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1 From the Departments of Ophthalmology, 2 Pharmacology, and 3 Chemistry, University of Washington, Seattle.
| Abstract |
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METHODS. Recombinant (r)BVs carrying fluorescent protein (FP) cDNA under the control of cytomegalovirus (CMV) immediate early promoter were constructed. Initially, cultured HEK293 and ARPE19 cells were infected with these rBVs and analyzed for efficiency and stability of transgene expression. The rBV-CMV green (G)FP was also injected into the intravitreal and subretinal space of mouse eye. Mice were periodically analyzed to determine the efficiency and stability of expression by histologic examination under fluorescence microscopy. The effect of rBV-CMV-GFP on the physiology of the retina was analyzed by electroretinography.
RESULTS. cDNAs encoding fluorescent proteins were efficiently transduced in HEK293 and ARPE19 cells in vitro. GFP expression in vivo was observed exclusively in retinal pigment epithelial (RPE) cells after subretinal injections. Intravitreal injections of rBV resulted in GFP expression in the corneal endothelium, lens, RPE, and retina. GFP expression was observed for up to 14 days after injection. The infiltration of macrophages, observed 2 days after injection in the area of GFP transduction, had dissipated by day 8 after injection. No alteration in ERG responses was observed 6 weeks after injection of rBV-CMV-GFP.
CONCLUSIONS. BV efficiently transduces cultured RPE cells and many cell types in vivo in the eye, including endothelial, epithelial, and neuronal cells. BV may be a useful vector for transferring genes in cultured cells and in vivo into ocular tissue.
| Introduction |
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The ideal vector for gene therapy should have low toxicity and high
transduction efficiency, confer stable expression of the transgene,
have the capacity to carry large inserts, and be safe to handle in a
laboratory setting. Multiple viral and nonviral vectors have been
investigated for gene therapy (for review see Refs.
1
2
). Recombinant adeno-associated viruses (AAVs),
retroviruses, adenoviruses (AVs), and herpes virus are the most
extensively studied viral vectors. Some of these vectors are capable of
transferring genes into the retina (rAAV, rAV, lentivirus, and herpes
virus).3
4
5
6
7
8
9
10
11
rAAV is the most promising of these viral
vectors, due to its apparent stability, efficiency, and safety.
The major limitation of rAAV is the size of the transgene that can be
packaged in the virus (
4 kb). This excludes larger gene cassettes
that may contain either multiple genes or large promoters.
One vector that has not been previously investigated in ocular tissue is baculovirus (BV). The double-stranded DNA BV has been investigated as a candidate vector for gene therapy in other organ systems. BV does not cause human diseases and has been extensively studied for its potential utility in insect pest control and, more recently, to overexpress recombinant proteins in vitro.12 Volkman and Goldsmith were the first to report the entry of BV in vertebrate cells (nonpermissive cells), by identifying nucleocapsids in cytoplasmic vacuoles of infected mammalian cell, but not in the nucleus.13 BV enters nondividing mammalian cells by endocytosis and loses its envelope when it passes from the endosome to the cytoplasm. Finally, the nucleocapsid is transported to the nucleus through the nucleopore.14 In addition, recombinant (r)BV has the capability not only of entering but also of transducing hepatocytes15 and a variety of mammalian cells from different tissues in vitro.14 16 17 18 19 20 21 22 23 24 25 26 27 28
BVs do not replicate in vertebrate cells and constitute appropriate vectors to deliver genes in mammals. The prerequisite for rBV-mediated expression in mammalian cells was the insertion of a mammalian promoter. Despite the ability to transduce mammalian cells in vitro, only limited success has been reported in more complex systems. BV-mediated gene transfer into perfused human liver tissue has been achieved ex vivo,29 into rabbit carotid artery through collar-mediated delivery,30 and into astrocytes in the striatum in vivo.26 This limited success in transferring genes in several tissues is most likely due to viral inactivation by the complement system.22 Blocking antibodies against C-component 5 have been shown to prevent the inactivation of BVs in human serum. The anterior chamber, the subretinal space, and to a lesser extent, the vitreous cavity are immune-privileged sites.31 32 33 Antigens in these areas are not subject to the complement pathway. This trait makes intraocular tissues an attractive target for gene transfer through rBV. Currently, there are no reports showing rBV-mediated gene transfer into ocular tissue.
In this study, we tested the capability of rBV to transduce RPE cells in vitro. We then investigated whether rBV can mediate the transfer of exogenous genes in vivo into mouse eyes.
| Methods |
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Cell Culture and Infection
ARPE19 and HEK293 cells were obtained from the American Type
Culture Collection (Rockville, MD). The cells were cultured in DMEM-F12
supplemented with 10% fetal bovine serum (FBS). During infection with
rBV, the cells were maintained in DMEM-F12 supplemented with 1% FBS.
