Abstract
Cystic fibrosis (CF) is a complex, fatal autosomal recessive inherited disorder caused by mutations of the CF transmembrane conductance regulator (CFTR) gene [1]. The disease affects children and young adults and is most common in individuals of Northern European descent, with an estimated incidence in Caucasians of 1 in 2,500 births and a prevalence of 30,000 in the United States. Remarkably, the heterozygous carrier frequency in this population is 1 in 25 individuals. CF is also found in individuals of African and Southern European descent, Native Americans and Ashkenazi Jews although it is significantly less frequent in these populations [1, 2]. The first comprehensive clinical descriptions of CF as a familial disorder were provided in the 1930s [3, 4] followed by identification of the autosomal recessive mode of inheritance in 1946 [5]. A biochemical clue came in 1953 when an abnormally high sodium chloride concentration was noted in the sweat of individuals with CF [6]. Additional biochemical insight was provided in the 1980s with the description of abnormal regulation of cyclic adenosine monophosphate (cAMP)-activated chloride conductance in the apical membrane of epithelial cells of CF sweat glands [7] and respiratory airways [8].
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References
Welsh MJ, Tsui LC, Boat TF, Beaudet AL (1995) Cystic fibrosis. In: Scriver CR, Beaudet AL, Sly WS, Valle D (eds) The metabolic and molecular basis of inherited disease. New York: McGraw-Hill, Inc. 3799–3876.
Fitzsimmons SC (1994) The changing epidemiology of cystic fibrosis. Curr Probl Pediatr 24: 171–179.
Fanconi G, Uehlinger E, Kraver C (1936) Das Coeliaksyndrom bei angeborener Zystischer Prankras Fibromatose and Bronchiektasien. Wien Med Wochenschr 86: 753–756.
Anderson DH (1938) Cystic fibrosis of the pancreas and its relation to celiac disease: a clinical and pathologic study. Am J Dis Child 56: 34–99.
Anderson DH, Hodges RC (1946) Celiac syndrome v genetics of cystic fibrosis of the pancreas with a consideration of etiology. Am J Dis Child 72: 62–80.
di Sant’Agnese PA, Darling RC, Perera GA, Shea E (1953) Abnormal composition of sweat in cystic fibrosis of the pancreas: clinical significance and relationship to the disease. Pediatrics 12: 549–563.
Quinton PM (1983) Chloride impermeability in cystic fibrosis. Nature 301: 421–422.
Knowles M, Gatzy J, Boucher R (1983) Relative ion permeability of normal and cystic fibrosis nasal epithelium. J Clin Invest 71: 1410–1417.
Iannuzzi MC, Collins FS (1990) Reverse genetics and cystic fibrosis. Am J Respir Cell Mol Biol 2: 309–316.
Rommens JM, Iannuzzi MC, Kerem B, Drumm ML, Melmer G, Dean M, Rozmahel R, Cole JL, Kennedy D, Hidaka N (1989) Identification of the cystic fibrosis gene: chromosome walking and jumping. Science 245: 1059–1065.
Riordan JR, Rommens JM, Kerem B, Alon N, Rozmahel R, Grzelczak Z, Zielenski J, Lok S, Playsic N, Chou JL (1989) Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA [published erratum appears in Science 1989 Sep 29; 245(4925): 1437]. Science 245: 1066–1073.
Kerem B, Rommens JM, Buchanan JA, Markiewicz D, Cox TK, Chakravarti A, et al. (1989) Identification of the cystic fibrosis gene: genetic analysis. Science 245: 1073–1080.
Tsui LC (1995) The cystic fibrosis transmembrane conductance regulator gene. Am J Respir Crit Care Med 151: S47–53.
Wilmott RW, Fiedler MA (1994) Recent advances in the treatment of cystic fibrosis. Pediatr Clin North Am 41: 431–451.
Shak S, Capon DJ, Hellmiss R, Marsters SA, Baker CL (1990) Recombinant human DNase I reduces the viscosity of cystic fibrosis sputum. Proc Nail Acad Sci USA 87: 9188–9192.
McElvaney NG, Hubbard RC, Birrer P, Chernick MS, Caplan DB, Frank MM, Crystal RG (1991) Aerosol alpha 1-antitrypsin treatment for cystic fibrosis. Lancet 337: 392–394.
Collins FS (1992) Cystic fibrosis: molecular biology and therapeutic implications. Science 256: 774–779.
O’Neal WK, Beaudet AL (1994) Somatic gene therapy for cystic fibrosis. Hum Mol Genet 3 Spec No: 1497–1502.
