Intra-articular IL-4 gene therapy in arthritis: anti-inflammatory effect and enhanced th2activity

DL Boyle, KHY Nguyen, S Zhuang, Y Shi… - Gene therapy, 1999 - nature.com
DL Boyle, KHY Nguyen, S Zhuang, Y Shi, JE McCormack, S Chada, GS Firestein
Gene therapy, 1999nature.com
Gene therapy has been explored as a potential method for treating chronic inflammatory
diseases such as rheumatoid arthritis. To determine the efficacy of intra-articular IL-4 gene
therapy in an animal model of arthritis using a retroviral vector, a retrovirus encoding rat IL-4
(DA-IL-4) was engineered, purified and concentrated to high titer (⩾ 10 9 CFU/ml). Infectivity
and expression levels were demonstrated in vitro using cultured fibroblast-like synoviocytes.
Efficacy was evaluated in the rat adjuvant arthritis model. DA-IL-4 or DA-β-gal retrovirus was …
Abstract
Gene therapy has been explored as a potential method for treating chronic inflammatory diseases such as rheumatoid arthritis. To determine the efficacy of intra-articular IL-4 gene therapy in an animal model of arthritis using a retroviral vector, a retrovirus encoding rat IL-4 (DA-IL-4) was engineered, purified and concentrated to high titer (⩾ 10 9 CFU/ml). Infectivity and expression levels were demonstrated in vitro using cultured fibroblast-like synoviocytes. Efficacy was evaluated in the rat adjuvant arthritis model. DA-IL-4 or DA-β-gal retrovirus was injected into the intra-articular joint space of the right ankle on day 12 after immunization. Three days after joint injection, the injected paw contained increased levels of IL-4 compared with control or with the contralateral uninjected paw, demonstrating successful transgene expression. Surprisingly, 8 days after treatment IL-4 levels continued to increase in the injected and contralateral paw compared with DA-β-gal-treated animals. Serum IL-4 levels were also elevated in DA-IL-4-treated rats. RT-PCR studies demonstrated that the transgene was expressed in the injected ankle but not in the contralateral joint. IL-4 gene therapy resulted in a significant reduction in paw swelling and decreased radiographic evidence of bone destruction. This is the first demonstration of successful intra-articular retroviral gene treatment using a therapeutic gene. In addition to its anti-inflammatory effect, this study supports the potential application of intra-articular gene therapy as a method for enhancing systemic Th2 function.
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