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J Virol, February 1998, p. 926-933, Vol. 72, No. 2
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Production and Characterization of Improved
Adenovirus Vectors with the E1, E2b, and E3 Genes Deleted
Andrea
Amalfitano,1,2,*
Michael
A.
Hauser,3
Huimin
Hu,1
Delila
Serra,1
Catherine R.
Begy,3 and
Jeffrey S.
Chamberlain3
Department of Pediatrics, Division of Medical
Genetics,1 and
Department of
Genetics,2 Duke University Medical Center,
Durham, North Carolina 27710, and
Department of Human
Genetics, University of Michigan, Ann Arbor, Michigan
481093
Received 2 July 1997/Accepted 27 October 1997
 |
ABSTRACT |
Adenovirus (Ad)-based vectors have great potential for use in the
gene therapy of multiple diseases, both genetic and nongenetic. While
capable of transducing both dividing and quiescent cells efficiently,
Ad vectors have been limited by a number of problems. Most Ad vectors
are engineered such that a transgene replaces the Ad E1a, E1b, and E3
genes; subsequently the replication-defective vector can be propagated
only in human 293 cells that supply the deleted E1 gene functions in
trans. Unfortunately, the use of high titers of E1-deleted
vectors has been repeatedly demonstrated to result in low-level
expression of viral genes still resident in the vector. In addition,
the generation of replication-competent Ad (RCA) by recombination
events with the E1 sequences residing in 293 cells further limits the
usefulness of E1-deleted Ad vectors. We addressed these problems by
isolating new Ad vectors deleted for the E1, E3, and the E2b gene
functions. The new vectors can be readily grown to high titers and have
several improvements, including an increased carrying capacity and a
theoretically decreased risk for generating RCA. We have also
demonstrated that the further block to Ad vector replication afforded
by the deletion of both the E1 and E2b genes significantly diminished
Ad late gene expression in comparison to a conventional E1-deleted
vector, without destabilization of the modified vector genome. The
results suggested that these modified vectors may be very useful both
for in vitro and in vivo gene therapy applications.
 |
INTRODUCTION |
The primary objective of gene
therapy is to deliver a functional gene to tissues where the respective
gene activity is missing or defective. While the number of human
diseases (genetic and nongenetic) that potentially can be treated in
such a manner is large, each disease has its own set of parameters that
must be fulfilled before a clinical treatment can be realized. All of the diseases, however, have a common denominator: the need for a vector
to efficiently deliver the respective therapeutic gene to the affected
tissues and/or organs. There are a variety of vectors currently being
studied for potential use in vivo. Nonviral vectors (i.e., liposomes)
have the advantage of minimizing the immune response directed against
the vector and have essentially unlimited carrying capacities, but they
have not yet demonstrated efficient, high-level gene transfer in vivo.
Viral vector preparations can efficiently transduce a significant
number of cells in vivo, but they also have limitations.
Retrovirus-based vectors, for example, have limited carrying capacities
and are unable to transduce mitotically quiescent cells, and vector
titers are several orders of magnitude less than in other viral
systems, such as the adenovirus (Ad)-derived vectors.
Ad vectors hold great promise for gene therapy of a number of human
disorders, for a variety of reasons. Ad vectors can transduce multiple
types of tissues in vivo, including nondividing, differentiated cells
such as those found in liver, kidney, muscle (skeletal and cardiac),
respiratory, and nervous system tissues (4, 6, 9, 11, 14, 15, 28,
30). Diseases that affect these tissues are therefore potentially
amenable to Ad-mediated gene therapy. Conventional [E1
]
(E1-lacking) Ad vectors (or first-generation Ad vectors) have a large
carrying capacity, limited to 8.0 kb at present. Ad vectors can be
concentrated to very high titers (>1013 particles/ml),
which contributes to the ability of Ad vectors to infect and transduce
a significant number of target cells after a single in vivo
administration (30, 41). Ad vectors can express transgenes
episomally, unlike retrovirus-based vectors, which are dependent on
integration (and cell division) for transgene expression.
First-generation Ad vectors have been demonstrated to sustain
expression of transduced genes for extended periods in
immune-incompetent (and in some cases immune-competent) animals (34, 35). Finally, live Ad preparations have been used for the vaccination of military recruits, and Ad strains 2 and 5 (Ad2 and
Ad5; most commonly used for vector development) are not associated with
severe disease. Despite these significant attributes, there are major
shortcomings of current Ad vectors that must be addressed before their
full clinical potential may be realized.