After 2 hours, the supernatant was removed and replaced with DMEM-F12
supplemented with 10% FBS and 10 mM sodium butyrate.35
Twenty-four hours after infection, the cells were collected and
analyzed for the expression of fluorescent proteins. To analyze the
stability of GFP expression in vitro, HEK293 cells were maintained in
culture for 8 months. To limit the effect of the dilution factor, the
cells were passaged only once a week. Every 8 days, the cells were
trypsinized and diluted three times with the fresh medium. Expression
of GFP was monitored under a fluorescence microscope once a week at the
cells passage.
Cell Preparation for Electron Microscopy
ARPE19 cells were cultured in a 12-well plate for 20 hours. BVs
were added to the cells (multiplicity of infection [MOI] of
100)
and incubated for 1 or 2 hours at 37°C. The cells were then washed
twice with PBS and trypsinized for 5 minutes. After two washes with
PBS, the cells were fixed for 30 minutes at 4°C in 1% final
glutaraldehyde in PBS. After two more washes with PBS, the cells were
resuspended in molten 3% phosphate-buffered, low-gelling-temperature
agarose solution and then fixed with 1% OsO4 in
1.0 M phosphate buffer (pH 7.3) for 30 to 45 minutes at room
temperature. After complete dehydration in a graded ethanol series, the
specimens were embedded in Epon 812. Ultrathin transmission electron
microscopy sections were then cut and stained with saturated aqueous
uranyl acetate and lead citrate.
Injection of Recombinant BVs in Mice
C57Bl/6J mice (Jackson Laboratory, Bar Harbor, ME) were housed
in the Department of Comparative Medicine at the University of
Washington and treated according to the ARVO Statement for the Use of
Animals in Ophthalmic and Vision Research. Anesthesia was achieved by
intraperitoneal injection with 15 µl/g body weight of 6 mg/ml
ketamine and 0.44 mg/ml xylazine diluted in PBS. The rBV solution or
PBS control (1 µl), was injected under microscopic visualization into
the subretinal space or in the vitreous with a blunt 33-gauge needle
through a 30-gauge starter, opening just behind the ciliary ruff with
the tip angled toward the posterior pole. Caution was taken to avoid
the lens material. The blunt needle was advanced into the vitreous
cavity for intravitreal injections and was pushed forward across the
vitreous to the subretinal space for subretinal injections. The animals
recovered from anesthesia on a warming blanket. Approximately 50 mice,
about 8 weeks old, were used for both the subretinal and intravitreal
injections.
Histologic Analysis
Enucleated eyes or eye cups were fixed in 4%
paraformaldehyde-PBS for 6 hours and infiltrated with 20% sucrose in
100 mM sodium phosphate (pH 7.4) at 4°C. The eyes were then embedded
in 33% optimal cutting temperature (OCT) compound (Miles; Elkhart, IN)
diluted with 20% sucrose in the same buffer.36
The
tissues were frozen and cut at 12 µm and the sections analyzed under
a fluorescence microscope.
Immunocytochemical Analysis of Inflammatory Response
Induced by rBV
Sections were prepared from mouse eyes as described earlier and
used for immunostaining. To reduce nonspecific labeling, retinal
sections were incubated for 30 minutes in ICC buffer (PBS, 0.1% Triton
X-100 [pH 7.3]; BD PharMingen, San Diego, CA), containing 1.5%
normal goat serum. Rat biotinylated anti-CD11b (Mac-1
-chain),
anti-CD4 (L3T4), or anti-CD8a (Ly2) antibodies (BD PharMingen) were
diluted in ICC buffer (1:500). Sections were incubated in primary
antibody for 12 hours at 4°C, washed repeatedly in ICC buffer (three
times for 20 minutes each and one time for 60 minutes), incubated for
30 minutes in Cy3-streptavidin diluted 1:1000 in ICC buffer at room
temperature, washed in ICC buffer (three times for 20 minutes each and
one time for 60 minutes), coverslipped with 50 µl 2%
1,4-diazabicyclo-2,2,2-octane (DABCO) in 90% glycerol to retard
photobleaching, and analyzed under a fluorescence microscope. Negative
control samples were prepared without primary antibody. Two to four
5-µm sections from four animals were analyzed under a fluorescence
microscope and counted at the highest magnification (lens: x40), at or
away from the site of injection.
Fluorescence Microscopy
Images were collected with an episcopic fluorescence microscope
(Nikon Corp., Melville, NY) that was equipped with a mercury lamp and a
triple-excitation filter for red, green, and blue excitation
(4',6-diamidino-2-phenylindole [DAPI], FITC, and rhodamine; Nikon).
