NFP37 SOMATIC GENE THERAPY

ANNUAL MEETING

October 3,4,5, 2001

«Gene Therapy's plausible future»

AUTHORS & ABSTRACTS


Lists with links to individual abstracts

WEDNESDAY 3.10

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Time

Name

Team

Abs Nr

min

Title

905

Johnson, L.

ONYX pharma., Richmond,USA

L01

45

Oncolytic Viruses

950

Hellwig, R.

HOSSLE

P02

5

Oligonucleotide-mediated Targeted Gene Repair Of X-linked Chronic Granulomatous ...

955

Bernasconi, L.

FONTANA

P03

5

Glioblastoma Multiforme Gene Therapy

1000

Dong, Z.

GUEST

P51

5

Overexpression Of Parkinson's Disease-associated Alpha-synuclein(a53t) In The ...

1005

Heister, T.

GUEST

P52

5

Hsv/aav Hybrid Vectors Mediate Long-term Gene Expression In Cultured Human Cells

1010

Hemmi, S.

GUEST

P53

5

Attenuated Replication-competent Adenoviruses As Tools For Melanoma Therapy

1015

Kostic, C.

GUEST

P54

5

Pattern Of Activity Of Viral And Housekeeping Gene Promoters Using Self-inactivating ...

1020

BREAK

COFFEE

1040

Pajusola, K.

GUEST

P55

5

Proteasome Activity And A Potentially Different Endosomal Routing Restrict Aav-2 ..

1045

Willers, J.

GUEST

P56

5

Interferon Resistance Of Cutaneous T-cell Lymphoma Derived Clonal T-helper 2 Cells ..

1050

Foletti, A.

RUEGG

M11

5

Disruption Of Integrin Function By Expressing Partial Regions Of The ...

1055

Iggo, R.

IGGO

M02

20

Adenoviruses With Tcf Binding Sites In Multiple Early Promoters Show Enhanced ...

1115

Villard, J.

VILLARD

M01

20

Diagnostic Test For Mhc Class Ii Deficiency Patients By Direct Genetic Correction

1135

Danos, O.

Genethon, Paris, France

L02

45

Biological And Clinical Features Of Aav Vectors

1220

BREAK

POSTERS & DRINKS

1230

Fuhrmann Benzakein, E.

HERRERA

P00

-

A Single-gene Approach To Devise Inducible Or Removable Therapeutic Genes: A General ...

1230

Genilloud, A.

RUSCONI

P01

-

Selection Of Spontaneously Translocating ...

1230

Matheux, F.

VILLARD

P04

-

Partial And Transient Restoration Of Mhc-ii Molecules In Rfx5-/- Mice By Lentiviral ...

1300

BREAK

POSTERS & LUNCH

1400

Aebischer, P.

AEBISCHER

M03

40

Lentiviral Vectors For The Treatment Of Neurodegenerative Disorders

1440

Wodnar-Filipowicz, A.

FILIPOWICZ/
Thali

M04

20

Lentivirus-mediated Gene Transfer Into Hematopoietic Precursor Cells From ...

1500

Rusconi, S.

FREY/Rusconi

M05

20

Selective Enhancement Of Gene Transfer By Steroid-mediated Gene Delivery (smgd).

1520

BREAK

REFRESHMENTS

1540

Greber, U.

GUEST

M51

20

Adenovirus-disassembly Reveals A Function Of Nuclear Histone-h1 In Viral Dna-import ..

1600

Hossle, J.

HOSSLE

M06

20

Progress In Somatic Gene Therapy Of X-linked Chronic Granulomatous Disease

1620

Baumgartner, I.

BAUMGARNTER

M07

20

Lessons Learned From Vegf Gene Therapy

1640

Losordo, D.

TUFTS, Boston, USA

L03

45

Early Results From Clinical Trials Of Gene Therapy For Myocardial Angiogenesis

1730

End-day1

REFRESHMENTS


THURSDAY 4.10

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Time

Name

Team

Abs Nr

min

Title

900

Graham, I.

Univ. London, Egham, UK

L04

45

Oligonucleotide-based Gene Correction Strategies: Applications To Neuromuscular And Cardiovascular Diseases

950

Arsenijevic, Y.

GUEST

P57

5

Lentiviral-mediated Transfer Of Ciliary ...

955

Lobianco, C.

AEBISCHER

P09

5

Dopaminergic Cell Loss Induced By Lentivir...

1000

Regulier, E.

AEBISCHER

P10

5

Lentiviral-mediated Delivery Of Mutant ...

1005

Odermatt, A.

FREY/Rusconi

P13

5

Selection Of Peptide Ligands Binding To The ..