The most difficult problem with Ad vectors is their inability to
sustain long-term transgene expression, secondary to host immune
responses that eliminate virally transduced cells in immune-competent animals (12, 40, 41, 44). While immune responses have been
demonstrated against the transgene-encoded protein product (34), it has also been demonstrated that Ad vector epitopes are major factors in triggering the host immune response (12, 43). In support of this view, it has been repeatedly demonstrated that transgenes such as the bacterial
-galactosidase gene are highly
immunogenic when transduced by Ad vectors, in contrast to other
delivery systems (e.g., direct DNA injection or adeno-associated virus
administration), where an immune response against the immunogenic transgene is lacking and transgene expression persists (36, 37). We postulate that modified Ad vectors may have improved in
vivo efficacy, as a result of their decreased abilities to replicate
and to express multiple viral functions and/or epitopes (1,
2). Toward this goal, this report describes the isolation, characterization, and efficient large-scale production of an improved Ad vector that incorporated deletions not only in the Ad E1 and E3
genes (absent in most first-generation Ad vectors) but also the Ad
polymerase (E2b) gene.
 |
MATERIALS AND METHODS |
Construction and isolation of an Ad deleted for the polymerase
gene.
The ~20-kb Xba-BamHI subfragment of pBHG11
(Microbix, Toronto, Ontario, Canada) was subcloned into
pBluescriptKSII+ (Stratagene, La Jolla, Calif.), yielding pAXB. Plasmid
pAXB was digested with BspEI, T4 DNA polymerase end filled,
and BamHI digested, and the ~9.0-kb fragment was isolated.
Plasmid pAXB was also digested with BspHI, T4 DNA polymerase
end filled, and BamHI digested, and the ~13.7-kb fragment
was ligated to the previously isolated 9.0-kb fragment, generating
pAXB-
pol. This subcloning strategy deleted 608 bp (
pol; Ad5
nucleotides [nt] 7274 to 7881) within the amino terminus of the
polymerase gene. This deletion also effectively removed open reading
frame 9.4, present on the rightward reading strand in this region of
the Ad genome. The Xba-BamHI subfragment of
pAXB-
pol was reintroduced into Xba-BamHI-digested pBHG11, to generate pBHG11-
pol (Fig.
1A). Theoretically, pBHG11-
pol should
have been capable of generating recombinant [E1
,
pol] Ad vectors
after cotransfection of polymerase-transcomplementing cells with a
conventional Ad shuttle plasmid; unfortunately, we were never able to
generate such a vector with this approach. It is possible that our
version of pBHG11 had acquired a cryptic point mutation prohibiting
viable vector isolation. We therefore cotransfected plasmid
pBHG11-
pol with ScaI-digested dl7001-derived genomic DNA into the polymerase-expressing cell line C-7 (Fig. 1B). The
Ad dl7001 genomic DNA had an ~3.0-kb deletion within the
E3 region of genes and was isolated as an intact virion DNA-terminal protein (TP) complex, dl7001-TP (17). The C-7
cell line has been previously described (1, 2). Briefly,
these cells are capable of transcomplementing [E1
] Ad, as well as
temperature-sensitive Ad mutants defective in both the polymerase and
preterminal protein genes. This was accomplished by the stable
cointroduction of transgenes constitutively expressing the polymerase
and preterminal protein genes into human 293 cells (1, 2).

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FIG. 1.
Diagrammatic representation of the steps used to isolate
pBHG11 pol (A), Ad pol and Ad pol/pBHG11 (B), and AdLacZ pol
(C). mu, map units.
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The cotransfection strategy resulted in the isolation of two viruses
(due to either a single or a double recombination event between the two
input DNA molecules) that had the
pol alteration present in either a
dl7001-derived E3 deletion background (Ad
pol) or a
pBHG11-derived E3 deletion background (Ad
pol/pBHG11). While both
viruses were viable, the dl7001-derived virus demonstrated superior growth characteristics and was therefore used for further studies.
Production of [E1
,
pol,E3
] Ad vectors.