Korst RJ, McElvaney NG, Chu CS, Rosenfeld MA, Mastrangeli A, Hay J, Brody SL, Eissa NT, Danei C, Jaffe HA (1995) Gene therapy for the respiratory manifestations of cystic fibrosis. Am J Respir Crit Care Med 151: S75–87.
Rosenfeld MA, Collins FS (1996) Gene therapy for cystic fibrosis. Chest 109: 241–252.
Alton EW, Geddes DM (1995) Gene therapy for cystic fibrosis: a clinical perspective. Gene Flier 2: 88–95.
Crystal RG, Jaffe A, Brody S, Mastrangeli A, McElvaney NG, Rosenfeld M, Chu CS, Danei C, Hay J, Eissa T (1995) A phase 1 study, in cystic fibrosis patients, of the safety, toxicity, and biological efficacy of a single administration of a replication deficient, recombinant adenovirus carrying the eDNA of the normal cystic fibrosis transmembrane conductance regulator gene in the lung. Hum Gene Flier 6: 643–666.
Crystal RG, McElvaney NG, Rosenfeld MA, Chu CS, Mastrangeli A, Hay JG, Brody SL, Jaffe HA, Eissa NT, Danei C (1994) Administration of an adenovirus containing the human CFTR cDNA to the respiratory tract of individuals with cystic fibrosis. Nat Genet 8: 42–51.
Welsh MJ, Smith AE, Zabner J, Rich DP, Graham SM, Gregory RJ, Pratt BM, Moscicki RA (1994) Cystic fibrosis gene therapy using an adenovirus vector: in vivo safety and efficacy in nasal epithelium. Hum Gene Flier 5: 209–219.
Polvino WJ, Dichek DA, Mason J, Anderson WF (1992) Molecular cloning and nucleotide sequence of cDNA encoding a functional murine low-density-lipoprotein receptor. Somat Cell Mol Genet 18: 443–450.
Laughlin CA, Jones N, Carter BJ (1982) Effect of deletions in adenovirus early region 1 genes upon replication of adeno-associated virus. J Virol 41: 868–876.
Wilmott RW, Whitsett JA, Trapnell BC (1994) Gene therapy for cystic fibrosis utilizing a replication deficient recombinant adenovirus vector to deliver the human cystic fibrosis transmembrane conductance regulator cDNA to the airways. A phase I study. Hum Gene Ther 5: 1019–1057.
Crystal RG, Mastrangeli A, Sanders A, Cooke J, King T, Gilbert F, Henschke C, Pascal W, Herena J, Harvey BG (1995) Evaluation of repeat administration of a replication deficient, recombinant adenovirus containing the normal cystic fibrosis transmembrane conductance regulator cDNA to the airways of individuals with cystic fibrosis. Hum Gene Ther 6: 667–703.
Welsh MJ, Zabner J, Graham SM, Smith AE, Moscicki R, Wadsworth S (1995) Adenovirus-mediated gene transfer for cystic fibrosis: Part A. Safety of dose and repeat administration in the nasal epithelium. Part B. Clinical efficacy in the maxillary sinus. Hum Gene Ther 6: 205–218.
Dorkin HL, Lapey A (1994) Adenovirus mediated gene transfer for cystic fibrosis: safety of a single administration in the lung (aerosol administration). Fed Reg 59: 55796–55797.
Sorscher EJ, Logan JJ, Frizzell RA, Lyrene RK, Bebok Z, Dong JY, DuVall MD, Feigner PL, Matalon S, Walker L (1994) Gene therapy for cystic fibrosis using cationic liposome mediated gene transfer: a phase I trial of safety and efficacy in the nasal airway. Hum Gene Ther 5: 1259–1277.
Flotte T (1996) A phase study of an adeno-associated virus-CFTR gene vector in adult CF patients with mild lung disease. Hum Gene Ther 7: 1145–1159.
Bedrossian CWM, Greenberg SD, Singer DB, Hansen JJ, Rosenberg HS (1976) The lung in cystic fibrosis: a quantitative study including prevalence of pathologic findings among different age groups. Hum Pathol 7: 195–204.
Cheng SH, Gregory RJ, Marshall J, Paul S, Souza DW, White GA, et al. (1990) Defective intracellular transport and processing of CFTR is the molecular basis of most cystic fibrosis. Cell 63: 827–834.
Anderson MP, Gergory RJ, Thompson S, Souza DW, Paul S, Mulligan RC, et al. (1991) Demonstration that CFTR is a chloride channel by alteration of its anion selectivity. Science 253: 202–205.
