Jf. Engelhardt et al., PROLONGED TRANSGENE EXPRESSION IN COTTON RAT LUNG WITH RECOMBINANT ADENOVIRUSES DEFECTIVE IN E2A, Human gene therapy, 5(10), 1994, pp. 1217-1229
Recombinant adenoviruses have tremendous potential for gene therapy of
cystic fibrosis (CF) lung disease. First-generation recombinant virus
es, rendered replication defective by deleting El, have been associate
d with high-level recombinant gene expression in airway epithelial cel
ls when administered directly to the lung. Experience in mice and non-
human primates indicates that transgene expression is transient (i.e.,
lasting less than 21 days) and associated with the development of inf
lammation. We suggest an hypothesis to explain these findings that is
based on expression of viral proteins in genetically modified cells th
at leads to destructive cellular immune responses and repopulation of
lung epithelia with non-transgene-containing cells. This hypothesis ha
s been evaluated in the current study using the cotton rat model. Inst
illation of the first-generation lacZ virus, H5.010CBlacZ, into cotton
rat airway led to high-level gene expression in conducting and respir
atory airway that was transient and associated with a substantial mono
nuclear, CD8-dominated, infiltrates. Treatment of the animals with cyc
losporine blunted the inflammatory response and prolonged recombinant
gene expression in both conducting and respiratory airways. Expression
of viral early and late genes was detected in a subpopulation of lacZ
-expressing epithelial cells of conducting airway and alveoli. Instill
ation of virus into cotton rat tracheal xenografts grown in athymic nu
/nu mice led to efficient and stable transgene expression in the absen
ce of pathology, underscoring the importance of T cell-mediated immuni
ty. A recombinant adenovirus was constructed that is disabled in its c
apacity to replicate by the introduction of a temperature-sensitive mu
tation in the E2a gene as well deletion of E1 sequences. Instillation
of this virus into cotton rat airway led to high-level transgene expre
ssion that was more stable than that achieved with the first-generatio
n virus and was associated with less early and late gene expression as
well as a diminished infiltration of CD8(+) T cells in conducting air
way epithelium. Interestingly, the introduction of the E2a mutation ha
d no effect on the persistence of transgene expression, the pattern of
late viral gene expression, nor the CD8(+) T cell response within alv
eolar cells. These data suggest that cell-specific variation in the ce
ll biology of recombinant adenoviruses exists in the lung. The present
studies in cotton rats confirm the role of cellular immunity in the b
iology of adenovirus-mediated gene therapy to the lung and suggest tha
t modifications in the design of recombinant adenoviruses to minimize
or ablate transgene expression will be useful in improving the potenti
al of this technology for gene therapy of CF.