The Ad
pol
virus was grown to high titer, and viral DNA was isolated as previously
described (1), digested with AscI, T4 polymerase
end filled, and Bst1107I digested. The ~9.3-kb blunt-ended
pol-containing fragment was subcloned into the
Bst1107I-digested shuttle plasmid pAdAscI (a shuttling
plasmid used to generate traditional [E1
] Ad vectors
[13a]). This subcloning strategy yielded
pAdAscL-
pol, a new shuttling plasmid specifically designed for the
rapid isolation of recombinant Ad vectors deleted for both the Ad E1
and polymerase genes. The pAdAscL-
pol plasmid contained nts 1 to
15671 of the left end of the Ad5 genome but was effectively deleted for
the E1 genes (Ad nt 358 to 3328, replaced by the AscI site)
and the 608-bp polymerase deletion. A nucleus-targeted bacterial
-galactosidase transgene (lacZ) flanked by a minimal cytomegalovirus promoter/enhancer element, the MINX intron
(27), and a simian virus 40-derived polyadenylation signal
was subcloned into the AscI site of pAdAscL-
pol,
generating the shuttle plasmid pAdCMV/LacZ/
pol (Fig. 1C). Ten
micrograms of pAdCMV/LacZ/
pol linearized with BspHI
(restriction site within 60 bp of the left end of Ad) was
CaPO4 cotransfected with 500 ng of XbaI-,
ClaI-, and ScaI-digested dl7001-TP
virion DNA onto three 60-mm-diameter dishes containing 2 × 106 Ad polymerase-expressing C-7 cells (Fig. 1C). The
multiple restriction enzyme digestion of dl7001 virion DNA
significantly reduced the isolation of nonrecombinant viruses after
transfection (13a). Sixteen hours after transfection, the
cells were harvested and mixed with ~8 × 106 C-7
cells (nontransfected). The cell mixture was distributed to nine
24-well tissue culture cluster plates and incubated at 37.0°C for 5 to 9 days. Individual wells demonstrating viral cytopathic effects were
harvested, and the isolated virus was amplified by repeated infection
of either B-6 or C-7 cells. Isolation of the AdLacZ
pol recombinant
vector was subsequently confirmed by (i)
-galactosidase conversion
of the chromogenic substrate
5-bromo-4-chloro-3-indolyl-
-D-galactopyranoside (X-Gal)
in cells transduced by the vector, (ii) DNA restriction mapping of the
vector genome, and (iii) multiple functional studies (see below).
Ad vector genome replication studies.
The respective cell
lines were infected at the indicated multiplicity of infection (MOI)
with either Ad
pol, Adsub360LacZ (E1 deletion alone), or
AdLacZ
pol and incubated at 37.0°C for the indicated times.
Infected cells were then harvested, and DNA was prepared and analyzed
as previously described (1).
Ad vector kinetics and one-step burst assays. (i) Kinetics
assay.
Tissue culture dishes (60-mm diameter) containing 2 × 106 293 or B-6 cells were infected with AdLacZ
pol at an
MOI of 0.01
-galactosidase-forming units (BFU) per cell. Cells and
media were harvested from the dishes after incubation at 37.0°C for the indicated times. The number of BFU produced was then determined by
limiting dilution infection of C-7 cells or LP-293 cells. Eighteen hours later, infected cells were stained for
-galactosidase
activity, and the number of transducing particles was quantitated by
visual inspection of blue-staining cells. The BFU generated in the
original lysate was then determined by multiplying the number of
stained nuclei by the appropriate dilution factor.
(ii) One-step burst assay.
A total of 2 × 106 293 or B-6 cells were infected with AdLacZ
pol or
Adsub360LacZ (in triplicate) at an MOI of 5 and incubated at 37.0°C
for 40 h, and the total BFU generated was determined by limiting
dilution assay as described for the kinetic assays.
Ad vector late gene expression studies.
LP-293 cells, B-6
cells, or HeLa cells were infected with either Ad
pol, Adsub360LacZ,
or AdLacZ
pol at the indicated MOIs and incubated at 37.0°C for 40 to 44 h. Infected cells were harvested, rinsed with
phosphate-buffered saline (PBS), and lysed in Tris-Cl (pH 6.8)-4%
sodium dodecyl sulfate (SDS)-10% glycerol-10%
-mercaptoethanol. Protein extracts were freeze-thawed three times, DNA was sheared, and
protein concentrations were determined via the Bradford assay, using
the Coomassie Plus staining reagent (Pierce, Rockford, Ill.). Equivalent amounts of each protein lysate were heated to 100.0°C for
2 min and electrophoretically separated in an SDS-10% polyacrylamide gel. The separated proteins were wet-transferred to a Biotrace NT
membrane (Gelman Sciences, Ann Arbor, Mich.) and probed with a rabbit
polyclonal antibody (supplied by R. Gerard, University of Texas
Southwestern, Dallas) generated against the knob portion of the 66-kDa
Ad fiber protein monomer. Bound antibody was detected with the ECL
detection system (Amersham Life Sciences, Arlington Heights, Ill.).