Welsh MJ, Anderson MP, Rich DP, Berger HA, Denning GM, Ostedgaard LS, Sheppard DN, Cheng SH, Gregory RJ, Smith AE (1992) Cystic fibrosis transmembrane conductance regulator: a chloride channel with novel regulation. Neuron 8: 821–829.
Trapnell BC, Chu CS, Paakko PK, Banks TC, Yoshimura K, Ferrans VJ, Chernick MS, Crystal RG (1991) Expression of the cystic fibrosis transmembrane conductance regulator gene in the respiratory tract of normal individuals and individuals with cystic fibrosis. Proc Natl Acad Sci USA 88: 6565–6569.
Engelhardt JF, Yankaskas JR, Ernst SA, Yang Y, Marino CR, Boucher RC, Cohn JA, Wilson JM (1992) Submucosal glands are the predominant site of CFTR expression in the human bronchus. Nat Genet 2: 240–248.
Engelhardt JF, Zepeda M, Cohn JA, Yankaskas JR, Wilson JM (1994) Expression of the cystic fibrosis gene in adult human lung. J Clin Invest 93: 737–749.
Weibel ER, Taylor CR (1988) Design and structure of the human lung. In: Fishman AP (ed.) Pulmonary diseases and disorders, second ed. New York: McGraw-Hill Book Company, 11–60.
Smith JJ, Travis SM, Greenberg EP, Welsh MJ (1996) Cystic fibrosis airway epithelia fail to kill bacteria because of abnormal airway surface fluid. Chest 229–236.
Tolstoshev P (1993) Gene therapy, concepts, current trials and future directons. Ann Rev Pharmacol Toxicol 33: 573–596.
Curiel DT, Pilewski JM, Albelda SM (1996) Gene therapy approaches for inherited and acquired lung diseases. Am J Respir Cell Mol Biol 14: 1–18.
Berkner KL (1988) Development of adenovirus vectors for the expression of heterologous genes. Biotechniques 6: 616–629.
Trapnell BC, Gorziglia M (1994) Gene therapy using adenoviral vectors. Curr Opin Biotechnol 5: 617–625.
Wilson JM (1996) Adenoviruses as gene-delivery vehicles. N Engl J Med 334: 1185–1187.
Cotten M, Wagner E (1993) Non-viral approaches to gene therapy. Curr Opin Biotechnol 4: 705–710.
Flotte TR, Carter BJ (1995) Adeno-associated virus vectors for gene therapy. Gene Ther 2: 357–362.
Chu CS, Trapnell BC, Murtagh JJ Jr., Moss J, Dalemans W, Jallat S, Mercenier A, Pavirani A, Lecocq JP, Cutting GR (1991) Variable deletion of exon 9 coding sequences in cystic fibrosis transmembrane conductance regulator gene mRNA transcripts in normal bronchial epithelium. EMBO J 10: 1355–1363.
Chu CS, Trapnell BC, Curristin SM, Cutting GR, Crystal RG (1992) Extensive posttranscriptional deletion of the coding sequences for part of nucleotide-binding fold 1 in respiratory epithelial mRNA transcripts of the cystic fibrosis transmembrane conductance regulator gene is not associated with the clinical manifestations of cystic fibrosis. J Clin Invest 90: 785–790.
Chu CS, Trapnell BC, Curristin S, Cutting GR, Crystal RG (1993) Genetic basis of variable exon 9 skipping in cystic fibrosis transmembrane conductance regulator mRNA. Nat Genet 3: 151–156.
Strong TV, Wilkinson DJ, Mansoura MK, Devor DC, Henze K, Yang Y, Wilson JM, Cohn JA, Dawson DC, Frizzell RA (1993) Expression of an abundant alternatively spliced form of the cystic fibrosis transmembrane conductance regulator (CFTR) gene is not associated with a cAMP-activated chloride conductance. Hum Mol Genet 2: 225–230.
Johnson LG, Olsen JC, Sarkadi B, Moore KL, Swanstrom R, Boucher RC (1992) Efficiency of gene transfer for restoration of normal airway epithelial function in cystic fibrosis. Nat Genet 2: 21–25.
Rivera VM, Clackson T, Natesan S, Pollock R, Amara JF, Keenan T, Magari SR, Phillips T, Courage NL, Cerasoli FJ, Holt DA, Gilman M (1996) A humanized system for pharmacological control of gene expression. Nat Med 2: 1028–1032.
Whitsett JA, Dey CR, Stripp BR, Wikenheiser KA, Clark JC, Wert SE, Gregory RJ, Smith AE, Cohn JA, Wilson JM (1992) Human cystic fibrosis transmembrane conductance regulator directed to respiratory epithelial cells of transgenic mice. Nat Genet 2: 13–20.
