Widespread Gene Transfection Into the Central Nervous System of Primates
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Gene Therapy (2000) 7, 759–763 2000 Macmillan Publishers Ltd All rights reserved 0969-7128/00 $15.00 www.nature.com/gt NONVIRAL TRANSFER TECHNOLOGY RESEARCH ARTICLE Widespread gene transfection into the central nervous system of primates Y Hagihara1, Y Saitoh1, Y Kaneda2, E Kohmura1 and T Yoshimine1 1Department of Neurosurgery and 2Division of Gene Therapy Science, Department of Molecular Therapeutics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan We attempted in vivo gene transfection into the central ner- The lacZ gene was highly expressed in the medial temporal vous system (CNS) of non-human primates using the hem- lobe, brainstem, Purkinje cells of cerebellar vermis and agglutinating virus of Japan (HVJ)-AVE liposome, a newly upper cervical cord (29.0 to 59.4% of neurons). Intrastriatal constructed anionic type liposome with a lipid composition injection of an HVJ-AVE liposome–lacZ complex made a similar to that of HIV envelopes and coated by the fusogenic focal transfection around the injection sites up to 15 mm. We envelope proteins of inactivated HVJ. HVJ-AVE liposomes conclude that the infusion of HVJ-AVE liposomes into the containing the lacZ gene were applied intrathecally through cerebrospinal fluid (CSF) space is applicable for widespread the cisterna magna of Japanese macaques. Widespread gene delivery into the CNS of large animals. Gene Therapy transgene expression was observed mainly in the neurons. (2000) 7, 759–763. Keywords: central nervous system; primates; gene therapy; HVJ liposome Introduction ever, its efficiency has not been satisfactory in vivo. Recently HVJ-AVE liposome, a new anionic-type lipo- Despite the promising results in experimental animals, some with the envelope that mimics the human immuno- gene therapy has, so far, not been successful in clinical deficiency virus (HIV), has been developed.13 Based upon 1 situations. As Leiden pointed out, many gene delivery an in vivo trial, this vector has a higher efficiency of gene systems show only limited transgene expression in expression than conventional HVJ liposomes and is humans, unlike those in rodents. Difference in the trans- expected as one of the most useful tools for in vivo gene gene expression between humans and rodents might be therapy. We previously tried the intrathecal adminis- responsible for the disparity and thus, more representa- tration of HVJ-AVE liposome-bcl-2 complex in rats, tive conditions of clinical situations are needed to evalu- which successfully resulted in a diffuse gene transfection ate the strategies for gene therapy. The non-human pri- into the entire CNS.14 mate is the most suitable subject for preclinical studies of In the present study, the efficiency of HVJ-AVE lipo- human gene therapy. Therefore, we evaluated the extent somes in the transfer of DNA into monkey CNS was of gene transfection into the central nervous system evaluated by intrathecal injection through the cisterna (CNS) in non-human primate. magna in three Japanese macaques (Nos. 1, 2 and 3). Gene transfection into the CNS using viral and chemi- Widespread gene transfection was seen over the CNS. A cal gene delivery vectors has been investigated for the fourth Japanese macaque (No. 4) received the ‘empty’ purpose of protection against neuronal insults and HVJ-AVE liposome in the same manner to serve as a con- 2 degeneration. Infection with adenovirus (Ad), adeno- trol. These results were compared with those obtained 3 4–6 associated virus (AAV), herpes simplex virus1 or len- by stereotactic injection into the striatum of two Japanese 7,8 tivirus have resulted in the reasonable extent of gene macaques (Nos 5 and 6), which showed focal gene transfection in the target regions of the CNS. expression around the injection site. Both methods Chemical gene delivery reagents including conven- seemed to be useful for CNS gene therapy. tional hemagglutinating virus of Japan (HVJ) liposomes and a cationic liposome–DNA complex have also been developed.9,10 This liposome-mediated gene delivery sys- Results tem has advantages over viral vectors because they can transfer expression cassettes of unlimited size. They do Injection of HVJ-AVE liposome-lacZ into the cisterna not replicate or recombine to form an infectious agent, magna (Table 1, Figure 1) and may not evoke the inflammatory or immune In monkeys 1, 2 and 3, -gal-positive cells were seen in 11,12 responses as reported in adenoviral vectors. How- many parts of the brain. The areas that exhibited the high transfection rates (mean ± s.d.) were: dentate nucleus (59.4 ± 9.1%), Purkinje cells of cerebellar vermis (47.9 ± Correspondence: Y Hagihara 17.8%), trigeminal nucleus (45.6 ± 18.7%), cochlear Received 13 September 1999; accepted 14 January 2000 nucleus (44.1 ± 