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Journal of Virology, August 1999, p. 6841-6851, Vol. 73, No. 8
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Neural Stem Cells as Engraftable Packaging Lines
Can Mediate Gene Delivery to Microglia: Evidence from Studying
Retroviral env-Related Neurodegeneration
William P.
Lynch,1,2,*
Arlene H.
Sharpe,3 and
Evan Y.
Snyder2,*
Department of Microbiology/Immunology, Northeastern Ohio
Universities College of Medicine, Rootstown, Ohio
44272,1 and Departments of Neurology
and Pediatrics, Children's Hospital and Harvard Medical
School,2 and Departments of
Pathology, Brigham and Women's Hospital and Harvard Medical
School,3 Boston, Massachusetts 02115
Received 6 January 1999/Accepted 12 April 1999
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ABSTRACT |
The induction of spongiform myeloencephalopathy by murine leukemia
viruses is mediated primarily by infection of central nervous system
(CNS) microglia. In this regard, we have previously shown that
CasBrE-induced disease requires late, rather than early, virus
replication events in microglial cells (W. P. Lynch et al., J. Virol. 70:8896-8907, 1996). Furthermore, neurodegeneration requires the presence of unique sequences within the viral
env gene. Thus, the neurodegeneration-inducing events could
result from microglial expression of retroviral envelope protein alone or from the interaction of envelope protein with other viral structural proteins in the virus assembly and maturation process. To distinguish between these possible mechanisms of disease induction, we engineered the engraftable neural stem cell line C17-2 into packaging/producer cells in order to deliver the neurovirulent CasBrE env gene
to endogenous CNS cells. This strategy resulted in significant CasBrE env expression within CNS microglia without the appearance
of replication competent virus. CasBrE envelope expression within microglia was accompanied by increased expression of activation markers
F4/80 and Mac-1 (CD11b) but failed to induce spongiform neurodegenerative changes. These results suggest that envelope expression alone within microglia is not sufficient to induce neurodegeneration. Rather, microglia-mediated disease appears to
require neurovirulent Env protein interaction with other viral proteins
during assembly or maturation. More broadly, the results presented here
prove the efficacy of a novel method by which neural stem cell biology
may be harnessed for genetically manipulating the CNS, not only for
studying neurodegeneration but also as a paradigm for the disseminated
distribution of retroviral vector-transduced genes.
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INTRODUCTION |
The simplest and best-defined model
for analyzing the details of retroviral neuropathogenesis resides in a
group of murine C-type leukemia viruses (MuLVs) that cause spongiform
neurodegeneration of motor system neurons from the neocortex through
the spinal cord (reviewed recently in reference 43).
The prototypic virus of this class is the ecotropic host range virus
referred to as CasBrE (1, 15). Genetic recombination
analyses indicate that the principal determinants of MuLV
neurovirulence map to the env gene (11, 41, 42,
63), which encodes the surface glycoprotein responsible for
binding and entry of retrovirus into cells. It has been widely proposed
that the gene product of env (the envelope protein) of
neurovirulent retroviruses may be directly toxic to the central nervous
system (CNS) (21, 22, 43, 62). However, indiscriminate
overexpression of env alone in the brains of susceptible mice is not sufficient to precipitate acute clinical or histopathologic disease (32). Induction of neurodegeneration requires late
retroviral replication events within host microglia, in particular
those events associated with envelope synthesis (32).
Hence, the study of retroviral pathogenesis has focused on the
infection of microglia. In vivo, microglial infection by CasBrE appears to result in the generation of unique Env proteins (10, 28, 30, 32). It remains unresolved, however, whether the microglial Env proteins themselves are directly neurotoxic, or whether
the synthesis and assembly of Env protein corrupts microglial function
and compromises neuronal survival from a loss of microglial support. To
investigate how retroviral interactions within microglia lead to
disrupted CNS function, we sought ways to genetically manipulate the
microglial compartment. Prior transgenic approaches to achieve either
global or cell-type-specific CNS CasBrE env expression have
been unsuccessful in approximating the expression associated with CNS
viral infection (22, 31a, 62). Furthermore, attempts to
genetically manipulate the microglial compartment by using bone marrow
chimeras have been hampered because of a very slow turnover of
parenchymal microglial cells (20, 24, 26). Virus-based
vectors offer a potential alternative for manipulating the microglial
compartment since they have been demonstrated to be effective vehicles
for the in vivo transfer of exogenous genes directly to endogenous
cells in the CNS (58). However, delivering genes of interest
to microglia throughout the brain is a challenge to viral vectorology
(49, 58). In fact, the relatively anatomically restricted
effectiveness of retrovirus- and, indeed, many virus-based vector
systems has been one of the obstacles to their broader use for
therapeutic gene transfer to the CNS. We recognized that surmounting
this limitation to answer our particular research question might
provide a method for improving the efficacy of viral vector-mediated
gene transfer for much broader applications.
Neural stem cells (NSCs) are immature, uncommitted cells that exist in
the developing and adult nervous system and are responsible for giving
rise to the vast array of more specialized neural cells of the CNS
(reviewed in references 33, 36, 39, 49, 57, 59, and
60). They are operationally defined by their ability to self-renew and to differentiate into cells of most (if not all)
neuronal and neuroglial lineages and to populate developing or
degenerating CNS regions. We previously demonstrated that migratory NSCs are well suited for gene therapy of broad regions of CNS because
they are easily expanded and genetically manipulated in culture and,
following transplantation into germinal zones, are integrated in a
cytoarchitecturally appropriate manner throughout the brain, where they
express the foreign genes. We have shown them to be capable of
delivering therapeutic gene products in a widely disseminated manner,
cross-correcting host neurons and glia by creating virtually chimeric
regions of the brain (25, 51, 54). Their facility to
distribute themselves extensively and disseminate foreign gene products
prompted us to use these NSCs in a somewhat unconventional manner. We
explored the possibility of engineering engraftable NSC clones into a
packaging/producer line for retroviral vectors in order to deliver the
env gene from a neurovirulent virus directly to host
microglial cells within the brain. In other words, we examined whether
NSCs, as packaging/producer cells, could serve as "platforms" for
the widespread dissemination of replication-incompetent foreign
gene-expressing viral vectors, just as they had for other diffusible
and nondiffusible factors.