In vivo administration of AdLacZ
pol.
Sixty
150-mm-diameter tissue culture plates containing ~2.5 × 107 C-7 cells were infected with the AdLacZ
pol at an
approximate MOI of 5 and incubated at 37.0°C for 40 h. The
infected cells were harvested, resuspended in 10 mM Tris-Cl (pH 8.0),
and sonicated, and the virus was purified by two rounds of cesium
chloride density centrifugation. The virus containing band was desalted
over a Sephadex CL-6B column (Pharmacia Biotech, Piscataway, N.J.),
glycerol was added to a concentration of 12%, and aliquots were stored at
80°C. The titer of this stock was 6 × 1010 BFU
per ml. The total number of particles in this stock was 1.2 × 1012, as determined by measurement of the optical density
at 260 nm of an aliquot of the virus after SDS lysis (24);
therefore, the bioactivity of the preparation was at a minimum of 0.05 (6 × 1010/1.2 × 1012), a value
similar to that achieved after isolation of first-generation Ad vectors
(24). Seven- to nine-week-old BALB/c mice were injected in
the left tibialis anterior muscle or via the tail vein with a PBS
solution containing 109 BFU of AdLacZ
pol. Five to six
days after infection, the mice were sacrificed, and the muscle or liver
specimens removed and frozen in OCT compound. Cryosections were
obtained, briefly fixed in a 3.7% formaldehyde-PBS solution, stained
overnight for
-galactosidase activity, rinsed in PBS, and briefly
postfixed in 3.7% formaldehyde-0.5% glutaraldehyde in PBS. Sections
were then eosin counterstained and photographed.
 |
RESULTS |
Deletion of polymerase activity from an Ad isolate.
We have
previously described the isolation of cells that coexpress the Ad E1
and polymerase genes, based on their ability to support the growth of
Ad polymerase temperature-sensitive mutants (1). We next
wanted to demonstrate the ability of the cell lines to support the
growth of Ads deleted for subregions of the polymerase gene as well as
the E3 genes. Therefore, we constructed the virus Ad
pol, which
contained a 608-bp deletion within the polymerase gene (Fig. 1B). The
polymerase deletion also effectively deleted open reading frame 9.4, with no consequence in regard to the growth potential of the resultant
viruses. Confirmation of the Ad
pol genomic structure was confirmed
by restriction enzyme digestion (Fig.
2A). Ad
pol had a severe replication
defect when not grown in cells expressing the Ad polymerase, confirming
the lack of polymerase activity secondary to the introduced 608-bp deletion (Fig. 2B). This experiment also demonstrated that despite high
levels of E1 activity (both from the Ad
pol genome and from the
E1-expressing 293 cells), Ad
pol was incapable of significant replication, in contrast to first-generation Ad vectors in vitro and in
vivo (22, 42). With these results, we then turned our attention to the isolation of an Ad vector deleted for the E1, E3, and
polymerase gene functions.

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FIG. 2.
(A) DNA of each of the indicated viruses was digested
with HindIII, electrophoresed, blotted, and probed with
a 32P-labeled dl7001 genomic probe. The
recombinant viruses (Ad pol/dl7001 and Ad pol/pBHG11) both
contained the pol alteration. This was verified by the demonstration
that the 5.3-kb polymerase-encoding fragment normally present in
dl7001 (location indicated by the solid arrowheads) migrated
as a 4.7-kb DNA fragment in the pol-containing viruses (new location
depicted by the open arrowhead). Note also that the pBHG11-derived
virus contained a larger E3 deletion, (×), in contrast to the
dl7001-derived E3 deletion ( ). The indicated cell lines
(2 × 106 cells) were identically infected with
Ad pol/dl7001 at an MOI of ~1.0 PFU/cell. Twenty-four hours after
infection, total DNA was isolated, 4 µg of each was digested with
HindIII; the fragments were electrophoretically
separated, blotted onto a nylon membrane, and probed with
32P-labeled dl7001 genomic DNA. Note the
complete lack of replication of Ad pol/dl7001 in 293 cells.
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Isolation and growth kinetics of AdLacZ
pol.