Stutts MJ, Gabriel SE, Olsen JC, Gatzy JT, O’Connell TL, Price EM, Boucher RC (1993) Functional consequences of heterologous expression of the cystic fibrosis transmembrane conductance regulator in fibroblasts. J Biol Chem 268: 20653–20658.
Schiav SC, Smith JM, McPherson JM (1995) High level expression of recombinant CFTR in heterologous cells leads to increased cell volume and G2/M growth arrest. J Cell Biochem 21A: 371.
Drumm ML, Pope HA, Cliff WH, Ronimens JM, Marvin SA, Tsui LC, Collins FS, Frizzell RA, Wilson JM (1990) Correction of the cystic fibrosis defect in vitro by retrovirus-mediated gene transfer [published erratum appears in Cell 1993 Jun 16; 74(1): 215]. Cell 62: 1227–1233.
Rich DP, Anderson MP, Gregory RJ, Cheng SH, Paul S, Jefferson DM, McCann JD, Klinger KW, Smith AE, Welsh MJ (1990) Expression of cystic fibrosis transmembrane conductance regulator corrects defective chloride channel regulation in cystic fibrosis airway epithelial cells. Nature 347: 358–363.
Miller DG, Adam MA, Miller AD (1990) Gene transfer by retrovirus vectors occurs only in cells that are actively replicating at the time of infection [published erratum appears in Mol Cell Biol 1992 Jan; 12(1): 433]. Mol Cell Biol 10: 4239–4242.
Pensiero MN, Wysocki CA, Nader K, Kikuchi GE (1996) Development of amphotropic murine retrovirus vectors resistant to inactivation by human serum. Hum Gene Ther 7: 1095–1101.
Rosenfeld MA, Yoshimura K, Trapnell BC, Yoneyama K, Rosenthal ER, Dalemans W, Fukayama M, Sargon J, Stier LE, Stratford-Perricaudet L, et al. (1992) In vivo transfer of the human cystic fibrosis transmembrane conductance regulator gene to the airway epithelium. Cell 68: 143–155.
Ginsberg HS (1984) The adenoviruses.NewYork-London: Plenum Press.
Chroboczek J, Bieber F, Jacrot B (1992) The sequence of the genome of adenovirus type 5 and its comparison with the genome of adenovirus type 2. Virology 186: 280–285.
Rubin BA, Rorke LB (1988) Adenovirus vaccines. In: Plotkin S, Mortimer EA Jr., editors. Vaccines. Philadelphia: W.B. Saunders, 492–512.
Goldman MJ, Wilson JM (1995) Expression of alpha (nu) beta 5 integrin is necessary for efficient adenovirus-mediated gene transfer in the human airway. J Virol 69: 5951–5958.
Bai M, Harfe B, Freimuth P (1993) Mutations that alter an Arg-Gly-Asp (RGD) sequence in the adenovirus type 2 penton base protein abolish its cell-rounding activity and delay virus reproduction in flat cells. J Virol 67: 5198–5205.
Prem S, Fitzgerald DJP, Willingham MC, Pastan I (1984) Role of a low-pH environment in adenovirus enhancement of the toxicity of a pseudomonas exotoxin-epidermal growth factor conjugate. J Virol 51: 650–655.
Horowitz MS (1990) Adenoviridae and their replication. In: Fields BN, Knipe DM (eds) Virology. New York: Raven Press, 1679–1740.
Chang LS, Shenk T (1990) The adenovirus DNA-binding protein stimulates the rate of transcription directed by adenovirus and adeno-associated virus promoters. J Virol 64: 2103–2109.
Seiberg M, Aloni Y, Levine AJ (1989) The adenovirus type 2 DNA-binding protein interacts with the major late promoter attenuated RNA. J Virol 63: 1134–1141.
Trapnell BC (1993) Adenoviral vectors for gene transfer. Adv Drug Del Rvw 12:185–199.
Brough DE, Droguett G, Howeitz MS, Klessig DF (1993) Multiple functions of the adenovirus DNA-binding protein are required for efficient viral DNA synthesis. Virology 196: 269–281.
Ghosh-Choudhury G, Haj-Ahmad Y, Graham FL (1987) Protein IX, a minor component of the human adenovirus capsid, is essential for the packaging of full length genomes. EMBO J 6: 1733–1739.
Mastrangeli A, Danei C, Rosenfeld MA, Stratford-Perricaudet L, Perricaudet M, Pavirani A, Lecocq JP, Crystal RG (1993) Diversity of airway epithelial cell targets for in vivo recombinant adenovirus-mediated gene transfer. J Clin Invest 91: 225–234.