The notion of transplanting packaging/producer cells (i.e., the cells
that provide the structural proteins for vector assembly) is not new;
however, their usefulness in vivo has been limited by the strong
propensity of the engineered fibroblast cell lines to become tumors in
transplant recipients (14, 52). That NSCs can participate in
the normal development of many regions at multiple stages along the
murine neuroaxis may provide the key to making an engraftable CNS gene
delivery system feasible.
Thus, the goals of our experimental approach were twofold. First, we
were interested in whether NSCs engineered into a retroviral packaging/producer line would make an efficient in vivo gene delivery system. Second, we wanted to test whether microglial expression of
env alone was sufficient to precipitate spongiform
neurodegeneration. We recognized that approaching this particular
problem as a proof of principle for a NSC-based strategy for
retrovirus-mediated transgene delivery was actually ideal. Because
microglia are not of neuroectodermal origin, nor can NSCs give rise to
microglia, expression of this index transgene (env) in these
cells would help rigorously prove host cell transduction via the
retrovirus and rule out misidentification of engineered donor-derived
cells as host cells.
We report that NSC-derived packaging cells can, indeed, act as in vivo
gene delivery systems. This technique helped demonstrate that
expression of env within microglia is insufficient to induce acute spongiform neurodegeneration, suggesting that defective retroviral assembly, rather than direct Env neurotoxicity, is the basis
for pathogenesis. In a broader context, we show that a clone of
migratory NSCs can be engineered ex vivo to package and release
replication-defective retroviral particles and that these engineered
NSCs, when transplanted into the brain, can serve as platforms for the
wider dissemination of these vectors in order to direct the transfer of
a desired gene to endogenous CNS host cells.
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MATERIALS AND METHODS |
Cells, plasmids, and viruses.
The C17-2 NSC line was derived
as previously described (47). In brief, neonatal mouse
cerebellar external germinal zone cells were infected with a defective
retrovirus vector encoding v-myc (transcribed from the long
terminal repeat [LTR]) and neo (transcribed from an
internal simian virus 40 [SV40] promoter) and selected in G418. The
resulting cells were then infected with a second retroviral vector,
BAG, encoding lacZ transcribed from the LTR and
neo transcribed from an internal SV40 promoter
(44). The first vector enabled these cells to grow in
culture indefinitely, while the second vector endowed the cells with
-galactosidase (
-Gal) expression as a genetic cellular marker
(50). These stable lacZ-expressing NSCs are free
of helper virus (47, 50).
Mus dunni fibroblasts were used for virus focus assays as
outlined previously (8), and replication-competent virus
stocks were generated in Fisher rat embryo cells.
The replication-defective, CasBrE env-encoding
CasE virus was made in PA317 cells (37) as
previously outlined (32), with viral titers of
105 to 106 per ml of culture supernatant. No
helper virus is present within these stocks.
All cells were grown in Dulbecco's modified Eagle medium (high
glucose) supplemented with 10% fetal bovine serum, glutamine, and
antibiotics (penicillin, streptomycin, and amphotericin B [Fungizone]).
The amphotropic packaging plasmid pPAM3 (Fig.
1A; a gift from A. D. Miller, Fred
Hutchinson Cancer Research Center) has been previously described
(37). Plasmid pPGKPuro (a gift from P. W. Laird,
University of Southern California) contains the puromycin resistance
gene encoding puromycin N-acetyltransferase under the control of the phosphoglycerate kinase (PGK) promoter, followed by PGK
polyadenylation sequences cloned into pBluescript SK+ (Stratagene) (Fig. 1B). The structure of the pCasE vector is shown in
Fig. 1C. The CasE vector was constructed by using the
defective Friend spleen focus-forming virus (SFFV)-based retroviral
vector pSFF (6) owing to the exceptional capacity of pSFF to
be packaged into viral particles. The CasE vector is also
efficiently packaged in retroviral particles and readily spreads in
amphotropic packaging cell culture by ping-pong transfer owing to the
presence of both an amphotropic env (encoded by pPAM3) and
an ecotropic env (encoded by pCasE)
(32). Thus, CasE viral vector spread occurs by
using whichever cellular receptors are not interfered with by
endogenous cellular env expression (23, 28).

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FIG. 1.
Vectors used for converting C17-2 NSCs to packaging
cells capable of delivering CasBrE env to target cells.
C17-2 cells were converted to a packaging cell line by transfection
with the packaging plasmid pPAM3 (A) developed by Miller and Buttimore
(37). This plasmid was constructed using a Moloney MuLV
genome from which the sequence had been deleted and the
pol-env region was exchanged for that of the 4070A
amphotropic virus (shaded) (38). In addition, the 3' LTR was
replaced with the SV40 polyadenylation site and viral sequences 5' of
the enhancers were deleted in the 5' LTR. The latter two modifications
were designed specifically reduce the likelihood that helper virus
would arise since it would require a minimum of two recombination
events. C17-2 cells containing pPAM3 were identified by selection for
puromycin resistance conferred by cotransfections with the selection
plasmid pPGKPuro (B), which encodes puromycin
N-acetyltransferase (dark rectangle) under control of the
PGK promoter followed by the PGK polyadenylation sequences. The CasBrE
env retroviral expression vector pCasE (C) was
constructed by introducing env into the pSFF vector
(6) at the multiple cloning site in order to maximize mRNA
packaging and protein expression. This vector, which is based on the
defective Friend SFFV, contains significant deletions (both engineered
and naturally occurring) in the gag, pol, and
env genes (6). These modifications result in a
failure to express normal viral proteins but allow both efficient
packaging of the vector RNA into particles and expression of exogenous
genes cloned into the polylinker site. (The possibility that the
gag region gave rise to truncated Gag-like polyprotein,
as reported for the defective SFFV parent [46], was
not investigated in this study). Plasmid vector backgrounds (gray
diagonal stripes) for the expression constructs A, B, and C, were
pBR322, pBluescript (Stratagene), and pSP64, respectively. SD, splice
donor; SA, splice acceptor.
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The marginally neurovirulent CasBrE virus, clone 15-1 (41),
was made in FRE cells. This virus was used as a positive control in the
virus titration and cell infection assays. The infection of C17-2 NSCs
with the replication-competent CasBrE virus (clone 15-1) was performed
as previously outlined (32). In some virus titration
experiments, the 4070A amphotropic virus (a gift from J. Cunningham,
Brigham and Women's Hospital and Harvard Medical School) was used as a
positive control for detecting amphotropic virus and morphology of foci.
Generation and characterization of NSC packaging/producer
cells.
