INTRODUCTION

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Recombinant retroviral vectors have found widespread use for gene delivery, both in vitro and in vivo. For human gene therapy it will be important to develop means of systemic application for in vivo transduction, requiring the ability to target gene expression at the levels of both restricted delivery and transcription. We are developing strategies for targeting tumor vasculature as an approach to cancer gene therapy, since tumor growth is dependent upon a blood supply and is associated with the switch to the angiogenic phenotype (20). Endothelial cells forming the tumor vasculature are suitable targets for cancer therapy due to the high ratio of dependent tumor cells to endothelial cells. Antiangiogenic drugs can slow tumor growth (24, 44), while angiostatin and endostatin, endogenous inhibitors of angiogenesis, can additionally cause tumor regression (6, 32, 33). The dependence on cell division for integration and expression when using murine retroviral vectors allows exploitation of the marked differential in the proliferation rates of tumor and uninvolved endothelial cells (11), providing one level of specificity. However, restriction of expression to the intended target cells is an essential consideration.

The U3 region of the murine leukemia virus (MLV) long terminal repeat (LTR) contains the enhancer and promoter for transcription of the integrated provirus from the 5' LTR. MLV enhancer function maps to a 75-bp direct repeat in U3, within which binding sites for six different nuclear factors have been identified (36). The promoter contains a CAAT box and TATA box. Most of the transcription factors involved are ubiquitously expressed, accounting for the lack of any marked cell specificity of the LTR (37), although replacement of U3 with that derived from related murine retroviruses can modify specificity (3, 10). Transcriptional targeting, however, necessitates expression of the transgene under the control of heterologous sequences.

Vector design may influence the function of heterologous control sequences (41). The majority of vectors in use incorporate selectable marker genes, often the neomycin resistance gene, although this can act as a transcriptional silencer (2). Many such vectors retain a functional LTR, often in order to express the marker gene, and this can give rise to poor coexpression due to transcriptional interference (15, 16). Attempts to address this problem have involved deletion of LTR enhancer and/or promoter sequences in the 3' LTR of the vector (8, 31, 45, 46), with this modification becoming duplicated at the 5' end in the integrated provirus to leave a single transcriptional unit driven by an internal promoter. Alternatively, the entire transgene expression cassette can be shielded from these sequences by insertion upstream of the LTR enhancer, in the "double-copy" strategy (22). A reduced level of transcriptional specificity of the tyrosinase promoter has been obtained from a retroviral vector retaining an intact LTR (41). However, since selection will not be appropriate for clinical application of systemically administered vectors, we decided to omit a selectable marker gene from our vectors, thus avoiding such problems. Moreover, characterization of vectors in vitro without selection will be a more meaningful reflection of their behavior in vivo.

The transcriptional activity of the LTR itself can be modified by addition of, or replacement with, heterologous enhancer and/or promoter sequences. Thus, replacement of the viral enhancer with that of a polyomavirus mutant selected to grow in embryonal carcinoma cells (normally restrictive for MLV LTR function) yielded a hybrid LTR that was functional in these cells (39). The strength of the myeloproliferative sarcoma virus LTR could also be improved severalfold by addition of the cytomegalovirus IE enhancer upstream of the viral enhancer (40). However, addition of the muscle creatine kinase enhancer between the viral enhancer and promoter resulted in differentiation-specific expression in myogenic cells but failed to block constitutive LTR function in some cells (18), while incorporation of lymphoid cell-specific enhancers failed to modify specificity (28). In contrast, replacement of the viral enhancer with the tyrosinase enhancer and promoter did lead to specific expression in melanoma cells (12, 42). In this study, we explore the potential for deriving hybrid LTR retroviral vectors with endothelial cell transcriptional specificity, in the absence of selectable markers, by using the promoter for the human prepro-endothelin-1 (ppET1) gene.