Yei S, Hittereder N, Wert S, Whitsett JA, Wilmott RW, Trapnell BC (1994) In vivo evaluation of the safety of adenovirus-mediated transfer of the human cystic fibrosis trans-membrane conductance regulator eDNA to the lung. Hum Gene Ther 5: 731–744.
Engelhardt JF, Yang Y, Stratford-Perricaudet LD, Allen ED, Kozarsky K, Perricaudet M, Yankaskas JR, Wilson JM (1993) Direct gene transfer of human CFTR into human bronchial epithelia of xenografts with El-deleted adenoviruses. Nat Genet 4: 27–34.
Yang Y, Nunes FA, Berencsi K, Gonczol E, Engelhardt JF, Wilson JM (1994) Inactivation of E2a in recombinant adenoviruses improves the prospect for gene therapy in cystic fibrosis. Nat Genet 7: 362–369.
Zsengeller ZK, Wert SE, Hull WM, Hu X, Yei S, Trapnell BC, Whitsett JA (1995) Persistence of replication-deficient adenovirus-mediated gene transfer in lungs of immune-deficient (nu/nu) mice. Hum Gene Ther 6: 457–467.
Engelhardt JF, Simon RH, Yang Y, Zepeda M, Weber-Pendleton S, Doranz B, et al. (1993) Adenovirus-mediated transfer of the CFTR gene to lung of nonhuman primates: biological efficacy study. Hum Gene Ther 4: 759–769.
Simon RH, Engelhardt JF, Yang Y, Zepeda M, Pendleton SW, Grossman M, Wilson JM (1993) Adenovirus-mediated transfer of the CFTR gene to lung of non-human primates: toxicity study. Hum Gene Ther 4: 771–780.
Brody SL, Metzger M, Danei C, Rosenfeld MA, Crystal RG (1994) Acute responses of non-human primates to airway delivery of an adenovirus vector containing the human cystic fibrosis transmembrane conductance regulator eDNA. Hum Gene Ther 5: 821–836.
Zabner J, Petersen DM, Puga AP, Graham SM, Couture LA, Keyes LD, Lukason MJ, St George JA, Gregory RJ, Smith AE, et al. (1994) Safety and efficacy of repetitive adenovirus-mediated transfer of CFTR cDNA to airway epithelia of primates and cotton rats. Nat Genet 6: 75–83.
Dupuit F, Bout A, Hinnrasky J, et al. (1995) Expression and localization of CFTR in the Rhesus monkey surface airway epithelium. Gene Ther 2: 156–163.
Wilmott RW, Amin RS, Perez CR, Wert SE, Keller G, Boivin GP, Hirsch R, Delnocencio J, Lu, Reising SF, Yei S, et al. (1996) Safety of adenovirus-mediated transfer of the human cystic fibrosis transmembrane conductance regulator cDNA to the lungs of non-human primates. Hum Gene Ther 7: 301–318.
Grubb BR, Pickles RJ, Ye H, Yankaskas JR, Vick RN, Engelhardt JF, Wilson JM, Johnson LG, Boucher RC (1994) Inefficient gene transfer by adenovirus vector to cystic fibrosis airway epithelia of mice and humans. Nature 371: 802–806.
Jobe AH, Ueda T, Whitsett JA, Trapnell BC, Ikegami M (1996) Surfactant enhances adenovirus mediated gene expression in rabbit lungs. Gene Ther 3: 775–779.
Snouwaert JN, Brigman KK, Latour AM, Malouf NN, Boucher RC, Smithies O, Koller BH (1992) An animal model for cystic fibrosis made by gene targeting. Science 257: 1083–1088.
Dorin JR, Dickinson P, Alton EW, Smith SN, Geddes DM, Stevenson BJ, Kimber WL, Fleming S, Clarke AR, et al. (1992) Cystic fibrosis in the mouse by targeted insertional mutagenesis. Nature 359: 211–215.
O’Neal WK, Hasty P, McCray PB, Jr, Casey B, Rivera-Perez J, Welsh MJ, Beaudet AL, Bradley A (1993) A severe phenotype in mice with a duplication of exon 3 in the cystic fibrosis locus. Hum Mol Genet 2: 1561–1569.
Ratcliff R, Evans MJ, Cuthbert AM, Mac Vinish LJ, Foster D, Anderson JR, Colledge WH (1993) Production of a severe cystic fibrosis mutation in mice by gene targeting. Nat Genet 4: 35–41.
