Topic: Highly efficient retrovirus-mediated gene transfer into hepatocytes
in vivo has been previously reported in the rat. Before considering human a
pplications of these techniques in the treatment of inherited liver disease
s, it was necessary to document its efficiency in a large animal model. Lam
b was choosen because the liver was similar to human liver regarding size a
nd anatomy.
Materials and Methods: To induce hepatocyte division which is necessary for
infection with retroviral particles, animals were subjected to a left: hep
atectomy. Kinetics of liver regeneration were assessed on sequential liver
biopsies after partial hepatectomy in order to provide an evaluation of the
peak of maximal liver regeneration in a first animal group. Recombinant re
troviruses encoding a reporter gene (E. coli beta galactosidase) were then
perfused through the portal vein of the regenerating liver in a second anim
al group.
Results: The more intense liver regeneration occurred from one to 6 days af
ter partial hepatectomy, with the highest thymidine kinase rate and MIB-1 a
ntibody staining on the second day. The proportion of genetically modified
lamb hepatocytes expressing the reporter gene was less than l parts per tho
usand, despite the use of higher titers of retroviral particles than those
described in previous reports.
Conclusion: The results obtained in rodent livers with this in vivo gene tr
ansfer methodology cannot currently be scaled up in a large ruminant model.
The efficacy of vectors has to be tested in other large mammals before pla
nning gene therapy trials for the treatment of inherited liver diseases.