Background. Endothelial cells (EC) are an attractive target for somati
c cell gene therapy, both for the treatment of cardiovascular disease
and for the systemic delivery of recombinant gene products directly in
to the circulation. Recent evidence, however, suggests that viral tran
sduction may induce unfavorable changes in EC phenotype. We examined t
he proliferative capacity and cell adhesion molecule (CAM) pro file of
EC after retroviral gene transfer (GT), employing a clinically releva
nt ex vivo GT protocol. Methods. Human umbilical vein EC (HUVEC, N = 1
4 isolates) were exposed to supernatants containing the MFG.nlsLACZ ve
ctor, which codes for a nuclear localized P-galactosidase, Control HUV
EC were exposed to empty virus (CRIP) or no virus (NT). Efficiency of
GT was quantitated by direct counting of beta-galactosidase-stained ce
lls on a grid. Proliferation was quantitated by a 1-week assay of viab
le cell counts. Expression of EC activation molecules (Class II major
histocompatibility antigen [MHC II], E-selectin, intercellular adhesio
n molecule-1 [ICAM-1], and vascular cell adhesion molecule-1 [VCAM-1])
was examined using fluorescent cytometry (FACS) at rest and after cyt
okine stimulation. Results. GT was reproducibly efficient (mean 57%, r
ange 40-77%) using sequential viral exposures without selection. NT, C
RIP, and LACZ-transduced HUVEC exhibited identical FAGS profiles for E
-selectin, ICAM-1, VCAM-1, and MHC II at rest, consistent with a nonac
tivated state. Upregulation of expression by cytokine was quantitative
ly similar for all groups. Growth rates were likewise not different be
tween groups. Conclusions. Retroviral vectors may be employed to achie
ve high percentages of transduced EC for ex vivo GT without the use of
selection. Transduced EC generated in this fashion are not activated,
demonstrate an unaltered pattern of inducible CAM expression, and exh
ibit normal cell. growth. The effects of GT on target cell phenotype a
re likely to be both vector and protocol specific and should be carefu
lly assessed in each case prior to in vivo applications. (C) 1998 Acad
emic Press.