	MATERIALS AND METHODS

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Cell lines. NIH 3T3 (murine fibroblasts), CPAE (calf pulmonary artery endothelial cells), and PAE (porcine aorta endothelial cells) cells and the human cell lines TE671 (rhabdomyosarcoma), HT1080 (fibrosarcoma), ECV304 (human umbilical vein endothelial cell [HUVEC] derived), and EAhy926 (HUVEC derived, by fusion with A549 lung carcinoma cells) were maintained in Dulbecco modified Eagle medium supplemented with 10% fetal calf serum. FLY-A13 (9) and TE-FLY-A8 (9a) amphotropic retroviral packaging cell lines were similarly maintained. HMEC-1 (simian virus 40 T-antigen-transformed human dermal microvascular endothelial cells) (1) were maintained in microvascular endothelial cell growth medium (Clonetics Corp., obtained from TCS Biologicals). Primary breast microvascular endothelial cells (a kind gift from C. Clarke and M. O'Hare, University College London) were obtained by selection with the antibody Q-BEND/40 attached to magnetic beads and were maintained as for HMEC-1; the cells were stained with CD31 for fluorescence-activated cell sorter analysis at passage 5, confirming the retention of this endothelial cell marker. HMEC-1 and EAhy926 were similarly confirmed to be positive for CD31 expression, while TE671, HT1080, and ECV304 were negative.

Cloning of the human ppET1 promoter region. ppET1 promoter sequences were obtained following PCR amplification from genomic DNA prepared from a human lymphoblastoid cell line. Two regions were amplified: positions 177 to +33 and positions 177 to +158. Numbering is based on EMBL database entry HSETN1 (27). The forward primer (ETP5; see Fig. 1) was 5'-GCGAGATCTGCCTCTGAAGTTAGCAGTG, incorporating a BglII restriction site; the reverse primers were 5'-GCAGGATCCGTTCGCCTGGCGCAGATG (ETP3A) and 5'-AAAGGGATCCTTCAGCCCAAGTGCCC (ETP3B), incorporating BamHI restriction sites. PCR conditions were 30 cycles of 30 s at 94°C, 1 min at 60°C, and 30 s at 72°C. Amplified products were digested with BglII and BamHI before being cloned into these sites in pSP72 (Promega). DNA sequencing confirmed the nature of the cloned promoter regions, matching the reported sequence (25). To confirm the function of the cloned regions, the BglII-BamHI fragments were cloned into the BamHI site of the reporter vector pGCAT-C (21). Transient transfection verified orientation-dependent promoter function in CPAE cells but not 3T3 cells when expression of chloramphenicol acetyltransferase was assayed by an enzyme-linked immunosorbent assay (Boehringer Mannheim) (data not shown).

Retroviral vector construction with a hybrid ppET1/LTR promoter. Plasmid pBN, containing a neomycin resistance (Neo^r) cassette and a single MLV LTR with a 3'-flanking NotI restriction site, was derived by partial deletion of sequences between the PstI sites in pBabeNeo (29). The multiple-cloning site was subsequently destroyed by digestion with BamHI and SalI, end repair with Klenow polymerase, and religation. The 5.5-kb NheI fragment from pMFGnlslacz (19) was inserted into the unique NheI site to create pNeoMFGnlslacz, equivalent to pMFGnlslacz but possessing a simian virus 40 Neo^r cassette on the same plasmid, outside of the retroviral transcription unit, and with the 3'-flanking NotI site to facilitate the exchange of 3' LTR sequences.

Retroviral vector construction with an internal ppET1 promoter. Plasmid pMB, lacking the 3' LTR enhancer, was derived following double digestion and religation to delete the 267-bp sequence between the NheI and XbaI sites of the 3' LTR of pMB. The latter is a derivative of pBabePuro (29) that was obtained by replacing sequences between the BamHI site and the SstI site in the 3' LTR (encompassing the puromycin selection cassette and the majority of U3) with myeloproliferative sarcoma virus U3 sequences from pMPSV (35).

Recombinant retroviral vectors. The packaging cell line FLY-A13 (9) was used to generate recombinant retroviral vectors following CaPO₄-mediated transfection of plasmid DNA. For vectors constructed in the pMB backbone, the plasmid pSV₂neo was cotransfected at a molar ratio of 0.1. Stable transfectants were selected in 1.2 mg of G418 per ml. Virus was harvested following overnight incubation of confluent monolayers in fresh medium and filtered (0.45-µm-pore-size filter). Target cells were infected with serial dilutions of virus in the presence of 8 µg of Polybrene per ml for 4 to 6 h. The culture medium was changed and the cells were histochemically stained 2 to 3 days later with 5-bromo-4-chloro-3-indolyl--D-galactopyranoside (X-Gal). ELH5.10, a high-titer clone of the ppET1/LTR hybrid 5 construct, was obtained from TE-FLY-A8 packaging cells (a TE671-based equivalent of FLY-A13): following transfection and selection in 1 mg of G418 per ml, the clone with the highest titer on PAE cells was chosen. TELCeB6AF (9), a TE671-based MFGnlslacz virus producer clone, was used as a control. Since medium conditioned by virus producer cells can contain factors (such as chondroitin sulfate) that are inhibitory for retroviral infection (26), care was taken to ensure that titers were determined from the virus concentrations at which the infection efficiency titrated linearly.