1010

Ashrafuzzaman, M.

GUEST

P58

5

Harmonic Thermodynamical Behavior Of ...

1015

Esslinger, C.

GUEST

P59

5

Efficient Transduction Of Dendritic Cells And..

1020

Schafer, B.

GUEST

P60

5

Paired-box Containing Transcription Factor..

1025

Afanasieva, T.

KLEMENZ

P22

5

Single-chain Antibody And Its Derivatives ...

1030

BREAK

COFFEE

1050

Schultz, J.

MOELLING

P14

5

Ip-10 Encoding Plasmid Dna Immunization ...

1055

Schuemperli, D.

SCHUEMPERLI

M16

20

Stable Transduction And Expression Of ...

1115

Brun, C.

SCHUEMPERLI

P15

5

Exon Skipping Of Dystrophin Mrna By ...

1120

Jilek, S.

WALTER

P16

5?

Monitoring The Maturation Of Dendritic ...

1125

Kralisch, S.

WALTER

P17

5

Targeting Of Dendritc Cells By Specific...

1130

Li, J.

VASSALLI

P18

5

Adenoviral Gene Transfer Of A Soluble Il-1...

1135

Blaese, M.

VALIGEN Inc,
Newtown, USA

L05

45

Therapy By Gene Repair

1220

BREAK

POSTERS & LUNCH

1230

Bensadoun, J.

AEBISCHER

P06

-

Neuroprotective Effect Of Interleukin-6 And..

1230

Guillot, S.

AEBISCHER

P07

-

Long-term Gene Transfer To The Mouse ...

1230

Hussain-khan, H.

AEBISCHER

P08

-

Bioartificial Pancreas: Matching Device And ..

1230

Ridet, J.

AEBISCHER

P11

-

In Vivo Characterization Of A Tetracycline...

1230

Schneider, A.

SCHNEIDER/ Rusconi

P05

-

Exploring The Limits Of Organellar ...

1230

Schwenter, F.

AEBISCHER

P12

-

Optimization Of Human Erythropoietin ...

1230

Stolarczyk, D.

GUEST

P107

-

1300

BREAK

POSTERS & LUNCH

1400

Jones, G.

MERLO

M08

20

The Focal Adhesion Kinase (fak) Is Highly ...

1420

Kolakofsky, D.

KOLAKOFSKY

M09

20

Prolonging The Life Span Of Mature Dendritic.

1440

Scully, J.

REHMANN-SUT.

M10

20

Perceptions Of Healing Needs: Somatic Gene ...

1500

Moelling, K.

MOELLING

M12

20

Cytokine-encoding Dna For Cancer Gene...

1520

BREAK

REFRESHMENTS

1540

Walter, E.

WALTER

M13

20

Microparticle-mediated Transfection Of ...

1600

Bisoffi, M.

STADLER/ Cecchini

M14

20

Scavenger Receptor Block As Improved ...

1620

Mermod, N.

MERMOD

M15

20

A Regulatory Network For The Efficient ...

1640

High, K.

Children's Hosp., Phila.

L06

45

Gene-Assisted Treatment of Hemophilia

1730

End-day2

REFRESHMENTS

1900

Dinner

Invitees


FRIDAY 5.10:

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Time

Name

Team

Abs Nr

min

Title

900

Mertelsmann, R.

Uni-Klinikum,
Freiburg i.Br

L07

45

Gene Therapy And Gene Marking Concepts In Cancer Treatment

955

Kok, M.

DREHER

P20

5

Live Salmonella Vectors For Antigen Transfer Into Human Dendritic Cells.

1000

Obregon, C.

DREHER

P21

5

Salmonella Typhimurium Sipb Protein Modulates Activation And Release Of Il-18 ...

1005

Dreher, D.

DREHER

M17

20

From Genomics To Vaccination: Treatment Of Latent Tuberculosis By Recombinant ...

1025

BREAK

COFFEE

.

.

1045

Galeazzi, R.

INVITED PANELIST symp

none

30

NF and clinical research, report

1115

Diggelmann, H.

INVITED PANELIST symp

none

10

NF policy

1125

Cavalli, F.

INVITED PANELIST symp

none

10

The view of a Dr med/politician

1135

Dorsch, K.

INVITED PANELIST symp

none

10

Biosafety rules update

1145

All

EVENT/

panel and general discussion

1220

BREAK

POSTERS & LUNCH

1400

All

EVENT/

presentation of steering committee GT

1415

Schneider, H.

Children's Hosp. Erlangen, De

L08

45

In Utero Gene Therapy

1500

Seemayer, C.

