adenovirus infection.<br />

Electron micrographs of thin sections through nuclei of<br />

adenovirus-infected HeLa cells showed that the 3<br />

Hdeoxyuridine<br />

grains were located at the periphery as well<br />

as in the interior of nuclei. Simultaneous visualization of<br />

adenovirus transcription and replication showed that the<br />

two processes occurred in adjacent, yet distinct, foci<br />

throughout the interior and periphery of nuclei presumably<br />

in association with the nuclear matrix; DNA molecules<br />

were found to be displaced from the replication foci and to<br />

become spread in the surrounding nucleoplasm serving as<br />

templates for transcription (Pombo et al, 1994).<br />

Adenovirus infection provokes dramatic<br />

rearrangements to the nuclear matrix. A reorganization in<br />

both internal and peripheral NM was also observed in<br />

HeLa cells after infection with adenovirus 2 giving<br />

structures able to support the increased replication<br />

demands and capsid assembly of the virus (Zhonghe et al,<br />

1987). Splicing of adenoviral HnRNA takes place on the<br />

nuclear matrix. All adenovirus 2 polyadenylated RNAs<br />

could be UV crosslinked to two host HnRNP proteins that<br />

are involved in the association of HnRNA to the matrix<br />

(Mariman et al, 1982).<br />

Adenovirus establishes foci called replication centers<br />

within the nucleus, where adenoviral replication and<br />

transcription occur; although the rAAV genome was<br />

faintly detectable in a perinuclear distribution after<br />

successfully entering the cell, AAV was mobilized to the<br />

adenovirus replication centers when the cell was infected<br />

with adenovirus; thus AAV colocalizes with the<br />

adenovirus replication centers (Weitzman et al, 1996).<br />

B. Adenovirus E1A and E1B proteins in<br />

apoptosis and control of the host cell cycle<br />

Viruses have developed strategies to shut down protein<br />

synthesis in the host and subdue its protein synthesizing<br />

machinery to produce progeny virus when infecting cells.<br />

In response, many cell types commit suicide after viral<br />

infection to protect the organism from further infection.<br />

Striking back, viruses have evolved mechanisms to<br />

prevent infected cells from perishing using mechanisms<br />

that inhibit apoptosis of the host cell; adenoviruses<br />

synthesize the 19 kDa E1B protein which has a domain<br />

similar to that of the cellular protein Bcl-2, the apoptosis<br />

inhibitor (Sarnow et al, 1982; van den Heuvel et al., 1990).<br />

<strong>Boulikas</strong>: An overview on gene <strong>therapy</strong><br />

8<br />

p53 can be complexed with adenovirus E1B (Sarnow et al,<br />

1982; van den Heuvel et al., 1990).<br />

Expression of the adenovirus E1A protein stimulates<br />

host DNA synthesis and induces apoptosis; on the contrary<br />

E1B 19 kDa associates with Bax protein and inhibits<br />

apoptosis (Figure 1). The E1A oncogene of adenovirus<br />

exerts its effect via p53 protein (Debbas and White, 1993;<br />

White, 1993). Indeed, expression of E1A increases the<br />

half-life of p53 resulting in accumulation of p53 molecules<br />

in adenovirus-infected cells leading to apoptosis. Although<br />

induction of host DNA synthesis by E1A provides a<br />

suitable environment for virus replication, the induction of<br />

apoptosis by the same protein impairs virus production<br />

since virus-infected cells are eliminated (see Han et al,<br />

1996 for references). p53-deficient cells are transformed<br />

by E1A because of absence of the pathway for induction<br />

of apoptosis by p53 (Lowe et al, 1994).<br />

E1A represses HER-2/neu transcription and functions<br />

as a tumor suppressor gene in HER-2/neu-overexpressing<br />

cancer cells. Transfer the E1A gene into cancer cells that<br />

overexpress HER-2/neu is an interesting aspect of gene<br />

<strong>therapy</strong> (see E1A in gene <strong>therapy</strong>; Yu et al, 1995; Chang<br />

et al, 1996; Ueno NT et al, 1997; Rodriguez et al, 1997;<br />

Xing et al, 1997).<br />

The E1B oncogene products inhibit apoptosis induced<br />

by E1A expression thus preventing premature death of<br />

host cells during adenovirus infection. This gives an<br />

advantage to virus for its proliferation and E1B proteins<br />

(19 kDa and 55 kDa) are necessary for transformation of<br />

primary rodent cells by E1A. E1A alone is unable to<br />

transform primary rodent cells (White, 1993).<br />

The E1B 19K protein of adenovirus is the putative<br />

viral homolog of the cellular Bcl-2 protein; using the yeast<br />

two-hybrid system for the identification of proteins<br />

interacting with E1B, Han and coworkers (1996) have<br />

identified Bax as one of the seven 19k-interacting clones.<br />

The 50-78 amino acid domain of Bax contains a conserved<br />

region homologous to Bcl-2 which is able to interact<br />

specifically with either Bcl-2 or E1B. In p53 mutant cells<br />

expression of Bax induced apoptosis; inhibition of<br />

apoptosis by Bcl-2 may proceed via its ability to bind the<br />

death-promoting Bax protein (Han et al, 1996). The bax<br />

gene is upregulated by p53.<br />

Expression of p53 and of adenovirus E1A induce<br />

apoptosis (Debbas and White, 1993; Lowe and Rudley,<br />

1993). A number of proteins when expressed at sufficient<br />

amounts block apoptosis; these include Bcl-2 and E1B 19<br />

kDa protein of adenovirus (Debbas and White, 1993;<br />

Chiou et al, 1994). All four protein molecules act<br />

upstream of Bax which is a potent inducer of apoptosis:<br />

both the cellular Bcl-2 and the 19 kDa protein E1B of<br />

adenovirus are able to interact with Bax inhibiting its<br />

involvement in induction of apoptosis (Han et al, 1996;<br />

Figure 1). E1A acts upstream of p53 by increasing the<br />

half-life of p53 resulting in an accumulation of p53

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