The isolation, cloning, propagation, maintenance, and
transplantation of engraftable multipotent murine NSC clone C17-2 has been previously detailed (32, 45, 48-50, 53). To convert them to a packaging/producer line, subclones of C17-2 NSCs were cotransfected by electroporation using 20 µg of the amphotropic packaging plasmid pPAM3 (Fig. 1) along with 0.5 µg of the puromycin selection plasmid pPGKPuro at a molar ratio of 20:1, respectively. After 48 h, transfected cells were selected in puromycin (2 µg/ml), and isolated colonies were analyzed for expression of plasmid pPAM3 by examining the cell clones for cell surface amphotropic envelope glycoprotein coat (clone 4070A) expression by
immunocytochemistry (29) and fluorescence-activated cell
sorting (32). The 4070A envelope was detected by using the
Env protein-specific monoclonal antibody 83A25 (13), which
recognizes an epitope common to many murine retroviral Env proteins.
83A25-positive colonies were then screened for packaging ability by
assessing which colonies had packaged lacZ into infectious
virus particles. (As noted above, a provirus containing lacZ
was already integrated into the C17-2 genome [50].)
This screen was performed by a virus focus assay evaluating
-Gal
expression in target cells as previously reported [44]; however, in this instance, M. dunni
fibroblasts were used as naive targets. C17-2 clones indicative of
successful lacZ-viral vector packaging were then infected
with the CasBrE env gene encoding replication-defective
virus CasE at a multiplicity of infection of 1. CasBrE
env expression was assessed by immunohistochemistry using
monoclonal antibodies 667 and 697 (34).
env gene transfer by C17-2 packaging cells was assessed by
both an infectious center assay and a viral focus assay (see below). For the infectious center assay, packaging cells were irradiated with
2,000 rads and seeded at various dilutions along with M. dunni target cells at 105 M. dunni cells
per well of a TC-6 plate in the absence of Polybrene. Cells were grown
for 4 days, and cultures were scored for foci after fixation and
immunostaining for CasBrE env expression. Isolated single
env+ cells, likely representing irradiated C17-2
packaging cells, were not scored as foci. The number of foci detected
was compared to the number of packaging cells originally seeded and
expressed as a percentage of cells with gene transfer capability. This
number does not account for packaging cell losses that may have
resulted from the radiation treatment. Infectious center focus
morphology was also examined as a means for evaluating whether
recombinant helper virus appeared (see below).
The C17-2 NSC packaging subclones, particularly BA6 and
BA6-CasE, were examined prior to transplantation for the
presence of several neural cell type markers to assess grossly their
extent of differentiation in vitro due to the introduction of the
packaging vector. For immunocytochemical analyses performed as
previously described (29, 32, 48, 50), antibodies directed
against the following markers were used: nestin, for immature neural
progenitors and stem cells; 2',3'-cyclic nucleotide 3'-phosphohydrolase
(CNPase; Sternberger (Moncolonals, Inc.) and galactocerebroside
(Chemicon), for oligodendrocytes; neurofilament (Chemicon) and
neuron-specific enolase (Polysciences), for neurons and neuroblasts,
respectively; and glial fibrillary acidic protein (GFAP; Dako), for astrocytes.
Tests for replication-defective and replication-competent virus
production.
For detecting and quantitating cell-free virus
production from packaging cells, both in culture supernatant and in
transplanted brains, a focus assay (8) was used. Briefly,
105 M. dunni cells were seeded into each well of
a TC-6 plate (Linbro) and exposed overnight to either filtered
(0.2-µm-pore-size filter) undiluted or serially diluted 48-h
supernatants taken from freshly confluent C17-2 packaging lines or
serial diluted brain extracts (see below), in the presence of 8 µg of
Polybrene. The medium was changed, and M. dunni cells were
grown to confluence and then examined immunohistochemically for viral
foci, using antibodies reactive to either the 4070A amphotropic viral
coat (monoclonal antibody 83A25 [13]), the CasBrE Env
protein, encoded by CasE (monoclonal antibodies 667 and 697 [34]), or
-Gal (rabbit polyclonal antibody from
Cappel). Alternatively, BAG virus production was detected in a focus
assay using
5-bromo-4-chloro-3-indolyl-
-D-galactopyranoside (X-Gal)
histochemistry (44). As performed, the sensitivity of this
assay is 0.5 focus-forming unit (FFU)/ml of cell supernatant/brain extract.
To detect the generation of recombinant helper virus, two methods were
used. First, we performed the focus assay described above in duplicate,
with either monoclonal antibody 667/697 or monoclonal antibody 83A25,
and examined the morphology of the primary foci in detail. When
replication-competent virus is present, Env protein staining in the
foci is contiguous because secondary infection of surrounding
uninfected M. dunni cells occurs efficiently via
cell-to-cell contact as infected cells migrate. If
replication-defective virus is present, the initial infectious event is
terminal and the focus morphology is determined by the division and
cellular migration of the originally infected target M. dunni fibroblasts. Typically, M. dunni cells divide and
progeny cells migrate away from one another. At the same time, other
uninfected cells divide and move between them. Under these
circumstances, the foci are noncontiguous (see Fig. 3A and B) because
the initial infectious event has no means to spread to M. dunni cells with which they make contact in culture.
Serial supernatant passage was used as a second measure for the release
of helper virus from the C17-2 packaging cell clones. Specifically,
this assay used the supernatants taken from primary M. dunni
cell targets (i.e., cells that were exposed to undiluted BA6 and
BA6-CasE cell supernatants) once the target cells reach confluence and
before they are stained for foci. These secondary supernatants were
then incubated overnight with 105 naive M. dunni
targets in the presence of Polybrene (8 µg/ml). After a change of
medium, the secondary M. dunni target cells were cultured to
confluence in TC-6 plates and then examined for cellular expression of
either the amphotropic coat, CasBrE Env protein, or
-Gal or the
generation of neomycin-resistant colonies. M. dunni cells
examined for neomycin-resistant colonies were grown for 3 weeks in the
presence of 2 µg of G418 (approximately 50% active) per ml. The
sensitivity of the assay is 0.5 FFU/ml of secondary supernatant.
NSC transplantation into and analysis of engrafted mouse
brains.