Analysis of proviruses in transduced cells. For confirmation of transduction, cells were lysed 5 days after infection in 50 mM Tris-HCl (pH 8.5)-1 mM EDTA-0.5% Tween 20-200 µg of proteinase K per ml. Lysates were subjected to PCR with primers 5'-GCACATGGCTGAATATCGACGG (beginning 78 bp 5' of the EcoRI site within lacZ) and 5'-GCTTCAGCTGGTGATATTGTTGAG (spanning the PvuII site in the retrovirus backbone 3' of the inserted lacZ gene). PCR conditions were 35 cycles of 30 s at 94°C, 1 min at 60°C, and 1 min at 72°C. Primers specific for human glyceraldehyde-3-phosphate dehydrogenase (GAPDH) or porcine cytochrome oxidase (34) were used as controls for DNA quantification. Amplification with primer 5'-GGCAAGCTAGCTTAAGTAACGCC, matching the LTR downstream of the NheI site, or ETP5Nhe, matching the 5' end of the ppET1 promoter, with the reverse primer 5'-GTTCCGAACTCGTCAGTTCCACC, matching part of the packaging sequence downstream of the 5' LTR, was used to verify duplication of the enhancer deletion or hybrid construction for ETP-I and ETP/LTR hybrid 5, respectively.

Reverse transcription-PCR (RT-PCR) to determine endogenous expression of ppET-1. Total RNA was extracted from cells at subconfluence by using the RNeasy kit (Qiagen) and digested with DNase I (5 U/30 µg of RNA; Promega). Following phenol-chloroform extraction and ethanol precipitation, 1 µg of RNA was reverse transcribed with oligo(dT) primer and 20 U of MLV reverse transcriptase for 1.5 h at 42°C. The resultant cDNA was heat denatured, and 5 µl (from an initial 30 µl reaction) was used for PCR. To determine endogenous expression from the endothelial cell-specific promoter, the forward and reverse primers were 5'-TACTTCTGCCACCTGGACATC and 5'-TGCTTGGCAAAAATTCCAGC, respectively (amplifying between positions +447 to +630). PCR conditions were 40 cycles of 1 min at 96°C, 1 min at 52°C, and 1 min at 72°C. To determine expression from a second upstream promoter, functional in some nonendothelial cells (4), the forward primer was 5'-TGTTTACCCCCACTCTAATA and the annealing temperature was 55°C (amplifying between positions 60 and +630). As a control, GAPDH sequences were amplified with primers 5'-TGGATATTGTTGCGATCAATGCC and 5'-GATGGCATGGACTGTGGTCATG, using a program of 1 min at 96°C, 30 s at 65°C, and 1 min at 68°C.

Determination of -galactosidase expression. -Galactosidase activity in cell lysates was determined by a quantitative photometric assay (17). Cells in 24-well plates were infected with 50 µl of virus (ELH5.10 or the control virus without LTR modification) for 4 h, as above. At 3 days later, the cells were washed in phosphate-buffered saline and lysed in 350 µl of 250 mM Tris-HCl (pH 8.0)-0.1% Triton X-100. Lysates were stored at 80°C. To determine the amounts of -galactosidase, 50-µl volumes of lysates and dilutions were combined with 50 µl of phosphate-buffered saline-0.5% bovine serum albumin and 150 µl of 60 mM Na₂HPO₄ (pH 8.0)-1 mM MgSO₄-10 mM KCl-50 mM -mercaptoethanol-0.1% CPRG (chlorophenol red galactopyranoside; Boehringer). After light-protected incubation at room temperature, absorption at 570 nm was measured and converted to picograms of -galactosidase by using a standard curve obtained with purified enzyme (Sigma).

Confirmation of the transcription start site. The start site for transcription from the wild-type and hybrid LTRs was determined by using RNA from PAE cells infected with ELH5.10 or control viruses. Total RNA was made with the RNeasy kit (Qiagen). A 2-µg sample of RNA was reverse transcribed with a primer specific for MLV bases 492 to 471, and the 5' cDNA end was amplified with a 5'/3' rapid amplification of cDNA ends (RACE) kit (Boehringer Mannheim). Two rounds of PCR were performed with the supplied anchor primer and primers specific for MLV bases 469 to 448 (first round) and 342 to 320 (second round). First-round PCR conditions were 40 cycles of 30 s at 94°C, 1 min at 60°C, and 1 min at 72°C; the second round of PCR used an annealing temperature of 65°C. The PCR product was purified and sequenced with the MLV-specific primer.

