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

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of rejecting tumour cells from the patient, especially on<br />

immunoresponsive malignancies such as melanomas,<br />

colorectal carcinomas, and renal cell carcinomas<br />

Table 5. Ex vivo studies on animal models<br />

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

<strong>Gene</strong> target Human<br />

disease<br />

ADA SCID (severe Retrovir Immunodeficiient mice were injected<br />

combined us with peripheral blood lymphocytes<br />

immunodeficie<br />

ncy)<br />

from ADA- patients transduced with a<br />

retroviral vector for human ADA<br />

bcl-2 prostate cancer bcl-2 expressing LNCaP human<br />

prostate cancer cells are rendered<br />

highly resistant to apoptotic stimuli<br />

Factor IX hemophilia B Injection of transduced primary<br />

myoblasts into the muscle<br />

88<br />

(Uchiyama et al, 1993; Chang et al, 1996; Finke et al,<br />

1997; Das Gupta et al, 1997; Mahvi et al, 1997).<br />

Method Animal model, objective, and method Results Reference<br />

Factor IX hemophilia B retr Transplantation of retrovirustransduced<br />

keratinocytes<br />

Factor IX hemophilia B retroviru<br />

s<br />

Factor VIII Hemophilia A transferr<br />

in<br />

Factor VIII Hemophilia A Retrovir<br />

us<br />

Growth<br />

hormone<br />

(human)<br />

Growth<br />

hormone<br />

(human,<br />

hGH)<br />

none mice<br />

electrop<br />

oration<br />

Mouse primary myoblasts were<br />

infected with retrovirus expressing the<br />

canine factor IX under control of mouse<br />

muscle creatine kinase and human<br />

CMV promoter; myoblasts were<br />

injected into the hindlegs of recipient<br />

mice; secreted canine factor IX was<br />

monitored in the plasma<br />

Transfection of fibroblasts and<br />

myoblasts with B-domain-deleted<br />

factor VIII gene followed by<br />

implantation into mice<br />

Mouse primary fibroblasts infected<br />

with a recombinant retrovirus<br />

containing factor VIII gene deleted at<br />

the B domain<br />

Ex vivo modified C2C12 cells with the<br />

hGH gene under control of the<br />

inducible UAS promoter and a<br />

synthetic hybrid steroid receptor<br />

(TAXI), activating transcription from<br />

the inducible promoter after treatment<br />

with the synthetic nontoxic drug<br />

inducer RU486; transplanted in mouse<br />

muscle<br />

general retr Injection of genetically engineered<br />

myoblasts into mouse muscle<br />

HSV-tk glioma Retr To directly transfer HSV TK gene and<br />

kill transduced proliferating brain<br />

tumor cells with ganciclovir without<br />

affecting nondividing normal cells<br />

HSV-tk pancreatic<br />

cancer<br />

retroviru<br />

s<br />

BXPC3 primary human pancreatic<br />

adenocarcinoma cells were transduced<br />

with retroviral vector carrying the<br />

HSV-tk gene driven by the CEA<br />

promoter; engrafted subcutaneously<br />

into nude mice eliciting pancreatic<br />

tumors<br />

Restoration of immune functions<br />

(presence of human immunoglobulin<br />

and antigen-specific T cells)<br />

LNCaP-bcl-2 cells induced earlier,<br />

larger, and hormone-refractory<br />

prostate tumors in nude mice<br />

Factor IX was being synthesized and<br />

delivered to the circulation for over 6<br />

months<br />

Human factor IX was detected in the<br />

bloodstream of nude mice in small<br />

quantities for one week<br />

Sustained expression of factor IX for<br />

over six months without any apparent<br />

adverse effects on the recipient mice;<br />

however, the levels of the factor IX<br />

protein secreted into the plasma (10<br />

ng/ml for 107 injected cells) were not<br />

sufficient to be of therapeutic value;<br />

100 times higher amounts of factor<br />

IX were needed<br />

Therapeutic levels of factor VIII in<br />

the blood of the animals for 24 hours<br />

Therapeutic levels of factor VIII in<br />

blood of animals for 1 week after<br />

surgical implantation into the<br />

peritoneal cavity in SCID mice of 15<br />

million cells in the form of neoorgans<br />

This model allows up to 100-fold<br />

induction of the hGH gene and can be<br />

finely tuned to lower levels of<br />

induction<br />

hGH could be detected in serum for 3<br />

months; myoblasts were fused into<br />

preexisting multinucleated myofibers<br />

that were vascularized and innervated<br />

Murine fibroblasts transduced ex<br />

vivo with HSV TK retroviral vectors<br />

caused complete regression of<br />

gliomas in rat brain after intratumor<br />

injection<br />

Animals treated with 0.1 mg/Kg<br />

ganciclovir exhibited a significant<br />

reduction in tumor growth<br />

Ferrari et al, 1991<br />

Rafo et al, 1995<br />

Dai et al, 1992<br />

Gerrard et al, 1993,<br />

Dai et al, 1992; Yao et al,<br />

1994<br />

Zatloukal et al, 1994<br />

Dwarki et al, 1995<br />

Delort and Capecchi,<br />

1996<br />

Dhawan et al, 1991<br />

Culver et al, 1992<br />

DiMaio et al, 1994<br />

HSV-tk proliferative retroviru Traction retinal detachment results Significant inhibition of PVR (killing Kimura et al, 1996

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