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GTMB 7 - Gene Therapy & Molecular Biology

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<strong>Gene</strong> <strong>Therapy</strong> and <strong>Molecular</strong> <strong>Biology</strong> Vol 7, page 67endothelial upregulation of adhesion molecules, and othercomponents of the fibrosis response not yet elucidated). Incontrast, modulation of some of the effectuating events byMnSOD-PL administration at the late time points mayhave a significantly decreased effect in preventing latelesion simply due to the multiplicity of events already inprogress, and that many of these may be unrelated to thefree radical neutralization capacity of MnSOD at that latetime point. The same mechanism explaining a greatereffect of treatment prior to irradiation might also hold truefor anti-apoptotic effects of MnSOD overexpression in themitochondria.The present data also indicate that significantprotective effects afforded by MnSOD-PL administrationprior to irradiation were not significantly further improvedby a second delayed administration. This result maysimply be attributable to the dominant mechanism ofprevention of initiating events compared to effectuatingevents. The present results add support to utilization offractionated inhalation of freeze-dried MnSOD-PL duringcourses of fractionated radiotherapy which would beappropriate to the clinical translational model of normallung irradiation protection in lung cancer patientsreceiving chemoradiotherapy over a 60-day time course.Fractionation experiments currently in progressincorporate twice weekly inhalation of freeze-driedMnSOD-PL by mice receiving 24 fractions of irradiationduring 35 days. The present observation of a lack oftoxicity of a second delayed administration of MnSOD-PLin the present data supports the concept that multi-fractionadministration of this gene therapy technique should notexacerbate and may decrease pulmonary irradiationdamage.AcknowledgmentsThis research has been supported by the NationalInstitutes of Health, Grant #R01-HL-60132ReferencesBellocq A, Azoulay E, Marullo S, Flahault A, Fouqueray B,Philippe C, Cadranel J, Baud L (1999) Reactive oxygen andnitrogen intermediates increase transforming growth factorbeta1 release from human epithelial alveolar cells throughtwo different mechanisms. AJRCMB 21, 128-136.Bowler RP, Crapo JD (2002) Oxidative stress in airways, is therea role for extracellular superoxide dismutase? AJRCCM166, 38-43.Epperly MW, Bray JA, Kraeger S, Swacka R, Engelhardt JF,Travis E, and Greenberger (1998) Prevention of late effectsof irradiation lung damage by manganese superoxidedismutase gene therapy. <strong>Gene</strong> Ther 5, 196-208.Epperly MW, Bray JA, Esocobar P, Bigbee WL, Watkins S,Greenberger JS (1999a) Overexpression of the humanMnSOD transgene in subclones of murine hematopoieticprogenitor cell line 32D cl 3 decreases irradiation-inducedapoptosis but does not alter G2/M or G1/S phase cell cyclearrest. Radiat Oncol Invest 7, 331-342.Epperly, MW, Bray, JA, Krager, S, Berry, LM, Gooding, W,Engelhardt, JF, Zwacka, R, Travis,EL, and Greenberger, JS(1999b) Intratracheal injection of adenovirus containing thehuman MnSOD transgene protects athymic nude mice fromirradiation-induced organizing alveolitis. Int J Radiat OncolPhys 43, 169-181.Epperly MW, Travis EL, Sikora C, Greenberger JS (1999c)Magnesium superoxide dismutase (MnSOD)plasmid/liposome pulmonary radioprotective gene therapy,Modulation of irradiation-induced mRNA for IL-1, TNF-α,and TGF-β correlates with delay of organizingalveolitis/fibrosis. Biol Blood Bone Marrow Transplant 5,204-214.Epperly MW, Epstein CJ, Travis EL, Greenberger JS (2000a)Decreased pulmonary radiation resistance of manganesesuperoxide dismutase (MnSOD)-deficient mice is correctedby human manganese superoxide dismutaseplasmid/liposome(SOD2-PL) intratracheal gene therapy.Radiat Res 154, 365-374.Epperly MW, Sikora C, Defilippi S, Bray J, Koe G, Liggitt D,Luketich JD, Greenberger JS (2000b) Plasmid/liposometransfer of the human manganese superoxide dismutase(MnSOD) transgene prevents ionizing irradiation-inducedapoptosis in human esophagus organ explant culture. RadiatOncol Invest 90, 128-137.Epperly MW, Gretton JA, DeFilippi SJ, Greenberger JS, SikoraCA, Liggitt D, Koe G (2001a) Modulation of radiationinducedcytokine elevation associated with esophagitis andesophageal stricture by manganese superoxide dismutaseplasmid/liposome(SOD-PL) gene therapy. Radiat Res 155,2-14.Epperly MW, Travis EL, Whitsett JA, Raineri I, Epstein CJ,Greenberger JS (2001b) Overexpression of manganesesuperoxide dismutase (MnSOD) in whole lung or alveolartype II (AT-II) cells of MnSOD transgenic mice does notprovide intrinsic lung irradiation protection. Radiat OncolInvest 96, 11-21.Epperly MW, Guo HL, Gretton JE, Greenberger JS. (2003) Bonemarrow origin of myofibroblasts in irradiation pulmonaryfibrosis. AJRCMB, 29, in press.Epperly MW, Sikora CA, DeFilippi SJ, Gretton JA, Zhan Q,Kufe DW, Greenberger JS (2002) MnSOD inhibitsirradiation-induced apoptosis by stabilization of themitochondrial membrane against the effects of SAP kinasesp38 and Jnk1 translocation. Radiat Res 157, 568-577.Fridovich I (1995) Superoxide radical and superoxidedismutases. Annu Rev Biochem 64, 97-112.Gorbunov NV, Pogue-Geile KL, Epperly MW, Bigbee WL,Draviam R, Day BW, Wald N, Watkins SC, Greenberger JS(2000) Activation of the nitric oxide synthase 2 pathway inthe response of bone marrow stromal cells to high doses ofionizing radiation. Radiat Res 154, 73-86.Gossart S, Cambon C, Orfila C, Seguelas MH, Lepert JC, RamiJ, Carre P, Pipy B (1996) Reactive oxygen intermediates aregulators of TNF-alpha production in rat lung inflammationinduced by silica. J Immun 156, 1540-1548.Greenberger JS, Epperly MW, Zeevi A, Brunson KW, GoltryKL, Pogue-Geile KL, Bray J, Berry L (1996) Stromal cellinvolvement in leukemogenesis and carcinogenesis. In Vivo10, 1-18.Guo HL, et al. (2003) Prevention of irradiation-induced oralcavity mucositis by plasmid/liposome delivery of the humanmanganese superoxide dismutase (MnSOD) transgene.Radiat Res 159, 361-370.Haddad JJ (2002) Redox regulation of pro-inflammatorycytokines and IkappaB-alpha/NF-kappaB nuclear67

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