	RESULTS

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Cloning of ppET1 promoter sequences. Two previous studies of sequences required for ppET1 promoter function in endothelial cells, using transient-transfection assays, reported specificity associated with sequences from positions 143 to +165 (27) and from 141 to +145 (43). A similar region (177 to +158), as well as one with less downstream sequence (177 to +33), was amplified by PCR from human genomic DNA (Fig. 1). Both promoter regions were used to generate retroviral vectors from pMB (see below), with expression in the forward orientation (i.e., 5' to 3' with respect to the viral sequences). Viruses from bulk populations of stable packaging-cell transfectants led to expression in CPAE and PAE cells but not several other target cells, including TE671. Since both promoter regions functioned equivalently, only the shorter was used in the experiments discussed below. All constructs used expression of nucleus-localized -galactosidase (nlslacz) as a reporter.

View larger version (10K): [in this window] [in a new window]   FIG. 1.   Schematic representation of DNA sequences around the transcription start site of the human ppET1 gene. Nucleotides are numbered with reference to the transcription start site at +1. Transcribed sequences are boxed: the untranslated 5' leader (hatched box), the start of the coding sequence (solid) of exon 1, and the start of intron 1. The translation initiation codon is at +269. Deletion analysis of promoter activity showed that sequences between 141 and +145 gave endothelial cell specificity in transfected cell lines. Promoter function requires the presence of binding sites for GATA-2 and for AP-1. Both CAAT and TATA boxes are present. The positions of oligonucleotide primers for PCR are indicated below the diagram; these were designed with linker restriction sites, as indicated (refer to the text). Primer pair ETP5-ETP3A or ETP5-ETP3B generated promoter fragments 177 to +33 and 177 to +158, respectively. Primer ETP5 was used with ETP3A or ETP3TATA to generate ETP/LTR hybrids.

Retroviral vector design for use of hybrid ppET1/LTR promoters. A series of vectors was made to examine the potential for incorporating ppET1 promoter sequences within the viral LTR. Modifications were made in the 3' LTR so that they would be duplicated in the 5' LTR of the provirus for expression of the reporter gene. The tyrosinase enhancer and promoter have previously been successfully inserted in the viral LTR, replacing the viral enhancer (42). We similarly inserted the ppET1 promoter between the NheI and XbaI sites flanking the viral enhancer (ETP/LTR hybrid 1; Fig. 2). However, we reasoned that this construct was potentially suboptimal in three respects. First, residual expression from the viral promoter due to incomplete removal of transcription regulatory sequences could compromise specificity. Second, when the transcriptional start site associated with the inserted promoter is placed a significant distance upstream of the viral polyadenylation sequences in the R region of the 5' LTR, premature termination of transcription could result; this is usually silent due to the proximity of the viral start site and 5' polyadenylation site and/or lack of upstream RNA sequences at the 5' end of the viral transcript. Third, translation of a transcript with such a long leader may be inefficient.

View larger version (15K): [in this window] [in a new window]   FIG. 2.   Vectors with hybrid ppET1/LTR promoters. The proviral forms, after transduction, of the vectors ppET1/LTR hybrids 1, 3, and 5 are illustrated, along with the control vector MFGnlslacz (derived from pNeoMFGnlslacz). In the three hybrids, variable amounts of the viral enhancer and promoter within U3 are replaced with ppET1 promoter sequence (solid). Cross-hatched boxes indicate enhancer and R regions of the viral LTR. The NheI, XbaI, and SstI restriction sites used during construction are indicated. Modifications were initially engineered in the 3' LTR and duplicated at the 5' LTR during RT. Also indicated are the starts of the expected transcripts, including potential transcripts from the residual viral promoter in hybrids 1 and 3. Average vector titers from four independent experiments, obtained following infection of PAE, 3T3, and TE671 cells and histochemical staining for -galactosidase, are given as CFU per milliliter. The limit of detection in this assay was 200 CFU/ml for 3T3 and TE671 cells and 20 CFU/ml for PAE cells.

