Purpose: Modification of a donor cornea by gene therapy has potential to mo
dulate irreversible rejection, the major cause of corneal graft failure. Th
e sheep is a useful model for the human in this respect, as ovine endotheli
al cells are amitotic. The aim of the study was to investigate the ability
of various non-viral and viral agents to transfer a reporter gene to ovine
corneal endothelium.
Methods: The non-viral agents Transfectin-10, Transfectin-20, Transfectin-5
0, SuperFect, Effectene and CLONfectin were used to deliver the reporter ge
ne, Escherichia coli lacZ, to ovine corneal endothelium in vitro. A Herpes
simplex virus-1 and an adenoviral vector each encoding E. coli lacZ were si
milarly tested. Infected corneas were organ-cultured for up to 7 days in vi
tro to allow transfection efficiency, duration of gene expression and toxic
ity attributable to each vector to be compared.
Results: Scattered single or clusters of endothelial cells expressing the r
eporter gene were observed after transfection with CLONfectin, Transfectin-
10, Transfectin-20 and Transfectin-50. SuperFect and Effectene were virtual
ly in-effective. At best, the absolute number of infected cells per endothe
lial monolayer after 3 or 7 days of organ culture was estimated as < 0.01%.
The Herpes simplex virus-1 vector also failed to transduce ovine corneal e
ndothelium efficiently. In contrast, transfection rates of up to 70% of end
othelial cells were observed with the adenoviral vector.
Conclusion: Non-viral vectors and Herpes simplex virus-1 are unlikely to be
suitable for gene therapy of corneal endothelium, because the efficiency o
f transfection is low compared with the rates achieved with adenoviral vect
ors.