We have investigated the use of polycations to increase adenovirus-mediated
expression of transgenic protein to the biliary epithelia with a view to g
ene therapy for hepatobiliary disease in CF. We have shown that adenovirus
carrying the P-galactosidase transgene transfect both human and mouse bilia
ry epithelia in primary culture and that in both instances adenovirus trans
fection can be significantly increased by co-complexing with polycation. in
vivo administration of 1 x 10(9) p.f.u. adenovirus co-complexed with the p
olyamine polyethyenimine (PEI) into the mouse biliary duct leads to >80% po
sitively stained biliary epithelia while adenovirus alone at the same titre
infected <5% biliary epithelia. We suggest that the use of low titre polyc
ation enhanced adenoviral delivery to the biliary tree of CF patients could
be of therapeutic significance. As a prelude to an extensive in vivo funct
ional investigation in CF null mice we have shown that Ad5/polycation compl
exes deliver functional CFTR to non-CPTR expressing cells in vitro more eff
iciently than Ad5 alone.