To facilitate
the production of [E1
,E3
,
pol] Ad vectors, we engineered a
shuttling system for their construction (Fig. 1C). Cotransfection of
linearized pAdCMV/LacZ/
pol with multiply digested dl7001
DNA-TP complex resulted in the successful isolation of AdLacZ
pol.
The genomic structure of AdLacZ
pol was confirmed by restriction
enzyme analysis (Fig. 3). The kinetics of
AdLacZ
pol growth was then determined in 293 cells and B-6 cells
(Fig. 4). Note the dramatic lack of
production of infectious AdLacZ
pol in LP-293 cells, despite the
presence of high levels of E1 activity in this cell line. Furthermore,
one-step burst assays of B-6 cells infected with AdLacZ
pol or
Adsub360LacZ clearly demonstrated that the AdLacZ
pol vector could be
produced to as high (or higher) a titer as the Adsub360LacZ vector. For
example, when 2 × 106 B-6 cells were infected at an
MOI of 5 BFU with AdLacZ
pol or Adsub360LacZ (each in triplicate),
the total BFU released after a 40-h infection were 1.18 × 108 ± 4.2 × 107 for AdLacZ
pol and
1.78 × 107 ± 8.9 × 106 for
Adsub360LacZ. High-titer growth of the AdLacZ
pol vector in the
B-6 cell line is important, not only for clinical grade production but
also because previously described cell lines designed to allow the
growth of modified Ad vectors are sometimes inefficient, likely due to
the toxicity of the coexpressed Ad genes (46).

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FIG. 3.
B-6 cells were infected with AdLacZ pol; total DNA was
harvested 36 h later and digested with NotI and
EcoRI, and the pattern of DNA fragments obtained was
compared with that for NotI- and EcoRI-digested
dl7001 DNA. The 6.5-kb left inverse terminal repeat
(L-ITR)-E1-containing fragment of dl7001 ( ) was replaced
by the lacZ minigene cassette that generates three fragments
of 3,879, 3,050 (), and 708 bp (not shown). The normal
polymerase-coding region of dl7001 is contained within a
5,100-bp fragment ( ) and is decreased in size to 4,492 bp (×) in Ad
LacZ pol. Std., size standards (positions are indicated in
kilobases); CMV, cytomegalovirus.
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FIG. 4.
293 or B-6 cells (2 × 106) were
infected at an MOI of 0.01 BFU with Ad LacZ pol, and the total BFU
generated was assessed after limiting dilution infection and X-Gal
staining of C-7 cells.
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AdLacZ
pol is blocked in replication.
Infection of B-6 cells
allowed high-level replication of the AdLacZ
pol genomes; however, an
identical infection of 293 cells demonstrated a dramatic block of
replication (Fig. 5A). This result confirmed that even in the presence of high levels of E1 activity, the
pol modification conveys upon the vector a severe replication blockade. Despite a lack of significant replication, the Ad
pol and
AdLacZ
pol genomes were still present at near input levels 24 h
postinfection (hpi) in 293 cells and decreased only after 48 hpi.
Supporting these observations, high-titer infection of Hela cells
(lacking both E1 and polymerase activities) with AdLacZ
pol demonstrated a significantly greater replication block than displayed by the first-generation Adsub360LacZ vector (Fig. 5B). Despite this
lack of replication, the AdLacZ
pol persisted to at least 75% of
input virus levels within 24 h of HeLa cell infection and dropped
to 50% of input virus by 48 hpi (Fig. 5B). This result is in contrast
to a study using "gutted" Ad vectors that are devoid of much of the
Ad genome (22). In the latter report, 50% of the gutted Ad
vector genomes were degraded within 5 h of transduction of cells
both in vitro and in vivo, and the genomes were essentially undetectable by 12 to 24 h posttransduction (22). In
summary, our replication studies demonstrated that Ad vectors deleted
for polymerase gene activities were severely blocked in the ability to
replicate (even in the presence of excessive levels of E1 activity), a
blockade that did not simultaneously result in a rapid loss (destabilization) of their genomes.

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FIG. 5.
(A) 293 or B-6 cells (2 × 106) were
infected at an MOI of 1.5 BFU with Ad LacZ pol, and total DNA was
harvested after the indicated incubation times. DNA was digested with
HindIII, electrophoresed, blotted, and probed with
32P-labeled dl7001 DNA. (B) HeLa cells (2 × 106) were infected at the indicated MOIs with
AdLacZ pol or Adsub360LacZ and probed with 32P-labeled
dl7001 DNA as described for panel A. Densitometric analysis
of the image was done with the NIH Image software package.