Retroviral vector design for use of the internal ppET1 promoter. For comparison, vectors with an internal promoter in a vector with the 3' LTR enhancer deleted were constructed in both forward (ETP-I) and reverse (ETPrev) orientations (Fig. 3). Both vectors gave lacZ titers for PAE cells, while the presence of an internal ppET1 promoter abolished residual LTR activity in 3T3 and TE671 cells. This is most probably because the ppET1 promoter, which is nonfunctional in these cells, overrides the disabled enhancerless LTR.

View larger version (10K): [in this window] [in a new window]   FIG. 3.   Vectors incorporating an internal ppET1 promoter. The proviral forms of the vectors ETP-I and ETPrev are illustrated, along with control vector MB. All have LTR enhancer deletions, initially engineered in the 3' LTR and duplicated at the 5' LTR during RT. The ppET1 promoter is represented by the solid box. ETPrev additionally has an internal poly(A) site. Also indicated are the expected transcripts. Average vector titers from three independent experiments are given as CFU per milliliter. See also the legend to Fig. 2.

PCR analysis of transduced target cells. Transduced target cells were lysed and used for PCR amplification of a specific lacZ/vector junction fragment to confirm transduction of both PAE and TE671 target cells (Fig. 4A), consistent with the cell type differences in functional titer (lacZ CFU per milliliter) being due to transcriptional specificity. Estimates based on a twofold serial dilution of the control vector indicated that the transduction efficiency for each of the modified vectors was reduced up to 10-fold on both PAE cells (Fig. 4B) and TE671 cells (data not shown). The reduced lacZ titer on PAE cells appears to be due in large part to reduced virus production, as a consequence of the LTR modification, although there may be an additional component due to reduced promoter function (e.g., hybrid 3).

View larger version (37K): [in this window] [in a new window]   FIG. 4.   PCR analysis of transduced target PAE and TE671 cells. Cell lysates were used to amplify a ~500-bp lacZ/vector junction region to detect the presence of integrated proviruses (LacZ). The product is slightly larger for ETP-I due to differences at the cloning site. The lower panels show controls for DNA quantification in the PCR, i.e., human GAPDH or porcine cytochrome oxidase, as appropriate. (A) PAE and TE671 cells were infected with MFGnlslacz control (lane C) or ETP/LTR hybrid 1, 3, and 5 viruses. Lane  contains uninfected controls. (B) PAE cells were infected with MFGnlslacz, ETP-I, and ETP/LTR hybrid viruses, diluted as shown. As is evident from the dilution series for MFGnlslacz, transduction is initially nonlinear, and so quantitation should be estimated from the 1:10-diluted viruses.

Endothelial cell specificity of expression from ETP/LTR hybrid 5. From the foregoing experiments, vector ETP/LTR hybrid 5 was chosen for further analysis. The producer cell clone with the highest lacZ titer on PAE cells was named ELH5.10 (for "ETP/LTR hybrid 5, clone 10"). Virus titers and -galactosidase enzyme activities of transduced cells were measured for a panel of six human target cells. RT-PCR was used to determine the status of endogenous ppET-1 promoter function in these cells in order to assess how well this specificity was reproduced by the vector (Fig. 5). Specificity for ppET-1 and not ppET-2 or ppET-3 was also provided by the primers used. Moreover, recent studies have shown that a second, upstream promoter can lead to expression of ppET-1 sequences in nonendothelial cells (4). A second primer pair was used to assess expression from the upstream promoter to avoid misinterpreting the RT-PCR results. The endothelial cell-specific promoter was active in the cell line HMEC-1 and the primary breast microvascular endothelial cells but not in ECV304, HT1080, and TE671 cells.

View larger version (40K): [in this window] [in a new window]   FIG. 5.   Endogenous expression from the ppET-1 promoter. RNA from human target cells, including primary endothelial cells (Primary EC), was isolated and used to amplify regions of the ppET-1 cDNA (+447 to +630), the cDNA derived from the upstream promoter (60 to +630, based on the same numbering system relative to the endothelial cell-specific transcript [Fig. 1]), or the GAPDH cDNA as a control. Detection of 60 to +630 is more sensitive than of +447 to +630 (compare HT1080 products). Consequently, while it is evident that the ppET-1 promoter is active in HMEC-1 and primary endothelial cells, the +447 to +630 product for EAhy926 cannot be interpreted as such due to the activity of the upstream promoter in these cells.

