A. Kasseisler et al., THE IMPACT OF DEVELOPMENTAL STAGE, ROUTE OF ADMINISTRATION AND THE IMMUNE-SYSTEM ON ADENOVIRUS-MEDIATED GENE-TRANSFER, Gene therapy, 1(6), 1994, pp. 395-402
Important aspects of successful adenovirus gene transfer include the a
mount and persistence of gene expression, the ability to readminister
virus and the localization of virus directed gene expression to larger
organs. Our objective in this study was to use a single recombinant a
denovirus bearing a quantifiable reporter gene [chloramphenicol acetyl
transferase (CAT)] to establish the parameters which define the limits
of adenovirus gene expression in a rat model. First, we determined ho
w the route of virus administration affected the amount, duration and
distribution of expression in different tissues and in rats of differe
nt developmental stages. All routes resulted in infection of all tissu
es tested. Surprisingly, the most efficient and widespread gene transf
er was achieved by intracardiac muscle injection. The high levels of C
AT protein that can be produced in a liver (less than or equal to 1.7
mg) or a heart (less than or equal to 196 mu g) 5 days after infection
suggest that the amount of gene product will not be a limitation in t
he use of adenovirus. Following peak activity at 5 days after infectio
n , a gradual decline of CAT expression was observed in all tissues as
sayed; by 80 days neither CAT activity nor adenovirus DNA were detecta
ble. In addition, adults could not be boosted by a second administrati
on of virus, presumably due to the presence of high levels of neutrali
zing antibodies. The limited persistence of gene expression could be c
ircumvented when virus was injected into neonates. Blocking T lymphocy
te expansion by cyclosporine enhanced the persistence of CAT gene prod
uct over a 25-day period in heart and lung but not in liver compared w
ith control animals. These data suggest that the T cell system contrib
utes to, but is not solely responsible for, the limited duration of ex
pression in adults from adenovirus vectors.