title: Transient immunomodulation with anti-CD40 ligand antibody and CTLA4Ig enhances persistence and secondary adenovirus-mediated gene transfer into mouse liver.
abstract: Although recombinant adenovirus vectors offer a very efficient means by which to transfer genetic information into cells in vivo, antigen-dependent immunity limits the duration of gene expression and prevents retreatment. Recombinant murine CTLA4Ig and anti-CD40 ligand antibody block costimulatory interactions between T cells and antigen presenting cells. We previously reported that murine CTLA4Ig prolongs adenoviral-mediated gene transfer, but does not allow for secondary expression after readministration of the vector. In studies described here, when anti-CD40 ligand and recombinant murine CTLA4Ig were coadministered around the time of primary vector administration (i) prolonged adenovirus-mediated gene expression (length of experiment up to 1 year) from the livers of >90% of treated mice was observed, and (ii) secondary adenovirus-mediated gene transfer was achieved in >50% of the mice even after the immunosuppressive effects of these agents were no longer present. Nearly two-thirds of these mice had persistent secondary gene expression lasting for at least 200-300 days. Neither agent alone allowed transduction after secondary vector administration. Treated mice had decreased immune responses to the vector as shown by markedly decreased production of neutralizing antibodies, diminished spleen proliferation responses and IFN-gamma production in vitro, and reduced T cell infiltrates in the liver. These results suggest that it may be possible to obtain persistence as well as secondary adenoviral-mediated gene transfer with transient immunosuppressive therapies.
authors.affiliation: Division of Medical Genetics, Box 357720, Department of Medicine, University of Washington, Seattle, WA 98195, USA. mkay@u.washington.edu
authors.forename: M A
authors.initials: MA
authors.lastname: Kay
authors.forename: L
authors.initials: L
authors.lastname: Meuse
authors.forename: A M
authors.initials: AM
authors.lastname: Gown
authors.forename: P
authors.initials: P
authors.lastname: Linsley
authors.forename: D
authors.initials: D
authors.lastname: Hollenbaugh
authors.forename: A
authors.initials: A
authors.lastname: Aruffo
authors.forename: H D
authors.initials: HD
authors.lastname: Ochs
authors.forename: C B
authors.initials: CB
authors.lastname: Wilson
mesh_terms: D000069594:Abatacept; D000256:Adenoviridae / Q000235:genetics / Q000276:immunology*; D000818:Animals; D000906:Antibodies / Q000494:pharmacology; D000914:Antibodies, Viral / Q000097:blood; D000938:Antigen-Presenting Cells / Q000276:immunology; D015703:Antigens, CD; D000943:Antigens, Differentiation / Q000494:pharmacology; D019013:CD40 Antigens / Q000276:immunology; D023201:CD40 Ligand; D060908:CTLA-4 Antigen; D005260:Female; D015870:Gene Expression / Q000187:drug effects; D018014:Gene Transfer Techniques; D015316:Genetic Therapy / Q000379:methods; D018796:Immunoconjugates; D007165:Immunosuppression Therapy / Q000379:methods*; D007166:Immunosuppressive Agents / Q000494:pharmacology; D008099:Liver / Q000821:virology*; D008562:Membrane Glycoproteins / Q000276:immunology; D051379:Mice; D008807:Mice, Inbred BALB C; D008809:Mice, Inbred C3H; D013601:T-Lymphocytes / Q000276:immunology
chemical_list: D000906:Antibodies; D000914:Antibodies, Viral; D015703:Antigens, CD; D000943:Antigens, Differentiation; D019013:CD40 Antigens; D060908:CTLA-4 Antigen; C556707:Ctla4 protein, mouse; D018796:Immunoconjugates; D007166:Immunosuppressive Agents; D008562:Membrane Glycoproteins; D023201:CD40 Ligand; D000069594:Abatacept