Abstract
Electrotransfer has been proven as a unique method for gene delivery into tissues. Muscle tissue has been an attractive target due to high efficiency, long-term transgenic expression, and simplicity of the procedure. Gene transfer to muscle is interesting both for vaccination purposes, production of systemic proteins, as well as local correction of myopathies. During the last decade, a large volume of knowledge from rodent studies has accumulated. Presently, the field is moving towards experiments in larger animals and humans where seven clinical trials have been initiated so far. The present review will focus on the knowledge obtained from the preclinical and clinical studies, including the mechanisms and practical considerations when performing muscle electrotransfer both in animals and humans. In addition, the therapeutic applications of muscle electrotransfer will be reviewed.
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References
Gene Therapy Clinical Trials Worldwide. http://www.wiley.co.uk/wileychi/genmed/clinical/. 16th September 2009.
Belehradek M, Domenge C, Luboinski B, Orlowski S, Belehradek Jr J, Mir LM. Electrochemotherapy, a new antitumor treatment. First clinical phase I-II trial. Cancer. 1993;72(12):3694–700.
Neumann E, Schaefer-Ridder M, Wang Y, Hofschneider H. Gene transfer into mouse lyoma cells by electroporation in high electric fields. EMBO J. 1982;1(7):841–5.
Aihara H, Miyazaki J. Gene transfer into muscle by electroporation in vivo. Nat Biotechnol. 1998;16:867–70.
Mir LM, Bureau MF, Rangara R, Schwartz B, Scherman D. Long term, high level in vivo gene expression after electric pulse-mediated gene transfer into skeletal muscle. C R Acad Sci Paris. 1998;321:893–9.
Rols MP, Delteil C, Golzio M, Dumond P, Cros S, Teissie J. In vivo electrically mediated protein and gene transfer in murine melanoma. Nat Biotechnol. 1998;16:168–71.
Suzuki T, Shin B, Fujikura K, Matsuaki T, Takata K. Direct gene transfer into rat liver cells by in vivo electroporation. FEBS Lett. 1998;425:436–40.
Mir LM, Moller PH, Andre F, Gehl J. Electric pulse-mediated gene delivery to various animal tissues. Adv Genet. 2005;54:83–114.
Favard C, Dean DS, Rols MP. Electrotransfer as a non viral method of gene delivery. Curr Gene Ther. 2007;7(1):67–77.
Vaughan EE, Dean DA. Intracellular trafficking of plasmids during transfection is mediated by microtubules. Mol Ther. 2005;13(2):422–8.
Mir LM, Bureau MF, Gehl J, Rangara R, Rouy D, Caillaud JM, et al. High-efficiency gene transfer into skeletal muscle mediated by electric pulses. Proc Natl Acad Sci USA. 1999;96(8):4262–7.
Muramatsu T, Arakawa S, Fukazawa K, Fujiwara Y, Yishida T, Sasaki R, et al. In vivo gene electroporation in skeletal muscle with special reference to the duration of gene expression. Int J Mol Med. 2001;7(1):37–42.
Mathiesen I. Electropermeabilisation of skeletal muscle enhances gene transfer in vivo. Gene Ther. 1999;6:508–14.
Gehl J, Sorensen TH, Nielsen K, Raskmark P, Nielsen SL, Skovsgaard T, et al. In vivo electroporation of skeletal muscle: threshold, efficacy and relation to electric field distribution. Biochim Biophys Acta. 1999;1428(2–3):233–40.
Lu QL, Bou-Gharios G, Partridge TA. Non-viral gene delivery in skeletal muscle: a protein factory. Gene Ther. 2003;10:131–42.
Gehl J, Mir LM. Determination of optimal parameters for in vivo gene transfer by electroporation, using a rapid in vivo test for cell permeabilization. Biochem Biophys Res Com. 1999;261(2):377–80.
Gehl J, Skovsgaard T, Mir LM. Vascular reactions to in vivo electroporation: characterization and consequences for drug and gene delivery. Biochim Biophys Acta. 2002;1569(1–3):51–8.
Khan AS, Pope MA, Draghia-Akli R. Highly efficient constant-current electroporation increases in vivo plasmid expression. DNA Cell Biol. 2005;24(12):810–8.
Zampaglione I, Arcuri M, Cappelletti M, Ciliberto G, Perretta G, Nicosia A, et al. In vivo DNA gene electro-transfer: a systematic analysis of different electrical parameters. J Gene Med. 2005;7(11):1475–81.
