title: AAV-mediated gene transfer of pigment epithelium-derived factor inhibits choroidal neovascularization.
abstract: OBJECTIVE
  Adeno-associated viral (AAV) vectors have been used to express several different proteins in the eye. The purpose of this study was to determine whether AAV-mediated intraocular gene transfer of pigment epithelium-derived factor (PEDF) inhibits the development of choroidal neovascularization (CNV) in a murine model.
  
  
  METHODS
  C57BL/6 mice were given intravitreous or subretinal injections of a PEDF expression construct packaged in an AAV vector (AAV-chicken beta-actin promoter-exon 1-intron 1[CBA]-PEDF) or control vector (AAV-CBA-green fluorescent protein[GFP]). After 4 or 6 weeks, the Bruch's membrane was ruptured by laser photocoagulation at three sites in each eye. After 14 days, the area of CNV at each rupture site was measured by image analysis. Intraocular levels of PEDF were measured by enzyme-linked immunosorbent assay.
  
  
  RESULTS
  Four to six weeks after intraocular injection of AAV-CBA-PEDF, levels of PEDF in whole-eye homogenates were 6 to 70 ng. The average area of CNV at sites of the Bruch's membrane rupture showed no significant difference in eyes injected with AAV-CBA-PEDF compared with uninjected eyes. In contrast, 4 to 6 weeks after intraocular injection of 1.5 x 10(9) or 2.0 x 10(10) particles of AAV-CBA-PEDF, the area of CNV at the Bruch's membrane rupture sites had significantly decreased compared with CNV area at rupture sites in eyes injected with AAV-CBA-GFP.
  
  
  CONCLUSIONS
  These data suggest that intraocular expression of PEDF or other antiangiogenic proteins with AAV vectors may provide a new treatment approach for ocular neovascularization.
authors.affiliation: Departments of Ophthalmology and Neuroscience, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-9277, USA.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Mori
authors.forename: Peter
authors.initials: P
authors.lastname: Gehlbach
authors.forename: Satoru
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Elia
authors.initials: E
authors.lastname: Duh
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Zack
authors.forename: Quihong
authors.initials: Q
authors.lastname: Li
authors.forename: Kenneth I
authors.initials: KI
authors.lastname: Berns
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Raisler
authors.forename: William W
authors.initials: WW
authors.lastname: Hauswirth
authors.forename: Peter A
authors.initials: PA
authors.lastname: Campochiaro
mesh_terms: D000818:Animals; D020256:Choroidal Neovascularization / Q000378:metabolism / Q000517:prevention & control*; D000229:Dependovirus / Q000235:genetics*; D004195:Disease Models, Animal; D004797:Enzyme-Linked Immunosorbent Assay; D005136:Eye Proteins / Q000235:genetics* / Q000378:metabolism; D015870:Gene Expression; D018014:Gene Transfer Techniques; D015316:Genetic Therapy; D005822:Genetic Vectors; D049452:Green Fluorescent Proteins; D007267:Injections; D008164:Luminescent Proteins / Q000235:genetics / Q000378:metabolism; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D008856:Microscopy, Fluorescence; D009414:Nerve Growth Factors; D011506:Proteins / Q000235:genetics* / Q000378:metabolism; D015843:Serpins / Q000235:genetics* / Q000378:metabolism; D019076:Transgenes; D000099174:Pigment Epithelium-Derived Factor
chemical_list: D005136:Eye Proteins; D049452:Green Fluorescent Proteins; D008164:Luminescent Proteins; D009414:Nerve Growth Factors; D011506:Proteins; D015843:Serpins; D000099174:Pigment Epithelium-Derived Factor