Transplantation of the above-mentioned NSC subclones
(including BA6 and BA6-CasE packaging NSCs and 15-1-infected C17-2
NSCs) was done as previously described (32, 50, 53). All
mice used were inbred Rocky Mountain Laboratories White strain (IRW) mice, which are highly susceptible to the neurodegenerative effects of
CasBrE virus infection. Briefly, NSCs, maintained in culture as
detailed elsewhere (29, 32, 48, 50, 53), were trypsinized from a 90% confluent dish and resuspended in phosphate-buffered saline
at 5 × 104 cells/µl. On the day of birth, the
lateral ventricles of cryoanesthetized pups were visualized by
transillumination of the head; 2 µl of the cellular suspension (to
which 0.08% trypan blue was added to assess cell viability as well as
to localize the inoculum) was gently expelled via a glass micropipette
inserted transcutaneously into each ventricle (gaining access to the
subventricular zone). Pups were returned to maternal care until weaning.
Donor-derived cells were tentatively identified by their expression of
-Gal either by X-Gal histochemistry (50) or by an antibody directed against
-Gal (32). In addition, as
previously described (29, 32), engrafted brains were
analyzed immunocytochemically with antibody (83A25) reactive against
the 4070A amphotropic coat of the packaging vector (unique to
transplant-derived cells) and with antibodies (667B or 697) against the
protein encoded by CasBrE env (potentially detectable in
both donor-derived and host-derived cells).
The number and phenotype of host cells (lacZ negative)
expressing env was assessed immunocytochemically by
double-label immunofluorescence using antibodies directed against the
neural cell type-specific markers listed above. Microglia were
identified by using rat monoclonal antibodies directed to either Mac-1
(murine CD11b) (55) or F4/80 (2) or a rabbit
polyclonal antibody specifically directed to the F4/80 protein (gift
from S. Gordon, Oxford University) as described elsewhere
(18).
Engrafted brains were tested for the production of both defective virus
and replication-competent helper virus as described above. Brain
extracts were prepared by homogenizing freshly isolated transplant
brains in 10 volumes of 150 mM NaCl-50 mM Tris-HCl (pH 7.4)-0.1 mM
EDTA (pH 7.2) (TBS-EDTA) at 4°C (using 10 strokes of a Wheaton glass
homogenizer). Extracts were centrifuged a 10,000 × g
for 10 min at 4°C to remove nuclei and large cellular debris. The
resulting supernatants were used in virus detection assays as outlined
above. Alternatively, in some cases, serial 20-µm frozen sections
were taken and stained for detection of cellular engraftment, while
parallel sections were extracted in 50 µl of TBS-EDTA and tested for
the presence of virus. The sensitivity of these assay is 1 FFU/ml of
brain extract (approximately 4 FFU/brain), or 1 FFU/tissue section.
Brains were examined for histopathological changes by
hematoxylin-and-eosin staining of paraffin sections. In addition, Env protein localization was carried out in paraffin sections as outlined in reference 32 after antigen retrieval by steam
heating deparaffinized slides immersed in 10 mM citrate buffer (pH 6.0)
for 20 min.
Clinical neurological signs were assessed as outlined previously
(8-10, 31, 32, 41).
All animal experiments were carried out in accordance with federal
guidelines (39a) and in accordance with the Animal Care and
Use Committees at Harvard Medical School and Northeastern Ohio
Universities College of Medicine.
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RESULTS AND DISCUSSION |
Engineering NSCs into packaging lines.
One of the best-studied
models of NSC behavior is a clone designated C17-2. It is one of a
number of stable, self-renewing cellular clones originally derived from
neonatal mouse cerebellum but capable of participating in the normal
development of most CNS structures from fetus to adult upon
implantation into mouse CNS germinal zones. The cells differentiate
into neurons when transplanted into regions undergoing neurogenesis or
into glia where gliogenesis predominates (25, 32, 45, 48-50,
53). For detection, C17-2 cells constitutively and stably express
the lacZ reporter gene encoding
-Gal introduced by a
retroviral vector. Having been used successfully in a number of animal
models of neurologic disease, C17-2 cells have been useful for
illustrating the range of developmental potential and therapeutic
possibilities of NSCs for gene therapy and repair (25, 33, 45, 48,
52-54).
It had been previously established that clone C17-2 NSCs could be
infected in vitro with replication-defective retroviral vectors (e.g.,
for transducing genes for
-Gal, enzymes, and neurotrophins [25, 33, 49, 53]) as well as with
replication-competent retroviruses (32). These infections
did not diminish the ability of these NSCs to engraft and integrate
into the CNS parenchyma. Therefore, it seemed feasible to convert these
cells into engraftable in situ packaging/producer lines.
In the discussions that follow, to avoid confusion, we will be careful
to distinguish between procedures relevant to characterizing a
retroviral vector producer line and those that coincidentally happen to
look at env (the CasBrE retroviral surface glycoprotein) as
the foreign gene of interest in these studies.
An NSC-based retroviral packaging line was produced as outlined in
Materials and Methods by introducing the amphotropic packaging plasmid
pPAM3 (used previously to generate the PA317 fibroblast packaging cell
line [37]) (Fig. 1A) along with the selection plasmid
pPGKPuro (Fig. 1B) into C17-2 NSCs. Colonies were selected in
puromycin, and 48 clones that were immunopositive for the amphotropic coat by immunostaining with monoclonal antibody 83A25 (13)
were isolated. No significant difference in the level of coat
expression among clones was detected by fluorescence-activated cell
sorting (not shown).
These clones were then screened for the ability to package the
endogenous lacZ gene, which was originally introduced into NSCs by a retroviral vector at the time of their derivation from the
cerebellum (50). Eighteen pPAM3-transfected clones with packaging ability were identified. These clones expressed very low
-Gal virus titers of 100 to 102 FFU/ml. To
identify whether any of these clones could more efficiently package a
pSFF expression vector, the 18 clones were infected with
replication-defective CasE virus, which encodes the CasBrE
Env protein (Fig. 1C). The CasE vector was observed to
spread throughout the 18 C17-2 packaging cultures, most likely because
of incorporation of pCasE RNA into virions expressing both
amphotropic (4070A) and ecotropic (CasBrE) coats. Assessment of the
C17-2 NSC packaging cell clones ability to package and transfer the
gene of interest (env) to naive targets indicated that all
18 subclones packaged env into infectious viral particles
with titers of 102 to 104 FFU/ml. In
particular, one subclone, BA6, consistently and reproducibly transduced
CasBrE env with high efficiency, producing titers of 104 to 105 FFU/ml, even after extensive
passaging. Therefore, we concentrated our efforts on this subclone,
designated BA6-CasE.