Lucas ML, Heller R. Immunomodulation by electrically enhanced delivery of plasmid DNA encoding IL-12 to murine skeletal muscle. Mol Ther. 2001;3:47–53.
Satkauskas S, Bureau MF, Puc M, Mahfoudi A, Scherman D, Miklavcic D, et al. Mechanisms of in vivo DNA electrotransfer: respective contributions of cell electropermeabilisation and DNA electrophoresis. Mol Ther. 2002;5(2):133–40.
Zaharoff DA, Barr RC, Li CY, Yaun F. Electromobility of plasmid DNA in tumor tissues during electric field-mediated gene delivery. Gene Ther. 2002;9:1286–90.
Andre F, Gehl J, Sersa G, Preat V, Hojman P, Eriksen J, et al. Efficiency of high and low voltage pulse combinations for gene electrotransfer in muscle, liver, tumor and skin. Hum Gene Ther. 2008;19(11):1261–71.
Pliquett U. Joule heating during solid tissue electroporation. Med Biol Eng Comput. 2003;41(2):215–9.
Hojman P, Gissel H, Gehl J. Sensitive and precise regulation of haemoglobin after gene transfer of erythropoietin to muscle tissue using electroporation. Gene Ther. 2007;14(12):950–9.
Rizzuto G, Cappelletti M, Maione D, Savino R, Lazzaro D, Costa P, et al. Efficient and regulated erythropoietin production by naked DNA injection and muscle electroporation. Proc Natl Acad Sci USA. 1999;96:6417–22.
Payen E, Bettan M, Rouyer-Fessard P, Beuzard Y, Scherman D. Improvement of mouse [beta]-thalassemia by electrotransfer of erythropoietin cDNA. Exp Hematol. 2001;29(3):295–300.
Maruyama H, Sugawa M, Moriguchi Y, Imazeki I, Ishikawa Y, Ataka K, et al. Continuous erythropoietin delivery by muscle-targeted gene transfer using in vivo electroporation. Hum Gene Ther. 2000;11(3):429–37.
Li X, Eastman EM, Schwartz RJ, Draghia-Akli R. Synthetic muscle promoters: activities exceeding naturally occurring regulatory sequences. Nat Biotechnol. 1999;17(3):241–5.
Gossen M, Bujard H. Tight control of gene expression in mammalian cells by tetracycline-responsive promoters. Proc Natl Acad Sci USA. 1992;89:5547–51.
Draghia-Akli R, Pope MA, Brown PA, Khan AS. Plasmid-based expression technology using growth hormone releasing hormone: a novel method for physiologically stimulating long-term growth hormone secretion. Comb Chem High Throughput Screen. 2006;9:181–5.
Gasiorowski JZ, Dean DA. Intranuclear trafficking of episomal DNA is transcription-dependent. Mol Ther. 2007;15(12):2132–9.
Gehl J. Electroporation for drug and gene delivery: doctors go electric. Methods Mol Biol. 2008;423:351-9.
Sallberg M, Frelin L, Diepolder HM, Jung MC, Mathiesen I, Kjeken R, et al. Activation of T cell responses and reductions in the viral load following therapeutic vaccination using naked DNA delivered by in vivo electroporation in patients with chronic hepatitis C. Mol Ther. 2009;17(1):S15.
Low L, Mander A, McCann KJ, Dearnaley D, Tjelle TE, Mathiesen I, et al. DNA vaccination with electroporation induces increased antibody responses in patients with prostate cancer. Hum Gene Ther. 2009;20(11):1269–78.
Hojman P, Gissel H, Andre F, Cournil-Henrionnet C, Eriksen J, Gehl J, et al. Physiological effects of high and low voltage pulse combinations for gene electrotransfer in muscle. Hum Gene Ther. 2008;19(11):1249–61.
Hojman P, Zibert J, Gissel H, Eriksen J, Gehl J. Gene expression profiles in skeletal muscle after gene electrotransfer. BMC Mol Biol. 2007;8(1):56.
Pedersen BK, Febbraio MA. Muscle as an endocrine organ: focus on muscle-derived interleukin-6. Physiol Rev. 2008;88(4):1379–406.
Ataka K, Maruyama H, Neichi T, Miyazaki J, Gejko F. Effects of erythropoietin-gene electrotransfer in rats with adenine-induced renal failure. Am J Nephrol. 2003;23:315–23.
