To develop a novel strategy of nonautologous somatic gene therapy, we
now demonstrate the feasibility of culturing genetically modified fibr
oblasts within an immunoprotective environment and the optimal conditi
ons required for their continued survival in vitro. When mouse Ltk(-)
fibroblasts transfected with the human growth hormone gene were enclos
ed within permselective microcapsules fabricated from alginate-polylys
ine-alginate, they continued to secrete human growth hormone at the sa
me rates as the nonencapsulated cells. They also continued to prolifer
ate in vitro for at least 1 month even though their viability graduall
y declined to about 50%. The viability can be improved by controlling
for (a) temperature during encapsulation, (b) duration of treatment wi
th polylysine, (c) duration of liquefying the core alginate with sodiu
m citrate, and (d) cell density at the time of encapsulation. The best
conditions leading to improved survival and maximum proliferation of
cells within the microcapsules were obtained by encapsulating the cell
s at 4 to 10 degrees C instead of room temperature, coating the micros
pheres with polylysine for 6 to 10 min instead of 20 min, liquefying t
he core alginate by treating with citrate for 20 min instead of 6 to 1
0 min, and using a concentration of 2 x 10(6) cells/mL of alginate for
encapsulation. Under such conditions, normally adherent and genetical
ly engineered mouse fibroblasts survived and proliferated optimally wi
thin the microcapsule environment. The encapsulated fibroblasts mainta
ined their level of transgene expression while recombinant gene produc
ts such as human growth hormone could diffuse through the microcapsule
membrane without impediment. The demonstration that genetically modif
ied fibroblasts can survive and continue to deliver recombinant gene p
roducts from within these microcapsules and the optimization for their
maximal viability and growth within microcapsules should increase the
potential for success in using such microencapsulated recombinant cel
ls for somatic gene therapy. (C) 1994 John Wiley & Sons, Inc. sothe fe
a-