To evaluate the ability of BA6-CasE to deliver
env by cell-to-cell contact (a more sensitive means for
identifying a cell's infectious potential), irradiated
BA6-CasE cells were evaluated by an infectious center assay
(see Materials and Methods). Of the BA6-CasE cells seeded,
31% ± 11% (n = 4) generated distinguishable foci. This result was indicative of successful delivery of virus to surrounding susceptible fibroblasts and suggested the potential of the
line to deliver genes in vivo. Attempts to subclone cells from the
BA6-CasE population did not yield lines with a
higher-efficiency env transduction. Both BA6 and
BA6-CasE cells were negative for the production of
replication-competent amphotrophic or recombinant CasBrE helper virus
when assayed by serial supernatant passage.
Interestingly, the BA6 and BA6-CasE cells packaged
lacZ at 100 to 102 FFU/ml even
though 80 to 100% of these cells constitutively express
-Gal from
an integrated provirus. This situation is akin to that noted previously
where C17-2 cells, infected with replication-competent virus, had
lacZ viral titers which were 2 to 3 logs lower than the
infecting virus titers (32). This phenomenon may reflects the relative levels of message for each vector. However, it may also
relate to (i) the ability of the CasE vector to more
efficiently ping-pong through the cultures as outlined previously
(28, 32) and/or (ii) the presence of gag sequences present in the CasE vector, which could increase
the efficiency of packaging (5). It is also possible that
over the extended passing of the C17-2 cells, the packaging sequences
in the integrated lacZ-encoding provirus mutated, rendering
the lacZ mRNA less suitable for viral packaging.
Fortuitously, this ability of the BA6 packaging line to efficiently
express
-Gal but inefficiently package lacZ-containing viral vectors allowed us to continue using this genetic marker for
tentatively identifying transplanted C17-2 cells, since the likelihood
that host target cells will be infected by lacZ-expressing virus, versus the env-containing virus CasE, is
comparatively low (i.e., 2 to 3 orders of magnitude minimally).
To assess whether the cellular and molecular derivation of BA6 and
BA6-CasE cells from C17-2 NSCs resulted in an alteration of
their progenitor-like phenotype, cells were examined
immunohistochemically for nestin expression. Both BA6 and
BA6-CasE cells expressed nestin at the same levels as the
parent C17-2 NSCs. In addition, proliferating cells were not
immunoreactive to antibodies against GFAP, galactocerebroside,
neurofilament, neuron-specific enolase, and CNPase, suggesting that
they maintained an immature, undifferentiated NSC/progenitor-like phenotype.
It should also be noted that the packaging NSC subclone BA6, into which
the env-encoding vector was transduced to make
BA6-CasE cells, was phenotypically indistinguishable from
BA6-CasE except for lacking the env-encoded
protein. In other words, BA6 packaging NSCs could in the future be
transfected with vectors encoding other cDNAs for different research
purposes. BA6 and BA6-CasE, as the best packaging and
transducing NSC subclones, were expanded and used for transplantation
into neonatal IRW mouse brains as outlined below.
Transplantation of packaging NSCs into the brains of IRW mice.
To control for the possibility that the BA6 NSC packaging cell line
(NSCs without the CasBrE env) could cause neuropathologic changes when engrafted into the brain, BA6 cells were introduced into
the lateral ventricles of newborn IRW mouse brains. The brains of 16 animals were examined for engraftment and for the induction of
spongiform neurodegeneration. Areas showing the most reproducible levels of engraftment in all mice examined were the forebrains and
olfactory bulbs (OBs) (Fig. 2A and B).
(Therefore, as in prior studies [32], for uniformity
across experiments, analyses focused on these regions.) To evaluate
whether there were any untoward effects in response to engrafted BA6
cells only, we examined transplanted mice daily for clinical neurologic
signs and examined brains for histopathology at 15, 18, 25, and 28 days
postimplantation (dpi) (n = 4 at each time point). No
clinical signs were noted through the course of these experiments, and
histopathologic analysis revealed no spongiform neurodegenerative
changes (not shown). Furthermore, no evidence of inflammation was
observed, nor was overt microglial or astrocytic activation detectable
by immunohistochemical staining for F4/80 or GFAP, respectively (not
shown). These results were in agreement with previous studies in our
laboratory which demonstrated that CNS expression of
replication-restricted retrovirus from C17-2 NSCs does not induce acute
neuropathologic changes in the brain (32).

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FIG. 2.
Engraftment of BA6 and BA6-CasE retroviral
vector packaging NSCs and associated expression in vivo of the foreign
gene of interest (env). (A and B) Low-magnification
micrographs of representative sections through the forebrain and OBs of
mice transplanted with either BA6 packaging NSCs (A, at 25 dpi) or
BA6-CasE packaging NSCs (B, at 31 dpi), the latter a
subclone of BA6 specifically engineered to package into
replication-incompetent retroviral vectors the index gene of interest,
env. The sections were processed with X-Gal histochemistry
to show donor-derived lacZ-expressing cells as blue
(arrowheads). (C and E to G) Immunostaining for the gene product
encoded by CasE (env) in the brains of mice
transplanted with BA6-CasE cells. (C) A frozen section from
the OB immunostained for env, using aminoethyl carbazole as
the chromogen (red, arrowheads), is representative of the intense and
widespread env expression observed in the OBs and forebrains
of BA6-CasE-transplanted animals. To assess the likelihood
that transplanted NSCs are delivering env to endogenous CNS
cells, panels D and E directly compare the distribution of
-Gal+ cells (32) with
env-expressing cells in adjacent paraffin sections from the
OB (subjected to antigen retrieval prior to immunohistochemistry using
antibody 697). Panel D demonstrates a rather restricted number of
-Gal+ cells (aminoethyl carbazole; red, arrowheads)
across the multiple layers of the OB. In comparison, env
expression (diaminobenzidine; brown-stained cells, arrowheads) in panel
E appears as intense immunoreactivity in practically all cells of the
glomerular layer (Gl), as well as a large number of cells in the
external plexiform (Epl) and granule layers (GrO), implying that the
engrafted NSC-derived packaging cells may successfully deliver the
index foreign gene, env, to host cells. Representative
env expression is also detected in cells of deep cortical
layers and corpus callosum in panel F and at higher magnification in
the septum in panel G (red, arrows), two CNS regions documented to be
susceptible to the neurodegenerative effects of the CasBrE virus
(10, 32) (see also Fig. 3). As seen particularly well in
panel G, the env-expressing cells in these regions are
highly ramified, a morphology characteristic of microglia, a cell type
of nonneuroectodermal origin. Immunostaining of sections corresponding
to those in panels F and G for -Gal expression failed to detect the
presence of -Gal+ donor derived NSCs (not shown).
