Factors relevant to the successful application of adeno-associated vir
us (AAV) vectors for liver-directed gene therapy were evaluated. Vecto
rs with different promoters driving expression of human alpha-1-antitr
ypsin (alpha-1AT) were injected into the portal circulation of immunod
eficient mice. a-1AT expression was stable but dependent on the promot
er. Southern analysis of liver DNA revealed approximately 0.1 to 2.0 p
rovirus copies/diploid genome in presumed head-to-tail concatamers. In
situ hybridization and immunohistochemical analysis revealed expressi
on in approximately 5% of hepatocytes clustered in the pericentral reg
ion. These results support the use of AAV as a vector for diseases tre
atable by targeting of hepatocytes.