Kreiss P, Bettan M, Crouzet J, Scherman D. Erythropoietin secretion and physiological effect in mouse after intramuscular plasmid DNA electrotransfer. J Gene Med. 1999;1(4):245–50.
Rizzuto G, Cappelletti M, Mennuni C, Wiznerowicz M, DeMartis A, Maione D, et al. Gene electrotransfer results in a high-level transduction of rat skeletal muscle and corrects anemia of renal failure. Hum Gene Ther. 2000;11(13):1891–900.
Samakoglu S, Fattori E, Lamartina S, Toniatti C, Stockholm D, Heard JM, et al. betaMinor-globin messenger RNA accumulation in reticulocytes governs improved erythropoiesis in beta thalassemic mice after erythropoietin complementary DNA electrotransfer in muscles. Blood. 2001;97(8):2213–20.
Long YC, Jaichandran S, Ho LP, Tien SL, Tan SY, Kon OL. FVIII gene delivery by muscle electroporation corrects murine hemophilia A. J Gene Med. 2006;7:494–505.
Fewell JG, MacLaughlin F, Mehta V, Gondo M, Nicol F, Wilson E, et al. Gene therapy for the treatment of hemophilia B using PINC-formulated plasmid delivered to muscle with electroporation. Mol Ther. 2001;3(4):574–83.
Lee SC, Wu CJ, Wu PY, Huang YL, Wu CW, Tao MH. Inhibition of established subcutaneous and metastatic murine tumors by intramuscular electroporation of the interleukin-12 gene. J Biomed Sci. 2003;10(1):73–86.
Lucas ML, Heller L, Coppola D, Heller R. IL-12 plasmid delivery by in vivo electroporation for the successful treatment of established subcutaneous B16.F10 melanoma. Mol Ther. 2002;5(6):668–75.
Li S, Zhang X, Xia X, Zhou L, Breau R, Suen J, et al. Intramuscular electroporation delivery of IFN-alpha gene therapy for inhibition of tumor growth located at a distant site. Gene Ther. 2001;8(5):400–7.
Zhang GH, Tan XF, Shen D, Zhao SY, Shi YL, Jin CK, et al. Gene expression and antitumor effect following im electroporation delivery of human interferon alpha 2 gene. Acta Pharmacol Sin. 2003;24(9):891–6.
Aurisicchio L, Ceccacci A, La Monica N, Palombo F, Traboni C. Tamarin alpha-interferon is active in mouse liver upon intramuscular gene delivery. J Gene Med. 2001;3(4):394–402.
Martel-Renoir D, Trochon-Joseph V, Galaup A, Bouquet C, Griscelli F, Opolon P, et al. Coelectrotransfer to skeletal muscle of three plasmids coding for antiangiogenic factors and regulatory factors of the tetracycline-inducible system: tightly regulated expression, inhibition of transplanted tumor growth, and antimetastatic effect. Mol Ther. 2003;8(3):425–33.
Trochon-Joseph V, Martel-Renoir D, Mir LM, Thomaidis A, Opolon P, Connault E, et al. Evidence of antiangiogenic and antimetastatic activities of the recombinant disintegrin domain of metargidin. Cancer Res. 2004;64(6):2062–9.
Trollet C, Bloquel C, Scherman D, Bigey P. Electrotransfer into skeletal muscle for protein expression. Curr Gene Ther. 2006;6(5):561–78.
Prud’homme GJ, Glinka Y, Khan AS, Draghia-Akli R. Electroporation-enhanced nonviral gene transfer for the prevention or treatment of immunological, endocrine and neoplastic diseases. Curr Gene Ther. 2006;6(2):243–73.
Murakami T, Nishi T, Kimura E, Goto T, Maeda Y, Ushio Y, et al. Full-length dystrophin cDNA transfer into skeletal muscle of adult mdx mice by electroporation. Muscle Nerve. 2003;27(2):237–41.
Vilquin JT, Kennel PF, Paturneau-Jouas M, Chapdelaine P, Boissel N, Delaère P, et al. Electrotransfer of naked DNA in the skeletal muscles of animal models of muscular dystrophies. Gene Ther. 2001;8:1097–107.
Gollins H, McMahon J, Wells KE, Wells DJ. High-efficiency plasmid gene transfer into dystrophic muscle. Gene Ther. 2003;10:504–12.
