We evaluated the feasibility of delivering a gene into monkey eyes using a
replication-competent herpes simplex virus (HSV) type 1 ribonucleotide redu
ctase mutant (hrR3) expressing the Escherichia coil lacZ gene. To determine
the efficiency of in vitro HSV-mediated gene transfer, cultured human trab
ecular meshwork (HTM) and human ciliary muscle (HCM) cells were infected wi
th hrR3 and beta-galactosidase activity was measured histochemically. Six c
ynomolgus monkey eyes received viral injections into the anterior chamber (
2 x 10(7) pfu) and/or the vitreous (5 x 107 pfu), and the distribution of c
ells expressing lacZ was evaluated. In vitro, both cultured HTM and HCM cel
ls displayed multiplicity-dependent beta-galactosidase activity. In vivo, i
ntracameral and/or intravitreal injection resulted in transgene expression
in TM cells and in non-pigmented ciliary epithelial cells (NPE), but not in
CM cells. Transgene expression was also detected in retinal pigmented epit
helial (RPE) cells and sporadic retinal ganglion cells (RGC) in eyes receiv
ing virus intracamerally and intravitreally respectively. We observed signi
ficant inflammation in the anterior chamber, TM and CM in virus-injected ey
es, along with mild vitritis and retinitis. This study demonstrates success
ful gene transfer using hrR3 as a vector in human ocular cells and in ocula
r tissues in living monkeys. Further investigation of the etiology of the i
nflammatory response, possible cytotoxicity, and limited duration of transg
ene expression is necessary in order to make this technique clinically appl
icable. (C) 1999 Academic Press.