title: Safety and efficiency of modulating paracellular permeability to enhance airway epithelial gene transfer in vivo.
abstract: We evaluated the safety of agents that enhance gene transfer by modulating paracellular permeability. Lactate dehydrogenase (LDH) and cytokine release were measured in polarized primary human airway epithelial (HAE) cells after lumenal application of vehicle, ethyleneglycol-bis-(beta-aminoethyl ether)-N,N'-tetraacetic acid (EGTA), sodium caprate (C10), or sodium laurate (C12). Lung toxicity was assessed after tracheobronchial instillation to murine airways and the relative ability of these agents to enhance in vivo adenoviral gene transfer was evaluated. Lumenal C12 increased LDH release in vitro, but C10 and EGTA did not. Increased levels of interleukin 8 (IL-8) were secreted from EGTA-pretreated cystic fibrosis HAE cells after apical application of Pseudomonas aeruginosa (10(8) CFU/ml), whereas IL-8 secretion from C10- and C12-pretreated cells was not different from controls. In vivo toxicity studies demonstrated no effect of EGTA, C10, or C12 on weight gain, lung edema, or bronchoalveolar lavage fluid (BALF) albumin. EGTA increased BALF cell counts, neutrophils, and murine (m) macrophage inflammatory protein 2, mKC, mIL-6, and mIL-1 beta levels. C10 had no effect on BALF cell counts or LDH, but increased murine tumor necrosis factor alpha. C12 increased BALF LDH, neutrophils, and mIL-6 levels. Histopathological analysis revealed mild focal lung inflammation more frequently in the EGTA, C10, and C12 groups than in vehicle controls, with greater intensity in the C12 group relative to the other groups. C10 and C12 also increased airway responsiveness to methacholine challenge compared with control and EGTA groups. Adenoviral gene transfer to murine trachea in vivo was enhanced more efficiently by C10 than by C12 or EGTA. Thus, the different toxicities may permit the selection of agents that enhance gene transfer with minimal adverse effects.
authors.affiliation: Cystic Fibrosis/Pulmonary Research and Treatment Center, and Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA. Larry_Johnson@med.unc.edu
authors.forename: Larry G
authors.initials: LG
authors.lastname: Johnson
authors.forename: Miriam K
authors.initials: MK
authors.lastname: Vanhook
authors.forename: Carolyn B
authors.initials: CB
authors.lastname: Coyne
authors.forename: Najwa
authors.initials: N
authors.lastname: Haykal-Coates
authors.forename: Stephen H
authors.initials: SH
authors.lastname: Gavett
mesh_terms: D000256:Adenoviridae / Q000235:genetics; D000818:Animals; D002463:Cell Membrane Permeability / Q000187:drug effects; D002478:Cells, Cultured; D002614:Chelating Agents / Q000494:pharmacology / Q000633:toxicity*; D003550:Cystic Fibrosis / Q000473:pathology; D016207:Cytokines / Q000096:biosynthesis; D003652:Decanoic Acids / Q000494:pharmacology / Q000633:toxicity*; D004533:Egtazic Acid / Q000494:pharmacology / Q000633:toxicity*; D018014:Gene Transfer Techniques; D005822:Genetic Vectors; D006801:Humans; D007249:Inflammation / Q000139:chemically induced / Q000276:immunology / Q000473:pathology; D007770:L-Lactate Dehydrogenase / Q000032:analysis; D007850:Lauric Acids / Q000494:pharmacology / Q000633:toxicity*; D008168:Lung / Q000473:pathology / Q000503:physiopathology; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D011654:Pulmonary Edema / Q000139:chemically induced / Q000276:immunology / Q000378:metabolism; D012129:Respiratory Function Tests; D020545:Respiratory Mucosa / Q000187:drug effects / Q000378:metabolism*; D012709:Serum Albumin / Q000032:analysis; D019108:Tight Junctions / Q000187:drug effects
chemical_list: D002614:Chelating Agents; D016207:Cytokines; D003652:Decanoic Acids; D007850:Lauric Acids; D012709:Serum Albumin; C030358:lauric acid; C031071:decanoic acid; D004533:Egtazic Acid; D007770:L-Lactate Dehydrogenase