Furthermore, most env+ tissue sections examined
in the septum and deep cortex actually had few if any detectable
-Gal+ cells (donor derived), further suggesting that the
env+ cells were of host rather than donor
origin. Magnifications: A and B, ×25; C, ×125; D to G, ×250.
|
|
BA6-CasE packaging NSCs were next similarly implanted into
neonatal mouse brains to determine whether they could deliver
significant levels of the retroviral vector-transduced gene
env to endogenous dividing cells. Therefore, the
distribution and phenotype of host (
-Gal-negative) cells expressing
env was assessed; alternatively stated, infected
env+ cells were examined to determine whether
they were
-Gal negative. In addition, we examined the animals
clinically and analyzed brain sections histopathologically as described
above. No clinical neurological signs were noted in any
BA6-CasE NSC-transplanted animals through the course of
these experiments (n = 20).
Examination of the brains at 14, 22, and 31 dpi (n = 4,
4, and 12, respectively) revealed X-Gal-positive, blue donor-derived cells in the rostral forebrain and OBs of all mice (Fig. 2B). In
contrast to the somewhat restricted distribution of X-Gal reactivity, immunostaining for the protein encoded by env was much more
widespread, including significant expression in the OB (Fig. 2C and E),
deep layers of the cerebral cortex and the corpus callosum (Fig. 2F), striatum, and septum (Fig. 2G).
When colocalization of env expression with
-Gal was
attempted via double immunostaining, very little
-Gal-positive
reactivity was observed in env+ cells,
suggesting that engrafted NSC-derived packaging cells may, indeed, have
successfully delivered the virally transduced foreign gene
env to host cells. This assessment was supported by the
representative data presented in Fig. 2 which demonstrated that the
extensive distribution of env expression was significantly broader than, and not restricted to, the typical distribution of
engrafted
-Gal-expressing (
-Gal+) packaging NSCs; for
example, in the OB, comparison can be made between the extent of
env immunoreactivity in Fig. 2E with the distribution of
donor-derived
-Gal immunoreactivity in Fig. 2D. In addition, certain
env+ tissue sections actually had few if any
detectable donor-derived cells; for example, sections corresponding to
those in Fig. 2F and G were immunonegative for
-Gal+ cells.
Although we believe that the dissociation between env and
-Gal expression represents endogenous CNS cells (defined by their
-Gal negativity) that were infected by the env-containing
vector released from transplanted NSCs, it is also possible that the appearance of such cells was due simply to down regulation of lacZ expression in engrafted BA6-CasE cells.
Although most (
80%) BA6-CasE packaging NSCs are
-gal+, it was still possible for some donor-derived
cells to be incorrectly identified as host cells if they were among the
few cells that failed to express
-Gal. Even looking at the
particular neural cell types expressing env would not be
compelling in this regard (colocalization of env with
various neuronal and glial markers was, indeed, detected). For example,
distinguishing between cells of host and donor origin in even an
extensively env-expressing region like the OB (Fig. 2C and
E) where postnatal neurogenesis persists is difficult because NSCs can
give rise to the neural cell types comprising this region
(49).
However, there was one instance where observing env
expression in a particular cell type would compellingly prove the
env transduction phenomenon. As seen particularly well in
Fig. 2G, the env-expressing cells in most regions are highly
ramified cells with a morphology and size characteristic of microglia.
Because microglia are not of neuroectodermal origin and C17-2 NSCs
cannot give rise to this bone marrow-derived cell type, expression of the transgene env in these cells would strongly suggest host
cell transduction by the transplanted BA6-CasE packaging NSCs and not misidentification of engineered donor-derived cells as host cells.
To prove unambiguously that this strategy for delivering foreign genes
to, and genetically manipulating, endogenous host cells in the CNS via
infection by transplanted packaging NSCs, we carried out rigorous cell
type analysis to determine whether the env+
cells, as seen in Fig. 2C and E to G, were microglia, a cell type which
must be host and not donor derived. Therefore, brain sections were
double immunostained for the protein encoded by env and the
microglial marker F4/80 (18, 40). The results (Fig.
3) clearly indicate the coincidence of
the two markers, indicating that env was transmitted to
microglia by the transplanted BA6-CasE packaging NSCs. In fact, outside
of the OB, we observed few env+ cells that did
not also stain with the F4/80 microglial marker.

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FIG. 3.
Localization of env expression within
microglia demonstrates that NSCs are capable of retrovirus-mediated
transgene delivery to host CNS cells. (A) Indirect immunofluorescent
staining for Env protein within the deep layers of the cerebral cortex
viewed through the fluorescein filter set (using biotinylated antibody
667). Note the highly arborized nature of these cells, characteristic
of a microglial phenotype. (B) The same section as in panel A stained
with the microglia-specific antibody rabbit anti-F4/80 as outlined
elsewhere (18) and viewed through the rhodamine filter set.
Note the colocalization of env and F4/80 in panels A and B,
respectively (arrowheads). (C) Region of the septum in which Env
protein (green) colocalizes with the microglial marker F4/80 (red) to
yield yellow cells (arrowheads), further suggesting that the
transplanted NSC packaging cells delivered the env gene to
endogenous host cells. Magnification bars: 50 µm.
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|
This result interestingly also highlights the particular susceptibility
of microglia to in vivo infection by murine retroviruses. What accounts
for this particular viral tropism is not known. However, in assessing
the CNS response to this microglial env expression we noted
that in the local regions where microglia were demonstrated to be
expressing env, there was an elevated expression of the
microglial antigens F4/80 and Mac-1 (CD11b) (Fig.
4) compared with control engrafted (BA6)
or unengrafted animals. These results suggest that CasBrE
env expression in microglia was inducing microglial
activation, a phenomenon believed by some to play a contributory role
in neuropathogenesis (12, 16, 35). However, we have
previously noted a dissociation between glial activation and the acute
induction of spongiform myeloencephalopathy by the highly neurovirulent
chimeric CasBrE virus FrCasE (10, 29, 31, 32).

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FIG. 4.
env expression in host microglia results in
local microglial activation. Microglial activation was compared between
BA6-CasE-transplanted (A and C) and control uninoculated (B
and D) mice at 31 days of age by immunostaining brain sections from the
striatum for the microglial markers F4/80 (A and B) and Mac-1 (CD11b)
(C and D), using rat monoclonal antibodies (2, 56). Note
that expression of both antigens is greater in this region of
engraftment than in control sections from the same brain region. This
elevated staining was observed only in areas where microglial
env expression was noted (see also Fig. 3B), as areas in the
BA6-CasE brains closely adjacent to those expressing
env showed no increased staining for F4/80 and Mac-1
compared with controls (not shown). Magnification bars: 40 µm.
