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      Long-term gene expression and phenotypic correction using adeno-associated virus vectors in the mammalian brain.

      Nature genetics
      Adenoviruses, Human, physiology, Animals, Apomorphine, toxicity, Behavior, Animal, drug effects, Brain, metabolism, pathology, Corpus Striatum, Cytomegalovirus, genetics, Dependovirus, Gene Expression Regulation, Viral, Genes, Reporter, Genes, Synthetic, Genetic Therapy, Genetic Vectors, Helper Viruses, Humans, Male, Microinjections, Oxidopamine, Parkinson Disease, Secondary, chemically induced, therapy, Promoter Regions, Genetic, Rats, Rats, Sprague-Dawley, Recombinant Fusion Proteins, biosynthesis, Simian virus 40, Substantia Nigra, Transfection, Tyrosine 3-Monooxygenase, beta-Galactosidase

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          Abstract

          Adeno-associated viral (AAV) vectors are non-pathogenic, integrating DNA vectors in which all viral genes are removed and helper virus is completely eliminated. To evaluate this system in the post-mitotic cells of the brain, we found that an AAV vector containing the lacZ gene (AAVlac) resulted in expression of beta-galactosidase up to three months post-injection in vivo. A second vector expressing human tyrosine hydroxylase (AAVth) was injected into the denervated striatum of unilateral 6-hydroxydopamine-lesioned rats. Tyrosine hydroxylase (TH) immunoreactivity was detectable in striatal neurons and glia for up to four months and we also found significant behavioural recovery in lesioned rats treated with AAVth versus AAVlac controls. Safe and stable TH gene transfer into the denervated striatum may have potential for the genetic therapy of Parkinson's disease.

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          Characteristics of a Human Cell Line Transformed by DNA from Human Adenovirus Type 5

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            Stable in vivo expression of the cystic fibrosis transmembrane conductance regulator with an adeno-associated virus vector.

            Adeno-associated virus (AAV) vectors expressing the normal cystic fibrosis transmembrane conductance regulator (CFTR) cDNA complement the cystic fibrosis (CF) defect in vitro. Unlike other DNA virus vectors, AAV is a stably integrating virus, which could make possible long-term in vivo complementation of the CF defect in the airway epithelium. We report AAV-CFTR gene transfer and expression after infection of primary CF nasal polyp cells and after in vivo delivery of AAV-CFTR vector to one lobe of the rabbit lung through a fiberoptic bronchoscope. In the rabbit, vector DNA could be detected in the infected lobe up to 6 months after administration. A 26-amino acid polypeptide sequence unique to the recombinant AAV-CFTR protein was used to generate both oligonucleotide probes and a polyclonal antibody which allowed the unambiguous identification of vector RNA and CFTR protein expression. With these reagents, CFTR RNA and protein were detected in the airway epithelium of the infected lobe for up to 6 months after vector administration. AAV vectors do, therefore, efficiently promote in vivo gene transfer to the airway epithelium which is stable over several months. These findings indicate that AAV-CFTR vectors could potentially be very useful for gene therapy.
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              Transfer of a foreign gene into the brain using adenovirus vectors.

              The ability of a replication-deficient adenovirus vector to transfer a foreign gene into neural cells of adult rats in vivo has been analysed. A large number of neural cells (including neurons, astrocytes and ependymal cells) expressed an E. coli lacZ transgene for at least 45 days after inoculation of various brain areas. Injecting up to 3 x 10(5) pfu in 10 microliters did not result in any detectable cytopathic effects--these were only observed for very high titres of infection (> 10(7) pfu 10 microliters-1). Adenovirus vectors therefore appear to be a promising means for in vivo transfer of therapeutic genes into the central nervous system.
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