title: Successful expression of beta-galactosidase and factor IX transgenes in fetal and neonatal sheep after ultrasound-guided percutaneous adenovirus vector administration into the umbilical vein.
abstract: In utero somatic gene therapy in the later stages of pregnancy may allow targeting of organ systems which are difficult to reach later in life and to prevent the development of tissue damage otherwise caused by the early onset of inherited diseases. We report here on the percutaneous delivery of two adenoviral vectors, containing the beta-galactosidase reporter gene and the human Factor IX gene respectively, to the fetal liver and circulation by ultrasound-guided umbilical vein puncture similar to procedures used in human pregnancy. Vector spread, as detected by PCR analysis for the beta-galactosidase encoding vector, was found in almost all fetal and neonatal organs and in the maternal liver. Expression of the beta-galactosidase transgene was detected in many fetal tissues by RT-PCR. High beta-galactosidase production was shown by immuno-histochemistry predominantly in the liver, where about 30percent of the hepatocytes stained positive, and in the adrenal cortex. Production of factor IX was determined by ELISA in the plasma of treated fetuses and newborn lambs and reached at birth up to 80percent of the normal human plasma concentration. This demonstrates a very hopeful proof of principle for the development of prenatal treatment of many genetic diseases but also requires more detailed investigations with respect to the observed systemic spread of the vector.
authors.affiliation: Cystic Fibrosis Gene Therapy Research Group, Section of Molecular Genetics, Division of Biomedical Sciences, Imperial College School of Medicine, London, UK.
authors.forename: M
authors.initials: M
authors.lastname: Themis
authors.forename: H
authors.initials: H
authors.lastname: Schneider
authors.forename: T
authors.initials: T
authors.lastname: Kiserud
authors.forename: T
authors.initials: T
authors.lastname: Cook
authors.forename: S
authors.initials: S
authors.lastname: Adebakin
authors.forename: S
authors.initials: S
authors.lastname: Jezzard
authors.forename: S
authors.initials: S
authors.lastname: Forbes
authors.forename: M
authors.initials: M
authors.lastname: Hanson
authors.forename: A
authors.initials: A
authors.lastname: Pavirani
authors.forename: C
authors.initials: C
authors.lastname: Rodeck
authors.forename: C
authors.initials: C
authors.lastname: Coutelle
mesh_terms: D000256:Adenoviridae / Q000235:genetics*; D000302:Adrenal Cortex / Q000378:metabolism; D000818:Animals; D000831:Animals, Newborn; D005164:Factor IX / Q000235:genetics* / Q000378:metabolism; D005260:Female; D015870:Gene Expression; D015316:Genetic Therapy / Q000379:methods*; D005822:Genetic Vectors / Q000008:administration & dosage*; D006801:Humans; D007150:Immunohistochemistry; D007275:Injections, Intravenous; D008099:Liver / Q000378:metabolism; D020133:Reverse Transcriptase Polymerase Chain Reaction; D012756:Sheep / Q000196:embryology* / Q000378:metabolism; D019076:Transgenes; D014471:Umbilical Veins; D001616:beta-Galactosidase / Q000235:genetics* / Q000378:metabolism
chemical_list: D005164:Factor IX; D001616:beta-Galactosidase