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AdLacZ
pol late gene expression is blocked in noncomplementing
cell lines.
Cell types 293 and B-6 were infected with AdLacZ
pol
and assessed for viral late gene expression, as determined by fiber
protein accumulation. Figure 6A
demonstrated that there was at least a 10,000-fold reduction in the
ability of the AdLacZ
pol vector to produce the fiber protein after
infection of 293 cells, in contrast to infection of the
polymerase-complementing B-6 cell line. A further demonstration of the
late gene expression blockade was demonstrated after HeLa cells were
infected with either the Adsub360LacZ or AdLacZ
pol vector (Fig. 6B).
Fiber expression was readily detected after infection of HeLa cells
with the Adsub360LacZ vector; however, infection with the AdLacZ
pol
vector (at an MOI of 500) did not result in detectable fiber
expression. Similar results were obtained at lower MOIs (data not
shown). Together, these results demonstrated another benefit of the
AdLacZ
pol vector, a significantly decreased expression of viral late
genes, secondary to the severe replication blockade afforded by the
presence of the
pol in the modified vector. Ad late gene products
such as the fiber protein are potent antigenic epitopes in vivo;
therefore, decreased expression of the late, E1, and polymerase gene
products may result in a greater efficacy for Ad
pol vectors in vivo.

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FIG. 6.
(A) 293 or B-6 cells (2 × 106) were
infected at an MOI of 1.5 BFU with Ad LacZ pol, and protein lysates
isolated from the infected cells were electrophoresed, blotted, probed
with a fiber polyclonal antibody, and visualized with the ECL system.
Dilutions of the B-6 cell-derived lysates are indicated. (B) HeLa cells
(2 × 106) were infected at an MOI of 500 with
AdLacZ pol or Adsub360LacZ, and the fiber protein was visualized as
described for panel A. Six micrograms of protein lysate from each
infection was loaded per well. Each arrow indicates the location of the
fiber-specific band, which correctly migrated as a 66-kDa protein based
on comparison with the molecular weight standards included in the gel
electrophoresis. To further verify that the bands indicated represent
fiber protein monomer, the control lysate lane contained a portion of a
protein lysate derived from the productive infection of B-6 cells with
AdLacZ pol. Note the lack of fiber expression in the lysate derived
from AdLacZ pol infection of HeLa cells.
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In vivo transduction with the AdLacZ
pol vector.
We were
able to readily generate high-titer stocks of the AdLacZ
pol vector;
therefore, 109 BFU of AdLacZ
pol was injected
intravenously (for liver transduction) or into the left tibialis
anterior muscle of 7- to 9-week-old BALB/c mice. Five to six days
later, the tissues were excised and stained for
-galactosidase
activity. As demonstrated in Fig. 7, the
AdLacZ
pol vector is capable of extensive transduction and expression
of the bacterial
-galactosidase gene in liver tissues. The same
result was achieved after intramuscular administration of AdLacZ
pol
(data not shown). Therefore, despite the additional replication
blockade provided by the deletion of both the E1 and polymerase genes
in the AdLacZ
pol vector, efficient transduction and transgene
expression occurred in these tissues. This again is in contrast to some
recently described helper virus-dependent Ad vector systems, whose
modified minigenomes were rapidly eliminated in vivo, before
significant transgene expression occurred (22).

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FIG. 7.
AdLacZ pol (109 BFU) was injected into the
tail veins of BALB/c mice. Six days later, liver sections were
harvested and stained for -galactosidase activity. Note the stained
nuclei present only in the infected cells (A) and the complete lack of
-galactosidase from a mock-infected age-matched control animal (B),
confirming successful transduction and sustained transgene expression
in vivo.
