title: Adenovirus vector-mediated gene transfer into human epileptogenic brain slices: prospects for gene therapy in epilepsy.
abstract: As a first step in the development of a gene therapy approach to epilepsy, we evaluated the ability of adenovirus vectors to direct the transfer into and expression of a marker gene in human brain slices obtained from patients undergoing surgery for medically intractable epilepsy. Following injection of adenovirus vectors containing the Escherichia coli lacZ gene into hippocampal and cortical brain slices, lacZ mRNA, beta-galactosidase protein, and enzymatic activity were detected, confirming successful gene transfer, transcription, and translation into a functional protein. Transfected cells were predominantly glial, with some neurons expressing beta-galactosidase as well. These results support the potential of adenovirus vectors to transfer genetic information into human epileptogenic brain, resulting in expression of the gene into a functional protein. These findings also have implications for the development of gene therapy approaches to certain seizure disorders. A number of potential therapeutic approaches are discussed, including the elevation of inhibitory neurotransmitter or neuropeptide levels, expression or modulation of postsynaptic receptors, and manipulation of signal transduction systems.
authors.affiliation: Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
authors.forename: W M
authors.initials: WM
authors.lastname: O'Connor
authors.forename: B L
authors.initials: BL
authors.lastname: Davidson
authors.forename: M G
authors.initials: MG
authors.lastname: Kaplitt
authors.forename: M V
authors.initials: MV
authors.lastname: Abbey
authors.forename: M J
authors.initials: MJ
authors.lastname: During
authors.forename: P
authors.initials: P
authors.lastname: Leone
authors.forename: D
authors.initials: D
authors.lastname: Langer
authors.forename: M J
authors.initials: MJ
authors.lastname: O'Connor
authors.forename: A
authors.initials: A
authors.lastname: Freese
mesh_terms: D000260:Adenoviruses, Human / Q000235:genetics*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002540:Cerebral Cortex / Q000378:metabolism / Q000473:pathology / Q000821:virology*; D004827:Epilepsy / Q000235:genetics / Q000473:pathology / Q000628:therapy*; D005260:Female; D017930:Genes, Reporter; D015316:Genetic Therapy; D005822:Genetic Vectors / Q000235:genetics*; D006624:Hippocampus / Q000378:metabolism / Q000473:pathology / Q000821:virology*; D006801:Humans; D007763:Lac Operon; D008297:Male; D008875:Middle Aged; D009457:Neuroglia / Q000378:metabolism / Q000473:pathology / Q000821:virology; D009474:Neurons / Q000378:metabolism / Q000473:pathology / Q000821:virology; D016133:Polymerase Chain Reaction; D011993:Recombinant Fusion Proteins / Q000096:biosynthesis / Q000235:genetics; D014162:Transfection; D001616:beta-Galactosidase / Q000032:analysis / Q000235:genetics
chemical_list: D011993:Recombinant Fusion Proteins; D001616:beta-Galactosidase