Delaney SJ, Alton EWFW, Smith SN, Lunn DP, Farley R, Lovelock PK, Thomson SA, Hume DA, Lamb D, Porteous DJ, et al. (1996) Cystic fibrosis mice carrying the missense mutation G551D replicate human genotype-phenotype correlations. EMBO J 15: 955–963.
Davidson DJ, Dorin JR, McLachlan G, Ranaldi V, Lamb D, Doherty C, Govan J, Porteous DJ (1995) Lung disease in the cystic fibrosis mouse exposed to bacterial pathogens. Nat Genet 9: 351–357.
Yei S, Mittereder N, Whitsett JA, Wilmott RW, Trapnell BC (1994) The role of the host response in adenovirus vector-mediated gene therapy for cystic fibrosis lung disease: Toxicology and pharmacokinetics. Pediatr Pulmonol 10: 151–152.
Yei S, Mittereder N, Tang K, O’Sullivan C, Trapnell BC (1994) Adenovirus-mediated gene transfer for cystic fibrosis: quantitative evaluation of repeated in vivo vector administration to the lung. Gene Ther 1: 192–200.
Van Ginkel FW, Liu C, Simecka JW, Dong JY, Greenway T, Frizzell RA, Kiyono H, McGhee JR, Pascual DW (1995) Intratracheal gene delivery with adenoviral vector induces elevated systemic IgG and mucosal IgA antibodies to adenovirus and betagalactosidase. Hum Gene Ther 6: 895–903.
Yang Y, Li Q, Ertl HC, Wilson JM (1995) Cellular and humoral immune responses to viral antigens create barriers to lung-directed gene therapy with recombinant adenoviruses. J Virol 69: 2004–2015.
Amin R, Wilmott R, Schwarz Y, Trapnell B, Stark J (1995) Replication-deficient adenovirus induces expression of interleukin-8 by airway epithelial cells in vitro. Hum Gene Ther 6: 145–153.
Yang Y, Ertl HC, Wilson JM (1994) MHC class I-restricted cytotoxic T lymphocytes to viral antigens destroy hepatocytes in mice infected with El-deleted recombinant adenoviruses. Immunity 1:433–442.
Yang Y, Nunes FA, Berensci K, Furth EE, Gonczol E, Wilson JM (1994) Cellular immunity to viral antigens limits El-deleted adenoviruses for gene therapy. Proc Natl Acad Sci USA 91: 4407–4411.
Mittereder N, Nei S, Bachurski C, Cuppoletti J, Whitsett JA, Tolstoshev P, Trapnell BC (1994) Evaluation of the efficacy and safety of in vitro, adenovirus-mediated transfer of the human cystic fibrosis transmembrane conductance regulator cDNA. Hum Gene Ther 5: 717–729.
Yang Y, Jooss KU, Su Q, Ertl HCJ, Wilson JM (1996) Immune responses to viral antigens versus transgenen product in the elimination of recombinant adenovirus-infected hepatocyts in vivo. Gene Ther 3: 137–144.
Engelhardt JF, Ye X, Doranz B, Wilson JM (1994) Ablation of E2A in recombinant adenoviruses improves transgene persistence and decreases inflammatory reponse in mouse liver. Proc Natl Acad Sci USA 91: 6196–6200.
Gorziglia MI, Kadan MJ, Yei S, Lim J, Lee GM, Luthra R, Trapnell BC (1996) Elimination of both El and Eta from adenovirus vectors further improves prospects for in vivo human gene therapy. J Viral 70: 4173–4178.
Armentano D, Sookdeo CC, Hehir KM, Gregory RJ, St George JA, Prince A, Wadsworth SC, Smith AE (1995) Characterization of adenovirus gene transfer vector containing an E4 deletion. Hum Gene Ther 6: 1343–1353.
Kochanek S, Clemens PR, Mitani K, Chen HH, Chan S, Caskey CT (1996) A new adenoviral vector: Replacement of all viral coding sequences with 28 kb of DNA independently expressing both full-length dystrophin and beta-galactosidase. Proc Natl Acad Sci USA 93: 5731–5736.
Yang Y, Trinchieri G, Wilson JM (1995) Recombinant IL-12 prevents formation of blocking IgA antibodies to recombinant adenovirus and allows repeated gene therapy to mouse lung. Nat Med 1: 890–893.
Sawchuk SJ, Boivin GP, Duwel LE, Ball W, Bove K, Trapnell BC (1996) Anti-T cell receptor monoclonal antibody prolongs transgene expression following adenovirus-mediated in vivo gene transfer to mouse synovium. Hum Gene Ther 7: 499–506.