When needed, fluorochromes were visualized with a detection filter for
red or green fluorescence. Digital images were captured using a digital
camera (Diagnostic Instruments; Sterling Heights, MI).
Mouse Electroretinograms
Mice were dark adapted for more than 2 hours and anesthetized as
described above. The pupils were dilated with 1% tropicamide.
Electroretinograms (ERGs) were recorded 6 weeks after injection from
four eyes using a universal testing and analysis electrophysiologic
system (UTAS E-3000; LKC Technologies Inc., Gaithersburg, MD). A
contact lens electrode was placed on the eye with a drop of
methylcellulose. A ground electrode was placed in the ear. The animals
were placed in a Ganzfeld chamber and stimulated with flash intensities
of -3.3 to -1.4 log candelas (cd)/sec · m2.
Averages of five responses at every intensity were calculated for each
four eyes injected with PBS or rBV-CMV-GFP.
| Results |
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Subretinal Injections of rBV into the Mouse Retina
We used rBV carrying GFP under the control of the CMV promoter,
rather than a cell typespecific promoter, because a goal of this
study was to analyze which cell types are transducible by BVs. GFP
expression was detected in RPE cells 3 days after subretinal injections
of rBV-CMV-GFP (
106-107
infection units) into mouse eyes by fluorescence microscopy (Figs. 2A
2C)
. No background fluorescence was observed in the control-injected
mice (Figs. 2B
2D)
. GFP expression in RPE cells ranged from local
areas around the injection site (in
50% of the 60 analyzed eyes) to
widespread distribution across the entire retina (in
25% of the
eyes; Fig. 2A ). In approximately 25% of the eyes, GFP expression was
very low to undetectable. GFP expression was observed as soon as 20
hours after injection and persisted up to more than 2 weeks after
subretinal injections. The peak of GFP expression was observed between
days 1 and 4 after injection. RPE cells expressing GFP were detected in
more than 50% of the eyes 2 weeks after injections. No GFP expression
was observed 2 months after injection.
|
Intravitreal Injections of rBV into the Mouse Eye
Intravitreal injections of rBV-CMV-GFP
(106-107 infection units)
were performed to investigate transduction to intraocular cell layers
other than the RPE. As shown in Figure 3
, GFP expression was observed in multiple cell types. Fluorescence was
observed in the corneal endothelium (Figs. 3B
3D)
, the retinal inner
nuclear layer, the ganglion cell layer (Figs. 3A
3C)
, and in the RPE
cell layer (Figs. 3A
3B)
. Occasionally, we also observed GFP
expression in the lens epithelium (Fig. 3B)
and in photoreceptor cells
(Fig. 3A) . The retinal GFP expression was sporadically observed across
all layers to the RPE and localized in one area of the retina.
Fluorescence was also observed in cells, possibly Müller cells,
extending from the inner nuclear layer to the ganglion cell layer (Fig. 3C) .
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Three days after injection into the subretinal space, many CD11b+ cells (60 ± 30 cells; number of positive cells in a 5-µm section/high-power field [HPF, 40x]) were found at the site of inoculation (Fig. 4A) . A few CD4+ cells were also detected (10 ± 5 cells/HPF) at day 3 after injection (Fig. 4B) . At more distal areas of the retina, CD11b+ (12 ± 4 cells/HPF) and CD4+ (3 ± 1 cells/HPF) were scattered, even though GFP expression was still observed (data not shown). No positive cells were observed in the retina of the animals injected with PBS or in the noninjected contralateral eye.
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The humoral response against the rBV-CMV-GFP after subretinal injection into mouse eyes, was analyzed using enzyme-linked immunosorbent assays (ELISAs). Anti-BV antibodies were detected at low levels 8 days after injection and had doubled 3 weeks after injection (data not shown).
ERG Analysis of Injected Eyes
ERG responses were recorded from injected eyes to test whether
there was a functional change in the retina after rBV-CMV-GFP
injection. No significant differences were observed between the ERG
recordings obtained from four PBS- and rBV-CMV-GFPinjected eyes 6
weeks after injection (Fig. 5)
. These results suggest that there is no alteration of retinal function
caused by subretinal injection of rBV-CMV-GFP or by GFP expression.
There was also no difference between the retinoid content of
noninjected and rBV-CMV-GFPinjected eyes, as observed by HPLC
analysis at day 4 after injection (Haeseleer, unpublished data,
2000).
