A shortened adeno-associated virus expression cassette for CFTR gene transfer to cystic fibrosis airway epithelia

LS Ostedgaard, T Rokhlina, PH Karp… - Proceedings of the …, 2005 - National Acad Sciences
LS Ostedgaard, T Rokhlina, PH Karp, P Lashmit, S Afione, M Schmidt, J Zabner, MF Stinski…
Proceedings of the National Academy of Sciences, 2005National Acad Sciences
Adeno-associated viruses (AAVs) such as AAV5 that transduce airway epithelia from the
apical surface are attractive vectors for gene transfer in cystic fibrosis (CF). However, their
utility in CF has been limited because packaging of the insert becomes inefficient when its
length exceeds≈ 4,900–5,000 bp. To partially circumvent this size constraint, we previously
developed a CF transmembrane conductance regulator (CFTR) transgene that deleted a
portion of the R domain (CFTRΔR). In this study, we focused on shortening the other …
Adeno-associated viruses (AAVs) such as AAV5 that transduce airway epithelia from the apical surface are attractive vectors for gene transfer in cystic fibrosis (CF). However, their utility in CF has been limited because packaging of the insert becomes inefficient when its length exceeds ≈4,900–5,000 bp. To partially circumvent this size constraint, we previously developed a CF transmembrane conductance regulator (CFTR) transgene that deleted a portion of the R domain (CFTRΔR). In this study, we focused on shortening the other elements in the AAV expression cassette. We found that portions of the CMV immediate/early (CMVie) enhancer/promoter could be deleted without abolishing activity. We also tested various intervening sequences, poly(A) signals, and an intron to develop an expression cassette that meets the size restrictions imposed by AAV. We then packaged these shortened elements with the CFTRΔR transgene into AAV5 and applied them to the apical surface of differentiated CF airway epithelia. Two to 4 weeks later, the AAV5 vectors partially corrected the CF Cl transport defect. These results demonstrate that a single AAV vector can complement the CF defect in differentiated airway epithelia and thereby further the development of effective CF gene transfer.
National Acad Sciences