title: Adenovirus-mediated transfer of a modified human proinsulin gene reverses hyperglycemia in diabetic mice.
abstract: The human proinsulin cDNA was introduced into a replication-defective adenovirus and was found to confer proinsulin expression to a hepatocyte (H4-II-E) cell line upon infection. A second virus was constructed in which the dibasic prohormone convertase recognition sequence was mutated to a tetrabasic furin cleavage site. Cells infected with this virus synthesized both proinsulin and mature insulin. Gel filtration chromatography, competition of insulin binding, and activation of the insulin receptor kinase activity demonstrated that this mature insulin was functionally identical to that of authentic processed insulin. Injection of these viral constructs into the external jugular vein of mice resulted in insulin gene expression in the liver. Expression from the mutated proinsulin virus dramatically improved the glycemic state of diabetic mice. However, the effects of the viral infection were transient, being maximal at approximately 5-7 days and returning to steady-state levels by 14-21 days. These data demonstrate that somatic cell insulin gene delivery by the use of recombinant adenovirus can be used to transiently reverse the diabetic state in mice.
authors.affiliation: Department of Physiology and Biophysics, The University of Iowa, Iowa City, Iowa 52242-1109, USA.
authors.forename: D K
authors.initials: DK
authors.lastname: Short
authors.forename: S
authors.initials: S
authors.lastname: Okada
authors.forename: K
authors.initials: K
authors.lastname: Yamauchi
authors.forename: J E
authors.initials: JE
authors.lastname: Pessin
mesh_terms: D000256:Adenoviridae; D000595:Amino Acid Sequence; D000818:Animals; D001786:Blood Glucose / Q000378:metabolism; D016466:CHO Cells; D002460:Cell Line; D002850:Chromatography, Gel; D006224:Cricetinae; D003921:Diabetes Mellitus, Experimental / Q000097:blood / Q000628:therapy*; D018014:Gene Transfer Techniques; D006801:Humans; D006943:Hyperglycemia / Q000628:therapy*; D007328:Insulin / Q000096:biosynthesis / Q000737:chemistry / Q000378:metabolism; D000078790:Insulin Secretion; D007668:Kidney; D008099:Liver / Q000378:metabolism; D008112:Liver Glycogen / Q000378:metabolism; D008114:Liver Neoplasms, Experimental; D051379:Mice; D008810:Mice, Inbred C57BL; D011384:Proinsulin / Q000096:biosynthesis / Q000737:chemistry / Q000235:genetics*; D011499:Protein Processing, Post-Translational; D011972:Receptor, Insulin / Q000378:metabolism; D011993:Recombinant Fusion Proteins / Q000096:biosynthesis; D014162:Transfection / Q000379:methods; D001616:beta-Galactosidase / Q000096:biosynthesis / Q000235:genetics
chemical_list: D001786:Blood Glucose; D007328:Insulin; D008112:Liver Glycogen; D011993:Recombinant Fusion Proteins; D011384:Proinsulin; D011972:Receptor, Insulin; D001616:beta-Galactosidase