Muscle-specific promoters may be necessary for adeno-associated virus-mediated gene transfer in the treatment of muscular dystrophies

Hum Gene Ther. 2001 Jan 20;12(2):205-15. doi: 10.1089/104303401750061267.

Abstract

Recombinant adeno-associated virus (rAAV) vectors allow efficient gene transfer and expression in the muscle; therefore, rAAVs represent a potential gene therapy vector for muscular dystrophies. For further investigations, we used a mouse muscular dystrophy model (gsg(-/-) mice) gamma-sarcoglycan, a subunit of the dystrophin-glycoprotein complex, is missing. gsg(-/-) mice develop progressive dystrophy representative of a severe human phenotype disease. We previously showed high levels and stable expression of gamma-sarcoglycan in myofibers after direct muscle injection into gsg(-/-) mice of a recombinant AAV vector (AAV.dMCK.gSG) carrying the gamma-sarcoglycan cDNA driven by a muscle-specific promoter (truncated version of muscle creatine kinase). Here, we show that when gamma-sarcoglycan expression is driven by the ubiquitous cytomegalovirus (CMV) promoter (AAV.CMV.gSG), lower levels of transgene expression are observed and are associated with a humoral response to gamma-sarcoglycan. When using an rAAV vector, expressing the highly immunogenic product gamma-galactosidase under the CMV promoter (AAV.CMV.LacZ), we measured a strong cellular and humoral immune response to the transgene after intramuscular injection into gsg(-/-) mice. This study suggests that restriction of transgene expression to the muscle is an important criterion for the treatment of muscular dystrophies and will aid in the design of protocols for gene therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antigen-Presenting Cells / immunology
  • Blotting, Western
  • Creatine Kinase / genetics
  • Cytoskeletal Proteins / biosynthesis*
  • Dendritic Cells / immunology
  • Dependovirus / genetics*
  • Dystrophin / biosynthesis
  • Gene Transfer Techniques*
  • Genetic Vectors
  • Humans
  • Immunoenzyme Techniques
  • Macrophages / physiology
  • Membrane Glycoproteins / biosynthesis*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Mutant Strains
  • Muscle, Skeletal / metabolism*
  • Muscular Dystrophies / genetics
  • Muscular Dystrophies / immunology
  • Muscular Dystrophies / metabolism
  • Muscular Dystrophies / therapy*
  • Promoter Regions, Genetic*
  • Sarcoglycans
  • T-Lymphocytes, Cytotoxic
  • Transduction, Genetic
  • beta-Galactosidase / metabolism

Substances

  • Cytoskeletal Proteins
  • Dystrophin
  • Membrane Glycoproteins
  • Sarcoglycans
  • Creatine Kinase
  • beta-Galactosidase