At present, it is conceivable that gene therapy of the cystic fibrosis
airway epithelium is possible using the direct transfer of a function
al human cystic fibrosis transmembrane conductance regulator (CFTR) ge
ne to a wide variety of patients' tracheo-bronchial cells. Here we des
cribe a novel approach (aerosolization) to deliver a replication-defic
ient adenovirus carrying the CFTR gene (Ad.CFTR) to the airways. Resul
ts obtained in vitro and in Rhesus monkeys suggest that the delivery o
f recombinant adenovirus as an aerosol is feasible and is not associat
ed with severe toxicity after single or double administration dependin
g on the Ad.CFTR dose. This study supports the concept of aerosolizati
on as a delivery method for adenovirus-mediated lung gene therapy.