D. Armentano et al., EFFECT OF THE E4 REGION ON THE PERSISTENCE OF TRANSGENE EXPRESSION FROM ADENOVIRUS VECTORS, Journal of virology, 71(3), 1997, pp. 2408-2416
The utility of adenovirus vectors for gene therapy is limited by the t
ransience of expression that has been observed in various in vivo mode
ls. Immunological responses to viral targets can eliminate transduced
cells and cause the loss of transgene expression. We previously descri
bed the characterization of an E4 modified adenovirus, Ad2E4ORF6, whic
h is replication defective in cotton fats. We reasoned that gene trans
fer vectors based on Ad2E4ORF6 would have a reduced potential for vira
l gene expression in vivo which might be beneficial for achieving pers
istence of transgene expression. E1 replacement vectors expressing the
cystic fibrosis transmembrane regulator or beta-galactosidase were co
nstructed as series of vectors that differed with respect to the E4 re
gion. Vectors containing a wild-type E4 region, E4 open reading frame
6, or a complete E4 deletion were compared in the lungs of BALB/c mice
for persistence of expression. Results obtained with nude mice indica
te that nonimmunological factors have a major influence on the longevi
ty of transgene expression. Expression was transient from the E1a prom
oter with all vectors but persisted from the cytomegalovirus promoter
only with a vector containing a wild-type E4 region. Transience of exp
ression did not correlate with the disappearance of vector DNA, sugges
ting that promoter down-regulation may be involved. Coinfection studie
s indicate an E4 product(s) could be supplied in trans to allow persis
tent expression from the cytomegalovirus promoter. In summary, the cho
ice of promoter is important for achieving persistence of expression;
in addition, some promoters are highly influenced by the context of th
e vector backbone.