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| Discussion |
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As shown in this study, rBV is a promising vector for gene transfer into the eye. Our in vivo results show that rBV infected multiple cell types with higher transgene expression in epithelial and endothelial cells, such as the corneal endothelium, the lens epithelium, and the RPE. To a lesser extent, multiple neuronal cell types were also transduced by rBV. Specifically, when rBVs were injected into the subretinal space, marked GFP expression was observed only in the RPE cells; when the virus was injected in the vitreous, the GFP expression was spread throughout the eye, including the cornea and lens and across the retina to the RPE. One of the main functions of RPE cells is phagocytosis of the shed photoreceptor discs. When rBVs were injected into the subretinal space, it is possible that they not only infected RPE cells, but that they were also immediately phagocytosed by RPE cells and therefore were not able to reach the neural retina. van Loo et al.14 reported that rBV infects nondividing mammalian cells by endocytosis, followed by an acid-induced fusion event that releases the nucleocapsid into the cytoplasm and ultimately into the nucleus. From both subretinal and intravitreal injections, it appears that RPE cells are the primary cell type transduced by rBV, although, further experiments using cell-typespecific promoters are needed to determine which cell type is the most efficiently transduced by rBV.
The retinal area transduced by rBV varied from approximately a third to almost all the mouse retina. These differences are probably due to the variable volume of the injections reaching the subretinal space. Another factor that may be responsible for the variable success of gene transduction is the inactivation of BVs by the classic pathway of the complement system.22 29 However, the eye, in addition to brain and reproductive organs, possesses immune privilege.31 33 Therefore, it is unlikely that inactivation by the complement system occurs.
We have shown that rBVs induced some inflammation, observed as an influx of macrophages 3 days after injection. However, this inflammation was mostly resolved 8 days after injection, with only a few macrophages and CD4+ cells observed in the area of BV transduction. This limited inflammation response to the vector makes rBV an acceptable candidate for transfer of genes in vivo.
Compared with other viral vectors, the expression of recombinant genes transduced by rBV is detected as soon as 20 hours after injection. The expression is initiated earlier than that induced by transduction with rAVs or lentiviruses, with which it is observed 2 days after injections, or with rAAV, with which it is not detected until 1 to 2 weeks after injection. The expression lasts approximately 2 weeks for rBV-transduced genes compared with at least 3 months for rAAV, AV, and lentivirus.9 37 38 39 rBVs do not infect layers other than the RPE after subretinal injection. In contrast, rAAV can reach the ganglion cells in anterograde fashion after subretinal injection.37 rAAV is able to transduce the widest range of retinal cell types after subretinal injection (RPE cells, photoreceptor cells, ganglion cells layer, inner nuclear layer) in comparison with the AV, which mostly transduces RPE cells but also photoreceptors and Müller cells, and HIV-based vectors that can efficiently transduce RPE and photoreceptor cells, but seldom transduce bipolar cells.9
BVs transduced a wider range of retinal cell types after intravitreal injection than after subretinal injections, including distant RPE cells, the corneal endothelium, the retinal inner nuclear layer, the ganglion cell layer and, occasionally, lens epithelium cells and photoreceptors. Intravitreal injection of herpes viruses also results in efficient transgene expression in the remote RPE, as well as in ganglion cells and occasionally in the inner nuclear layer.8 40
Few photoreceptors expressed GFP after transduction by rBV. This infrequent expression in photoreceptor cells may be due to the inefficiency of the CMV promoter in these cells, rather than to low transduction by the viruses. The gene expression obtained after transduction by rAAV, AV, and lentivirus, is more efficient in photoreceptor cells when driven by the rhodopsin promoter.6 9 rBV-carrying reporter genes under the control of cell-typespecific promoter, will help in determining which cell type is efficiently transduced by them.
Gene transduction mediated by rBV was observed up to 14 days after injection. This transient transduction is probably due to the nonreplicative, episomal form of the viral double-stranded DNA and the instability of exogenous GFP in the RPE cells. However, a BV carrying the AAV Rep 78 gene and the recombinant cassettes between the AAV-inverted terminal repeats, has been shown to be capable of mediating the transduction of the recombinant gene into the AAV-binding site located on the human chromosome 19q13.3.41 Recently, Hüser et al.42 have shown that the insertion of a decay-accelerating factor into the BV envelope through genetic manipulation, can protect the BV against complement-mediated inactivation. Such approaches could be used to prolong the expression of transduced genes in vivo.
| Acknowledgements |
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| Footnotes |
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Submitted for publication May 18, 2001; revised August 29, 2001; accepted September 10, 2001.
Commercial relationships policy: N.
The publication costs of this article were defrayed in part by page
charge payment. This article must therefore be marked
"advertisement" in accordance with 18 U.S.C.
1734
solely to indicate this fact.
Corresponding author: Françoise Haeseleer, University of Washington, Department of Ophthalmology, 1959 NE Pacific Street, Box 356485, Seattle, WA 98195-6485. fanfan{at}u.washington.edu
| References |
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