0.8%), oculomotor nucleus (43.0 ± 7.9%), Primate CNS gene transfection Y Hagihara et al 760 Table 1 Transfection rate while limited gene expression was detected in more dis- tant areas, where the liposome vehicles rarely reached. LacZ (%) In monkey 4, -gal positive cells were absent. In the injection of HVJ-AVE liposomes into the cisterna Frontal cortex 0.67 ± 1.55 magna of monkey CNS, we did not detect any lympho- Caudate nucleus 9.47 ± 5.42 cyte infiltration and neural cell death. Hippocampus 37.17 ± 1.89 Putamen 2.97 ± 1.16 Parietal cortex 0 Stereotactic injection (Figures 2 and 3) Occipital cortex 0 In monkeys 5 and 6, which received HVJ-AVE liposomes Temporal cortex 0 stereotactically into the striatum, the high lacZ expressing Cerebeller cortex 4.2 ± 2.9 ± ± cells were observed at the injected site (58.5 7.1%; mean Cerebeller vermis 47.87 17.82 ± s.d.). The -gal positive cells were noted in areas more Oculomotor N 43.0 ± 7.93 Dentate nucleus 59.4 ± 9.06 than 10 mm rostral or caudal from the injection tract Cochlear nucleus 44.13 ± 0.81 (Figure 2). High transgene expression was also observed Trigeminal N 45.57 ± 18.73 in the frontal cortex. The -gal-positive cells were rarely Facial nucleus 29.0 ± 2.69 recognized in the temporal, parietal and occipital cortex, ± Olive nucleus 42.13 21.67 which were farther than 15 mm from the tract. Choroid plexus 100 Despite the high transgene expression in the frontal  cortex around the needle insertion, gene expression in the Labeling index of -gal in the CNS after an intrathecal injection of striatum was lower than expected (9.5 ± 5.4%; mean ± HVJ-AVE liposome-lacZ (mean ± s.d.%, n = 5). s.d.). The small leakage of the liposome mixture seen at the injection site might have been responsible for this lim- olive nucleus (42.1 ± 21.7%), hippocampus (37.2 ± 1.9%) ited extent of expression. and facial nucleus (29.0 ± 2.7%). The following areas exhi- bited only limited or no transgene expression: caudate Immunohistochemistry (Figure 4) nucleus (9.5 ± 5.4%), cerebellar cortex (4.2 ± 2.9%), Approximately 90 ± 6% (mean ± s.d.) of the -gal-positive putamen (3.0 ± 1.2%), frontal cortex (0.6 ± 1.6%), parietal cells were stained with anti-neurofilament antibody, cortex and occipital cortex (0%). High transgene which are considered as terminally differentiated neu- expression was observed in the regions close to the cis- rons. We could not identify any GFAP-positive cells terna magna, where the HVJ-AVE liposome was applied, among cells exhibiting blue staining in the presence of a d g b e h c f i Figure 1 -Gal expression in the brain after an intrathecal injection of HVJ-AVE liposome-lacZ complex. Broad -gal expression was seen with X-gal staining (a, b, d, e, g and h). No -gal expression was seen in the frontal cortex (i). The intrathecal injection of HVJ-AVE liposome containing no DNA resulted in no -gal-positive cells (c, f). (a) Cerebellar vermis. Blue stained Purkinje cells were seen among the granular cell layer (×10). (b) Dentate nucleus (×20). (c) Cerebellar vermis, control study (administration with HVJ-AVE liposome carrying no DNA). (d) Hippocampus (×4). (e) Hippocampus (×40). (f) Hippocampus, control study (administration of HVJ-AVE liposome carrying no DNA (×4). (g) Upper cervical cord (×4). (h) Upper cervical cord (×10). (i) Frontal cortex (×4). Gene Therapy Primate CNS gene transfection Y Hagihara et al a 761 a d b e b c f Figure 2 Stereotactic injection of HVJ-AVE liposome–lacZ complex into the striatum assayed with X-gal (a–f). (a) Dense -gal expression at the cortical incision (×4). (b) Refluxed HVJ-AVE liposome–lacZ was diffused and transfected into the cortex from the brain surface (×20). (c) -Gal- positive cells were seen in the deep cortical neurons, which suggests that the HVJ-AVE liposome penetrated into the cortex (×4). (d) High -gal expression at the injection tract (×4). T: injection tract. (e) High -gal expression at the injection site (×20). (f) Diffusion of -gal expressing cells in the white mater (×4). *: injection site. Figure 4 Immunohistochemistry. Staining with anti-neurofilament anti- body (a ×40) and anti-GFAP antibody (c ×10). Most of the -gal express- ing cells were positively stained with anti-neurofilament antibody. None of the -gal expressing cells were positive for anti-GFAP antibody staining. The same procedure with HVJ-cationic liposome was examined by Mabuchi et al15 in an experimental mouse with glioma. Only disseminated glioma cells in the cere- brospinal fluid space expressed the lacZ gene. LacZ trans- fection was absent in either the neuronal or glial cells. This difference between HVJ-AVE and HVJ-cationic lipo- somes may result from the inability of cationic liposomes to penetrate tissues because of both net positive charge and large size (approximately 700 nm in diameter).13 In Figure 3 Transfection efficiency by the distance from the injection site.