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To rule out the possibility that microglial infection resulted from the
in vivo generation of a replication-competent virus, homogenates from
serial frozen engrafted brain sections or whole brain homogenates were
evaluated for the presence of replication-competent virus on M. dunni fibroblasts by serial supernatant passage (see Materials and
Methods). When the target cells were exposed to antibodies to detect
virus infection, only colonies with patterns consistent with defective
infection (noncontiguous cell staining) were evident (Fig.
5). Furthermore, passage of undiluted
supernatants from cultures like that shown in Fig. 5A onto additional
naive M. dunni targets failed to reveal the presence of
viral foci either by staining for viral Env antigens or
-Gal or by
selection for neomycin. These results support the conclusion that the
microglial expression of env was due to the delivery of the
env-encoding vector by transplanted BA6-CasE packaging NSCs
and not as a result of the emergence of a recombinant virus.

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FIG. 5.
Transplanted BA6-CasE packaging NSCs release defective
virus encoding env without helper virus. (A) Example of the
viral foci obtained after exposing naive M. dunni
fibroblasts to 10% CNS homogenate extract from a mouse transplanted
with the BA6-CasE packaging NSCs 7 days
posttransplantation. Note that abundant env+
cells (black) are not in contiguous distinct foci, like that observed
for a replication-competent 4070A amphotropic virus (C). Upon infection
with a replication-defective virus, dividing, immunoreactive cells
become separated due to cellular migration. Were these cells infected
by a replication-competent virus, they would deliver virus to naive
cells with which they make contact, as they migrate, to generate a
contiguous focus (C). Dilution of a BA6-CasE brain extracts reveals the
nature of a single virus focus (B). Again, note that the individual
env+ cells are separated from one another
(arrowheads) by uninfected cells, suggesting that the original
infectious event did not result from a replication-competent virus and
thus could not spread to adjacent dividing cells. Passage of
supernatants from cultures such as that shown in panel A onto
additional naive M. dunni fibroblasts failed to result in
the appearance of detectable foci. These data support the conclusion
that in vivo, NSCs continue to produce viral particles carrying the
transgene of interest without producing helper virus. Magnification
bars: A and C, 500 µm; B, 200 µm.
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|
Previous reports on retrovirus-induced spongiform neurodegeneration
suggested that microglial infection was directly associated with this
pathologic process (3, 4, 19, 28, 29, 31, 32) and that
env expression alone in the CNS might be sufficient for
inducing neurodegenerative changes (21, 22, 43, 61, 62).
Given that significant env expression was observed in
microglia after transplantation with BA6-CasE packaging
NSCs (Fig. 2F and G and 3), we evaluated engrafted mice for
histopathologic changes indicative of status spongiosis. Mice examined
at 22 (n = 4) and 31 (n = 12) dpi
showed no evidence of spongiform neurodegeneration in regions with
microglial env expression (Fig. 6A and
B). Whether this was influenced by the microglial activation noted is not known. However, this picture contrasted with the spongiosis noted in positive control mice transplanted with the complete neurovirulent, replication-competent 15-1 clone of the CasBrE virus (32, 41) wherein extensive pathology was noted by 14 days after transplantation of C17-2 cells
(Fig. 6C and D), and microglial activation was not detected (not
shown).

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FIG. 6.
env expression within host microglia as
mediated by engraftment of BA6-CasE packaging NSCs is not sufficient to
induce CNS spongiosis. (A) Representative hematoxylin-and-eosin-stained
section from the deep cerebral cortex of a BA6-CasE
packaging NSC-engrafted mouse. This section was taken from a region
where significant microglial expression of env was observed.
(B) Paraffin section from the cerebral cortex immunostained for
env-encoding protein after antigen retrieval (using antibody
697) and counterstained with hematoxylin. Note that no spongiform
neurodegenerative changes are observed by 31 days after engraftment of
NSCs in panel A or B despite abundant env expression in
microglia (B; arrows). (C and D) positive controls, demonstrating that
NSC-mediated infection with the complete, replication-competent
neurovirulent virus is capable of inducing neurodegeneration. A
hematoxylin-and-eosin-stained section (C) and Env-immunostained (brown)
and hematoxylin-counterstained section (D) show the same CNS regions
presented in panels A and B but from a mouse transplanted with C17-2
NSCs containing replication-competent CasBrE virus (clone 15-1) 17 days
posttransplantation. Note the abundant vacuolation (arrowheads)
associated with the presence of env expression within
microglia (arrows) (see also references 29, 32, and
43). Magnification bars: 50 µm.
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|
Therefore, with respect to our novel approach for exploring the
pathogenesis of spongiform myeloencephalopathy, we suggest that
expression of the CasBrE env gene alone within microglia is
not sufficient to mimic the neuropathogenic effects of the complete
neurovirulent retrovirus. It appears that env-encoded protein requires interaction with additional viral structural components to cause acute vacuolar neurodegeneration. Taken together with our previous studies, which demonstrated that in vivo CasBrE virus
binding and entry are also not sufficient to induce disease (32), the data suggest that retrovirus-induced CNS
pathogenesis involves an interaction between the env-encoded
protein and structural proteins from the late stages of viral
replication, perhaps in the virus assembly and maturation process.
In this regard, it has been demonstrated that assembly and release are,
indeed, defective in CasBrE-infected microglia in culture
(28). Specifically, we have observed that infected microglia fail to process the gpr85 envelope precursor protein to gp70 and p15E.
Associated with this defective processing, viral particles are observed
to bud errantly into intracellular compartments rather than from the
cell surface. It may be that the process of trying to assemble
retroviral particles in microglia by using improperly processed or
defective components alters microglial physiology to the point where
microglia either (i) release a neurotoxic factor or (ii) can no longer
adequately provide the support required for maintaining local neuronal homeostasis.
The results presented herein and previously (32) indicate
that CasBrE env expression alone is not sufficient to induce
acute spongiform neurodegeneration regardless of the cell type in which env is expressed. These results are in seeming contrast to
those generated in studies examining CasBrE (22) and
ts1 env expression in transgenic animals. In
these studies it was observed that animals harboring and expressing
mRNA from the respective env genes correlated with mild
clinical and neuropathological changes. However, it should be noted
that disease incidence was markedly reduced, and when it did appear it
had a time course much longer than that noted for infection with virus.