Yang Y, Su Q, Grewal IS, Schilz R, Flavell RA, Wilson JM (1996) Transient subversion of CD40ligand function diminishes immune responses to adenovirus vectors in mouse liver and lung tissue. J Viral 70: 6370–6377.
Guerette B, Vilquin JT, Gingras M, Gravel C, Wood KJ, Tremblay JP (1996) Prevention of immune reactions triggered by first-generation adenoviral vectors by monoclonal antibodies and CTLA4Ig. Hum Gene Ther 7: 1455–1463.
Smith TAG, White BD, Gardner JM, Kaleko M, McClelland A (1996) Transient immunosuppression permits successful repetitive intravenous administration of an adenovirus vector. Gene Therapy 3: 496–502.
Mastrangeli A, Harvey BG, Yao J, Wolff G, Gall J, Crystal RG, Falck-Pedersen E (1994) Efficient in vivo adenovirus-mediated gene transfer to the airway epithelium of animals immunized with different adenovirus serotypes. North American CF Meeting; Late Breaking Science S5 a.6.
Srivastava A, Lusby EW, Berns KI (1983) nucleotide sequence and organization of the adeno-associated virus 2 genome. J Viral 45: 555–564.
Flotte TR, Afione SA, Solow R, Drumm ML, Markakis D, Guggino WB, Zeitlin PL, Carter BJ (1993) Expression of the cystic fibrosis transmembrane conductance regulator from a novel adeno-associated virus promoter. J Biol Chem 268: 3781–3790.
Egan M, Flotte T, Afione S, Dolow R, Zeitlin PL, Carter BJ, Guggino WB (1992) Defective regulation of outwardly rectifying Cl-channels by protein kinase A corrected by insertion of CFTR [letter]. Nature 358: 581–584.
Podsakoff G, Wong KK, Jr, Chatterjee S (1994) Efficient gene transfer into non-dividing cells by adeno-associated virus-based vectors. J Viral 68: 5656–5666.
Flotte TR, Afione SA, Zeitlin PL (1994) Adeno-associated virus vector gene expression occurs in nondividing cells in the absence of vector DNA integration. Am J Respir Cell Mol Biol 11:517–521.
Conrad CK, Allen SS, Afione SA, Reynolds TC, Beck SE, Fee-Maki M, Barrazza Ortiz X, Adams R, Askin FB, Carter BJ, et al. (1996) Safety of single-dose administration of an adeno-associated virus (AAV)-CFTR vector in the primate lung. Gene Therapy 3: 658–685.
Fisher KJ, Gao GP, Weitzman MD, DeMatteo R, Burda JF, Wilson JM (1996) Transduction with recombinant adeno-associated virus for gene therapy is limited by leading-strand synthesis. J Viral 70: 520–532.
Flotte TR, Afione SA, Conrad C, McGrath SA, Solow R, Oka H, Zeitlin PL, Guggino WB, Carter BJ (1993) Stable in vivo expression of the cystic fibrosis transmembrane conductance regulator with an adeno-associated virus vector. Proc Natl Acad Sci USA 90: 10613–10617.
Ledley FD (1995) Nonviral gene therapy: the promise of genes as pharmaceutical products. Hum Gene Ther 6: 1129–1144.
Ferkol T, Kaetzel CS, Davis PB (1993) Gene transfer into respiratory epithelial cells by targeting the polymeric immunoglobulin receptor. J Clin Invest 92: 2394–2400.
Mans RE, Ciraolo G, Korthagen T, Baatz JE, Whitsett JA, Ross GF (1994) Receptor-mediated transfection of lung adenocarcinoma cells in culture using surfactant protein A: Poly-L-lysine conjugates. Pediatr Pulmonol Suppl (Suppl. 10) 231.
Curiel DT, Agarwal S, Wagner E, Cotton M (1991) Adenovirus enhancement of transferrin-polylysine-mediated gene delivery. Proc Natl Acad Sci USA 88: 8850–8854.
Kellaway IW, Farr SJ (1990) Liposomes as drug delivery systems to the lung. Adv Drug Del Rev 5: 149–161.
Caplen NJ, Gao X, Hayes P, Elaswarapu R, Fisher G, Kinrade E, Chakera A, Schorr J, Hughes B, Dorin JR (1994) Gene therapy for cystic fibrosis in humans by liposome-mediated DNA transfer: the production of resources and the regulatory process. Gene Ther 1: 139–147.
Hyde SC, Gill DR, Higgins CF, Trezise AE, MacVinish LJ, Cuthbert AW, et al. (1993) Correction of the ion transport defect in cystic fibrosis transgenic mice by gene therapy. Nature 362: 250–255.
