Helper-Dependent Adenovirus for the Gene Therapy of Proliferative Retinopathies: Stable Gene Transfer, Regulated Gene Expression and Therapeutic Efficacy
Abstract
Background: Ocular neovascular disorders, such as diabetic retinopathy and age‐related macular degeneration, are the principal causes of blindness in developed countries. Current treatments are of limited efficacy, whereas a therapy based on intraocular gene transfer of angiostatic factors represents a promising alternative. For the first time we have explored the potential of helper‐dependent adenovirus (HD‐Ad), the last generation of Ad vectors, in the therapy of retinal neovascularization. Methods: We first analyzed efficiency and stability of intraretinal gene transfer following intravitreous injection in mice. A HD‐Ad vector expressing green fluorescent protein (GFP) under the control of the cytomegalovirus (CMV) promoter (HD‐Ad/GFP) was compared with a first‐generation (E1/E3‐deleted) Ad vector carrying an identical GFP expression cassette (FG‐Ad/GFP). We also constructed HD‐Ad vectors expressing a soluble form of the VEGF receptor (sFlt‐1) in a constitutive (HD‐Ad/sFlt‐1) or doxycycline (dox)‐inducible (HD‐Ad/S‐M2/sFlt‐1) manner and tested their therapeutic efficacy upon intravitreous delivery in a rat model of oxygen‐induced retinopathy (OIR). Results: HD‐Ad/GFP promoted long‐lasting (up to 1 year) transgene expression in retinal Müller cells, in marked contrast with the short‐term expression observed with FG‐Ad/GFP. Intravitreous injection of HD‐Ad vectors expressing sFlt‐1 resulted in detectable levels of sFlt‐1 and inhibited retinal neovascularization by more than 60% in a rat model of OIR. Notably, the therapeutic efficacy of the inducible vector HD‐Ad/S‐M2/sFlt‐1 was strictly dox‐dependent. Conclusions: HD‐Ad vectors enable stable gene transfer and regulated expression of angiostatic factors following intravitreous injection and thus are attractive vehicles for the gene therapy of neovascular diseases of the retina. Copyright © 2007 John Wiley & Sons, Ltd.
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HdAd promoted long-lasting (up to one year) transgene expression in the retina, whereas FGAd-mediated expression decreased after two months due to immune response-related clearance.
“HdAd promoted a long-lasting (up to one year) transgene expression in the retina, whereas the FGAd-mediated expression decreased after two months due to immune response-related clearance [92].”
From Immune responses to gene editing by viral and non-viral delivery vectors used in retinal gene therapy (2022) · cites this paper as [92]
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- Authors
- Lamartina, S., Cimino, M., Roscilli, G., Dammassa, E., Lazzaro, D., Rota, R., Ciliberto, G., & Toniatti, C.
- Affiliations
- IRBM (IT)
- CEINGE Biotecnologie Avanzate Franco Salvatore (Italy) (IT)
- Bambino Gesù Children's Hospital (IT)
- Corresponding author
- Toniatti, Carlo
- Venue
- The Journal of Gene Medicine
- Publisher
- Wiley
- Published
- 2007-08-09
- Volume
- 9
- Issue
- 10
- Pages
- 862-874
- ISSN
- 1099-498X (ISSN-L)
- 1521-2254
- OpenAlex
- W2132484398
- Cited by
- 59
- References
- 72
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 1 · 2012: 3
- FWCI
- 3.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Gene Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Keywords
- helper-dependent adenovirus, ocular gene therapy, retinal neovascularization, proliferative retinopathy, diabetic retinopathy, age-related macular degeneration, oxygen-induced retinopathy, intravitreal injection, doxycycline-inducible expression, Müller cells, angiostatic factors, stable gene transfer
- MeSH terms
- Adenoviridae, Animals, Hypoxia, Doxycycline, Gene Expression Regulation, Genetic Vectors, Helper Viruses, Humans, Retina, Genetic Therapy, Retinal Neovascularization, Rats, Sprague-Dawley, Gene Transfer Techniques, Models, Animal, Vascular Endothelial Growth Factor Receptor-1, Vascular Endothelial Growth Factor A, Green Fluorescent Proteins, Mice, Rats
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