Wells KE, Fletcher S, Mann CJ, Wilton SD, Wells DJ. Enhanced in vivo delivery of antisense oligonucleotides to restore dystrophin expression in adult mdx mouse muscle. FEBS Lett. 2003;552(2–3):145–9.
Takahashi T, Ishida K, Itoh K, Konishi Y, Yagyu K, Tominaga A, et al. IGF-I gene transfer by electroporation promotes regeneration in a muscle injury model. Genesis. 2003;10:612–20.
Rabinovsky ED, Draghia-Akli R. Insulin-like growth factor I plasmid therapy promotes in vivo angiogenesis. Mol Ther. 2004;9(1):46–55.
Schertzer JD, Plant DR, Lynch GS. Optimizing plasmid-based gene transfer for investigating skeletal muscle structure and function. Mol Ther. 2006;13(4):795–803.
Sacco A, Doyonnas R, LaBarge MA, Hammer MM, Kraft P, Blau HM. IGF-I increases bone marrow contribution to adult skeletal muscle and enhances the fusion of myelomonocytic precursors. J Cell Biol. 2005;171(3):483–92.
Schakman O, Gilson H, de Coninck V, Lause P, Verniers J, Havaux X, et al. Insulin-like growth factor-I gene transfer by electroporation prevents skeletal muscle atrophy in glucocorticoid-treated rats. Endocrinology. 2005;146(4):1789–97.
Alzghoul MB, Gerrard D, Watkins BA, Hannon K. Ectopic expression of IGF-I and Shh by skeletal muscle inhibits disuse-mediated skeletal muscle atrophy and bone osteopenia in vivo. FASEB J. 2003;18(1):221–3.
Ekmark M, Gronevik E, Schjerling P, Gundersen K. Myogenin induces higher oxidative capacity in pre-existing mouse muscle fibres after somatic DNA transfer. J Physiol (Lond). 2003;548(1):259–69.
Kramer HF, Witczak CA, Taylor EB, Fujii N, Hirshman MF, Goodyear LJ. AS160 regulates insulin- and contraction-stimulated glucose uptake in mouse skeletal muscle. J Biol Chem. 2006;281(42):31478–85.
Cleasby ME, Davey JR, Reinten TA, Graham MW, James DE, Kraegen EW, et al. Acute bidirectional manipulation of muscle glucose uptake by in vivo electrotransfer of constructs targeting glucose transporter genes. Diabetes. 2005;54(9):2702–11.
Bruce CR, Brolin C, Turner N, Cleasby ME, van der Leij FR, Cooeny GJ, et al. Overexpression of carnitine palmitoyltransferase I in skeletal muscle in vivo increases fatty acid oxidation and reduces triacylglycerol esterification. Am J Physiol Endocrinol Metab. 2007;292:E1231–7.
Roorda BD, Hesselink MKC, Schaart G, Moonen-Kornips E, Martinez-Martinez P, Losen M, et al. DGAT1 overexpression in muscle by in vivo DNA electroporation increases intramyocellular lipid content. J Lipid Res. 2005;46(2):230–6.
Ban A, Yamanouchi K, Matsuwaki T, Nishihara M. In vivo gene transfer of PPARγ is insufficient to induce adipogenesis in skeletal muscle. J Vet Med Sci. 2008;70(8):761–7.
Shi H, Scheffler JM, Pleitner JM, Zeng C, Park S, Hannon KM, et al. Modulation of skeletal muscle fiber type by mitogen-activated protein kinase signaling. FASEB J. 2008;22(8):2990–3000.
Ekmark M, Gronevik E, Schjerling P, Gundersen K. Myogenin induces higher oxidative capacity in pre-existing mouse muscle fibres after somatic DNA transfer. J Physiol Online. 2003;548(1):259–69.
Nielsen AR, Hojman P, Erikstrup C, Fischer CP, Plomgaard P, Mounier R, et al. Association between IL-15 and obesity: IL-15 as a potential regulator of fat mass. J Clin Endocrinol Metab. 2008;98:4486–93.
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Hojman, P. (2011). Gene Electrotransfer to Muscle Tissue: Moving into Clinical Use. In: Kee, S., Gehl, J., Lee, E. (eds) Clinical Aspects of Electroporation. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8363-3_16
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DOI: https://doi.org/10.1007/978-1-4419-8363-3_16
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