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DISCUSSION |
The successful isolation and high-level production of
[E1
,
pol,E3
] Ad vectors has several important implications
regarding clinically relevant gene therapy applications. The carrying
capacity of the [E1
,
pol,E3
] Ad vector production system
described in this report can currently allow insertion of transgene
constructs up to 9.0 kb in size. Carrying capacity of these vectors
could theoretically approach 11.0 kb by further deletion of
subportions of the polymerase gene (2). Increased carrying
capacity is critically important when one considers (i) the transfer of
larger cDNA minigene constructs (e.g., dystrophin), (ii) the use of
larger tissue-specific promoter/enhancer elements (e.g.,
the muscle creatine kinase enhancer), and (iii) the reintroduction into
vectors of Ad genes, which may minimize immune recognition of Ad
infected cells in vivo (8, 16, 21). Studies to
determine the maximum carrying capacity of the Ad
pol vectors
are currently in progress. Ad
pol vectors also have a
theoretically decreased potential to generate
replication-competent Ad (RCA), since multiple recombination events are
required to regenerate a viable virus containing both the E1 and
polymerase gene functions. Therefore, the likelihood of RCA
contamination of Ad
pol vector preparations will be lessened, an
important attribute when one is producing clinical-grade vector preparations.
The [E1
,
pol,E3
] Ad vector may be advantageous for a number of
additional reasons. It has been known for 15 years that in tissue
culture systems, [E1
] Ad is not completely replication defective,
and at higher MOIs, the E2, E3, and E4 promoters are active and allow
viral replication and late gene expression to proceed (this report and
references 25 and 26). Not
surprisingly [E1
] Ad vectors have also been demonstrated to express
the Ad early genes, undergo genome replication, and express the L1- to L5-encoded structural genes when used in vivo (38, 41, 42). Importantly, we have demonstrated that the Ad
pol vectors isolated in
this study have a significantly decreased potential to express viral
late genes such as the Ad fiber protein compared with first-generation Ad vectors. Isolation of an Ad vector with a decreased potential to
express viral epitopes may improve gene transfer in vivo
(10). In addition, prolonging transgene expression by
modifications such as those introduced into the Ad
pol vectors may
eliminate the need for nonspecific (and potentially toxic)
immunosuppressive agents (19, 23, 31-33, 39, 44, 45).
Studies to test this hypothesis are not straightforward, however, since
it has become increasingly evident that after conventional [E1
] Ad
vector administration, the host immune response (cytotoxic T lymphocyte
mediated) can be directed against both transgene- and Ad-encoded
epitopes and can be influenced by (i) the background strain of the
animal tested, (ii) the promoter/enhancer elements used to drive
expression of the transgene, and (iii) the viral backbone itself
(3, 5, 10, 18, 34). Therefore, determination of the in vivo
efficacy of the Ad
pol vectors will require evaluation of a variety
of parameters (i.e., long-term persistence of transgene expression, acute versus chronic inflammatory reactions, and use of various promoter elements to drive transgene expression) in a number of animal
models.
Finally, the Ad
pol vectors do not require any type of helper virus
for their high-titer growth, in contrast to some recently described
systems relying on a helper virus for the propagation of so-called
gutted Ad vectors (7, 13, 20-22, 29). The latter systems
may benefit from the isolation of the Ad
pol viruses as well. For
example, helper virus contamination of gutted Ad vector preparations is
a significant production issue; contamination of such preparations with
the Ad
pol virus may elicit less of an in vivo immune response than
if the same preparation were contaminated with an equivalent amount of
a first-generation Ad vector. In addition, during the propagation of
the gutted Ad vector, the risk of producing an RCA would also be
lessened with the use of an Ad
pol vector as a helper virus.
Interestingly, gutted Ad vectors may in fact be dependent on low levels
of helper virus contamination (and low-level expression of helper
virus-encoded genes) in order to stabilize their modified genomes after
transduction (22). If gutted Ad vectors are dependent on
helper virus contamination for stable gene transduction, we would
suggest that the use of an Ad
pol contaminant may be of benefit, for
the multiple reasons outlined in this report.
 |
ACKNOWLEDGMENTS |
We thank Samuel George's laboratory at Duke University for
assistance in the isolation of high-titer Ad vector preparations for
use in vivo and the University of Michigan Adenovirus Core Facility for
aliquots of the dl7001 and Adsub360lacZ viruses.
Support was provided to A.A. by an award to Duke University Medical
Center from the Howard Hughes Medical Institute under the Research
Resources Program for Medical Schools and from the Muscular Dystrophy
Association (USA) to J.S.C. M.A.H. was supported by a postdoctoral
fellowship from the Muscular Dystrophy Association.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Pediatrics, Division of Medical Genetics, Duke University Medical
Center, Box 2618 Medical Sciences Research Building, Rm. 101B, Durham, NC 27710. Phone: (919) 681-6356. Fax: (919) 684-2362. E-mail: amalf001{at}mc.duke.edu.
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