View larger version (25K): [in this window] [in a new window]   FIG. 6.   Endothelial cell specificity of expression from ETP/LTR hybrid 5. PAE, 3T3, and a panel of six human cell lines, including primary endothelial cells (Primary EC), were infected with virus ELH5.10 for titer determination by histochemical staining or for determination of -galactosidase enzyme activities. The MFGnlslacz control virus was used in parallel. Three independent virus harvests of ELH5.10 were used. For each target cell, the titer of ELH5.10 relative to the control (A) or the -galactosidase activity normalized to account for the variation in intrinsic infectability of the different target cells (B) is shown. (A) The relative titres are expressed as a percentage of that displayed on PAE cells in order to normalize variations in the absolute titers of the different harvests. Data shown are the mean and standard error of nine determinations. (B) Levels of expression per transduced cell for each cell target following infection with ELH5.10 (but see the text for a discussion of absolute values). Data shown are the mean and standard error of six (HT1080, EAhy926, and HMEC-1 cells) or nine (PAE, TE671, and 3T3 cells) determinations. The mean activity of the control virus in PAE cells was 0.8 pg/cell. Control virus titers were of the order of 107 CFU/ml for TE671 and 3T3 cells, 106 CFU/ml for HT1080, EAhy926, and PAE cells, 105 CFU/ml for ECV304 and HMEC-1 cells, and 104 CFU/ml for primary endothelial cells.

View larger version (44K): [in this window] [in a new window]   FIG. 7.   Detection of intact provirus. DNA from TE671 cells infected with two preparations of ELH5.10 (lanes 1 and 2) was digested with NheI. Southern blot analysis detected the 5.3-kb fragment expected for the intact provirus. The fragment is slightly smaller than that for the unmodified vector (lane 3) due to the nature of the LTR modification.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

In considering retroviral vector designs for tissue-specific expression of therapeutic genes, we elected to avoid the presence of a functional LTR in the integrated provirus of the target cell, since this can lead to transcriptional interference. Similarly, optimal vectors will also avoid the use of an additional promoter for selectable-marker expression. Moreover, since selection is not applicable to a therapeutic protocol for in vivo gene therapy, we decided to omit any such gene. Although lack of a means of selection has attendant difficulties in terms of in vitro manipulation and evaluation, we reasoned that simplicity of design was likely to be valuable in terms of efficacy. Also, without the potential for selection to bias expression, the performance of such vectors in vivo will be more accurately reflected in vitro. In this important respect our study differs from previous studies in which regulatory sequences were incorporated into retroviral vectors.

The approach taken was to incorporate ppET1 promoter sequences into the LTR to generate hybrid promoters, as has been done previously with tyrosinase regulatory regions (12, 42). However, the construction most extensively studied in this work (hybrid 5) differs from any previously described. Sequences preceding the ppET1 TATA box were fused with the viral TATA box, eliminating all other viral transcription regulatory sequences and maintaining the spacing between CAAT and TATA boxes as in the ppET1 promoter. This resulted in initiation of transcription at the viral start site at the beginning of R identical to that obtained from the unmodified LTR. The MFG vector design employs a splicing mechanism to optimize translation efficiency (14), which is retained in the hybrid.

The hybrid promoter showed a 10-fold preferential expression in PAE and HMEC-1 cells compared to nonendothelial cells. Relative to a control vector used to correct for the widely varying infectabilities of the target cells, functional titers determined by measurement of -galactosidase expression were similarly 10-fold higher for endothelial cells, including human primary breast microvascular endothelial cells. Vector specificity correlated with the endogenous activity of the ppET-1 promoter. However, it is apparent that the promoter activity of the hybrid was diminished compared to the unmodified LTR (Fig. 6). Additionally, the LTR modification resulted in some loss of vector titer.

We sought to incorporate sequences directing endothelial cell-specific expression within recombinant retroviral vectors because of our interest in developing a gene therapy approach to modify tumor vasculature. In the present study, we used the characterized promoter region of the human ppET1 gene (27, 43), which is small and of simple organization. ppET1 is expressed in large-vessel and microvascular endothelial cells (7). However, its expression is not entirely endothelial cell restricted: it is additionally expressed in renal and pulmonary epithelium, and, at least for the latter, expression in vitro is controlled by the same promoter region (38). Transgene expression controlled by the murine ppET1 promoter shows a similar pattern (23). More recently, a number of promoters for human genes whose expression is specifically upregulated during angiogenesis have been described and may afford greater potential. In particular, expression of KDR/flk-1, flt-1, and tie is induced on endothelial cells within human and experimental tumors (30). Such regulatory sequences may enable further improvements to give tightly restricted expression of genes in the tumor vasculature.