While it is possible that the mild phenotype observed in the transgenic
animals was the direct result of the limited env gene
expression noted in these animals, it is also possible that the lack of
acute disease was due to the lack of additional retroviral proteins. In
fact, given the extended time course of the transgenic experiments, it
is possible that endogenous expression of gag and
pol transcripts and protein could complement the transgenic
env expression without resulting in recombinant virus. Such
a possibility was not formally excluded in these experiments. Moreover,
we have previously documented that CasBrE-induced spongiform
neuropathology can arise acutely after postnatal day 10 (10,
30), and this pathology is directly associated with a small
number of virus infected microglial cells, in the absence of other
cellular infection (31). In the experiments described
herein, CasBrE env protein expression in microglia was not
significantly different from that noted in mice transplanted with the
"slow" 15-1 clone of CasBrE and was consistent with that previously
noted in microglial transplant experiments (31). Yet the
differences in the induction of pathology are striking. The possibility
that BA6-CasE C17-2 transplant recipients can develop neuropathological
changes at extended time points is moot given the caveats associated
with endogenous retroviral gene expression for which there are no
adequate controls. To clearly address the differences noted between the
transplant and transgenic studies, experiments involving microglial
coexpression of neurovirulent env and additional viral
structural constituents will need to be undertaken in order to
understand what precipitates acute disease.
We expect that dissecting the precise CasBrE viral assembly events that
occur in microglia and precipitate neural spongiform changes will
provide insight into understanding the molecular pathogenesis of other
CNS diseases of viral and nonviral origin. Of particular note are human
immunodeficiency virus-induced cognitive-motor complex, where
microglial infection appears to be critical for disease induction, and
prion diseases, where microglia have been implicated in the vacuolar
myeloencephalopathy associated with abnormal protease-resistant protein
assemblies (7). Analyses of these pathologies at the
molecular level should be facilitated by future experiments wherein
transplantable packaging NSCs are used to deliver to microglia,
individual or multiple retroviral or prion components, in a stepwise
fashion, to selectively reconstitute the infectious process in the brain.
In a much broader sense, particular note should be made of the approach
used to address these questions regarding neuropathogenesis. These data
support the hypothesis that engraftable, migratory NSCs may be
engineered ex vivo to serve as novel platforms for the effective
dissemination in vivo of replication-defective viral vectors and their
encoded genes directly to endogenous CNS host cells. The generation of
a viral packaging/producer cell line that can engraft and intercalate
into the CNS parenchyma provides a novel avenue for delivering genes
(therapeutic or otherwise) to relatively inaccessible sites within the
CNS. Certainly this strategy magnifies the often limited distribution
of retroviral vector-mediated gene transfer to the CNS and therefore
extends their applicability and efficacy for a much broader range of
research and clinical applications. Certainly, microglia and cells of
mesenchymal origin in the CNS can be targeted. This is of great
significance given that microglia appear to play a significant role in
a variety of genetic, sporadic, and infectious diseases (7, 12,
17, 35) and have been rather refractory to genetic manipulation due to their limited turnover in the mature CNS (24, 26,
27). Observations in the OB (a region of persistent postnatal
neurogenesis where env expression extended beyond donor cell
engraftment and colocalized with neuronal and glial markers) suggest
that dividing cells of neuroectodermal origin may also be targeted
(Fig. 2C and E). (Note in particular the intense env
immunoreactivity in all OB neuronal layers in Fig. 2C.) Thus, the
potential exists for manipulating multiple CNS cell types via the NSC
packaging cell strategy.
Regarding the genes of interest for transfer to the CNS, while
env was the index gene explored in these
feasibility/proof-of-principle experiments, the approach for making
packaging NSC lines transducing other types of genes (e.g., those
encoding neurotrophic or cytotoxic agents) to manipulate host cells for
other research or clinical demands would follow similar procedures,
with anticipated similar success. Although this work was done in the
postnatal mouse cerebrum, we anticipate that the same approach can be
applied where mitotic cells are prevalent in a given region of the
developing or adult CNS. In the fetus, such cells could be neuroblasts
in most regions of CNS; in the postnatal or adult brain, such cells
could include glia, microglia, endothelium, choroid, persistent centers
of neurogenesis, and even neoplastic cells. Therefore, the strategy
presented in this report may potentially be applicable to a wide
variety of therapies for both genetic and acquired disorders of the CNS.
Given that in the present study we used a second-generation murine
retrovirus packaging vector, pPAM3, as a starting point, it is likely
that the application of newer packaging plasmids will only further
enhance gene transfer efficacy to CNS cells. In particular, the
marriage of lentivirus-based vectors to NSCs should provide a means to
extensively target genes to nondividing as well as to dividing cells of
the CNS. Furthermore, NSCs may be amenable to delivering other types of
viral vectors that previously used producer cells of nonneural origin
(adeno-associated viral vectors, herpesvirus amplicon-augmented
vectors, etc.). In short, this approach may represent the interface
between two gene therapy strategies, virus-mediated and cell-mediated
gene delivery, maximizing the advantages of each (14, 49, 52,
58) and providing yet another strategy by which NSC biology may
be harnessed for genetically manipulating the CNS.
 |
ACKNOWLEDGMENTS |
Support for this work was provided in part by a grant from the
Amyotrophic Lateral Sclerosis Association and NINDS grant NS37614 to
W.P.L., NINDS grant NS31065 to A.H.S., and grants from NINDS (NS34247),
the American Paralysis Association, and the Paralyzed Veterans of
America to E.Y.S. Mental Retardation Research Center grant
NIH-P30-HD18655 to Children's Hospital also provided support for this project.
 |
FOOTNOTES |
*
Corresponding author. Mailing address for William P. Lynch: Department of Microbiology/Immunology, NEOUCOM, P.O. Box 95, 4209 State Rte. 44, Rootstown, OH 44272. Phone: (330) 325-6137. Fax: (330) 325-5914. E-mail: wonk{at}riker.neoucom.edu. Mailing
address for Evan Y. Snyder: Departments of Neurology and Pediatrics,
Children's Hospital, 300 Longwood Ave., 248 Enders Bldg.,
Boston, MA 02115. Phone: (617) 355-6277. Fax: (617) 738-1542. E-mail:
Snyder{at}A1.TCH.Harvard.Edu.
 |
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