Alton EW, Middleton PG, Caplen NJ, Smith SN, Steel DM, Munkonge FM, Jeffery PK, Geddes DM, Hart SL, Williamson R (1993) Non-invasive liposome-mediated gene delivery can correct the ion transport defect in cystic fibrosis mutant mice [published erratum appears in Nat Genet 1993 Nov; 5(3): 312]. Nat Genet 5: 135–142.
Thomas DA, Myers MA, Wichert B, Schreier H, Gonzalez-Rothi RJ (1991) Acute effects of liposome aerosol inhalation on pulmonary function in healthy human volunteers. Chest 99: 1268–1270.
Schreier H, Gonzalez-Rothi RJ, Stecenko AA (1993) Pulmonary delivery of liposomes. J Control Release 24: 209–223.
Wilson JM, Engelhardt JF, Grossman M, Simon RH, Yang Y (1994) Gene therapy of cystic fibrosis lung disease using El deleted adenoviruses: a phase I trial. Hum Gene Ther 5: 501–519.
Boucher RC, Knowles MR, Johnson LG, Olsen JC, Pickles R, Wilson JM, Engelhardt J, Yang Y, Grossman M (1994) Gene therapy for cystic fibrosis using El-deleted adenovirus: a phase I trial in the nasal cavity. The University of North Carolina at Chapel Hill. Hum Gene Ther 5: 615–639.
Ramsey BW, Boat TF (1994) Outcome measures for clinical trials in cystic fibrosis. Sum- mary of a Cystic Fibrosis Foundation consensus conference. J Pediatr 124: 177–192.
Rich DP, Couture LA, Cardoza LM, Guiggio VM, Armentano D, Espino PC, Hehir K, Welsh MJ, Smith AE, Gregory RJ (1993) Development and analysis of recombinant adenoviruses for gene therapy of cystic fibrosis. Hum Gene Ther 4: 461–476.
Rosenfeld MA, Rosenfeld SJ, Danel C, Banks TC, Crystal RG (1994) Increasing expression of the normal human CFTR cDNA in cystic fibrosis epithelial cells results in a progressive increase in the level of CFTR protein expression, but a limit on the level of cAMP-stimulated chloride secretion. Hum Gene Ther 5: 1121–1129.
Caplen NJ, Alton EW, Middleton PG, Dorin JR, Stevenson BJ, Gao X, Durham SR, Jeffery PK, Hodson ME, Coutelle C (1995) Liposome-mediated CFTR gene transfer to the nasal epithelium of patients with cystic fibrosis. Nat Med 1: 39–46.
Dorkin HL, Lapey A. Adenovirus mediated gene transfer for cystic fibrosis: safety of a single administration in the lung (lobar administration). NIH, ORDA Accelerated Review, October 5, 1994.
Pavirani A, Bellon G (1995) Transfer of the CFTR cDNA to cystic fibrosis patients’ airways by aerosol-mediated delivery of a recombinant adenovirus. J Biol Chem 21A: 370.
Mittereder N, March KL, Trapnell BC (1996) Evaluation of the concentration and bio-activity of adenoviral vectors for gene therapy. J Virol 70: 7498–7509.
McElvaney NG, Crystal RG (1995) IL-6 release and airway administration of human CFTR cDNA adenovirus vector [letter]. Nat Med 1:182–184.
Hay JG, McElvaney NG, Herena J, Crystal RG (1995) Modification of nasal epithelial potential differences of individuals with cystic fibrosis consequent to local administration of a normal CFTR cDNA adenovirus gene transfer vector. Hum Gene Ther 6: 1487–1496.
Zabner J, Couture LA, Gregory RJ, Graham SM, Smith AE, Welsh MJ (1993) Adenovirusmediated gene transfer transiently corrects the chloride transport defect in nasal epithelia of patients with cystic fibrosis. Cell 75: 207–216.
Knowles MR, Hohneker KW, Zhou Z, Olsen JC, Noah TL, Hu PC, Leigh MW, Engelhardt JF, Edwards LJ, Jones KR (1995) A controlled study of adenoviral-vector-mediated gene transfer in the nasal epithelium of patients with cystic fibrosis. N Engl J Med 333: 823–831.
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© 1997 Springer Basel AG
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Trapnell, B.C. (1997). Gene Therapy for Cystic Fibrosis Lung Disease. In: Wilmott, R.W. (eds) The Pediatric Lung. Respiratory Pharmacology and Pharmacotherapy. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8960-5_10
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DOI: https://doi.org/10.1007/978-3-0348-8960-5_10
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