GAY

M18

20

Gene Transfer For Treatment Of Rheumatoid Arthritis

1520

BREAK

REFRESHMENTS

1540

Wiznerowicz, M.

TRONO

M19

20

Hematopoietic Stem Cells-directed Gene Therapy: Chronic Granulomatous Disease

1600

Colman, A.

PPL Therapeutics Midlothian, UK

L09

45

Potential Of Animal Cloning Technologies In Future Therapies

1700

Closure

Safe return!


AUTHORS INDEX

Ac-Fo // Fr-Nu // Ob-Zu

Name

Abstract Nr

Ackermann M

P52

Aebischer P

P06, P07, P08, P09, P10, P11, P12, P54, M03

Afanasieva T

P22

Allemann N

P05

Arsenijefic Y

P54, P57

Ashrafuzzaman

P58

Audige A

P13

Azzouz M

P07

Ball AK

P57

Baumgartner I

M07

Beck-Sickinger

P17

Bensadoun J-C

P06

Bernasconi L

P03

Bisoffi M

M14

Blaese M

L05

Bouche N

P08

Brun C

P15

Bueeler H

P51

Buehlmann E

P20

Bueler H

P55

Burg G

P56

Burgunder J-M

P15

Chiodini F

P54

Cochand L

P21

Colman A

L09

Danos O

L02

Deglon N

P06, P07, P09, P10, P11, P12, P54, P57

Doebbeling U

P56

Dollenmaier G

P14

Dong Z

P51

Dreano M

P06

Dreher D

P20, P21, M17

Driscoll R

P18

Dudler J

P18

Dummer R

P56

Dunant P

P15

Esslsinger C

P59

Feldon J

P51

Ferger B

P51

Fleury S

P18

Fontana A

P03

Name

Abstract Nr

Fraefel C

P52

Frey FJ

P13

Frick C

P13

Fuhrman-B, E.

P00

Geertsen R

P56

Genilloud A

P01

Gonin J

P54

Graham I

L04

Greber U

M51

Guillot S

P07

Heinzerling

P14

Heister T

P52

Hellwig R

P02

Hemmi S

P53

Herrera P

P00

High K

L06

Hornfeld D

P54

Hossle JP

P02, M06

Hussain-Kahn H

P08

Iggo

M02

Jilek S

P16

Johnson L

L01

Jones G

M08

Keyser J

P14

Klemenz R

P22

Kok M

P20, P21

Kolakofsky D

M09

Kostic C

P54, P57

Kralisch S

P17

Li J

P18

Lobianco C

P09

Lochmuller H

P15

Losordo D

L03

MacDonald HR

P59

Malipiero U

P03

Margue CM

P60

Matheux F

P04

Merkle H-P

P16, P17

Mermod N

M15

Mertelsmann R

L07

Moelling K

P14, M12

Mueller M

P17

Nicod LP

P20, P21

Nurnier F

P54

Name

Abstract Nr

Obregon C

P21

Pach R

P05

Pajusola K

P55

Pauli C

P15

Pavlovic J

P14, P56

Pereira de A., L.

P06, P10

Peter I

P53

Pralong WF

P08

Regulier E

P10

Reith W

P04

Ridet JL

P09, P11

Rusconi S

P01, M05

Salmon P

P54

Schaefer BW

P60

Schaffner W

P53

Schneider A

P05

Schneider H

L08

Scholl FA

P60

Schuemperli D

P15, M16

Schultz J

P14

Schwenter F

P12

Scully J

M10, M11

Seemayer C

M08

Seger RA

P02

Sommer B

P11

Spicher A

P11

Suter D

P15

Tan T

P05

Tekaya M

P54

Textor M

P17

van Adel BA

P57

Vassalli G

P18

Vassalli J-D

P00

Villard J

P04, M01

Vitaliti A

P22

Voros J

P17

Walter E

P16, P17, P20, M13

Weis J

P15

Willers J

P56

Wittmer M

P22

Wiznerowicz M

M19

Wodnar-F., A.

M04

Wyder L

P22

Zala D

P10

Zurn AD

P07, P09

 


ABSTRACTS MAIN LECTURES

L01// ONCOLYTIC VIRUSES
Leisa Johnson, Onxy Pharmaceuticals, Richmond, USA
Keywords: Adenovirus, Cancer, Retinoblastoma, P53, E2F

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L02// BIOLOGICAL AND CLINICAL FEATURES OF AAV VECTORS
Olivier Danos, Genethon, Paris, France
Keywords: Adeno-associated virus, viral vectors, immune response, skeletal muscle, neuromuscular diseases

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L03// EARLY RESULTS FROM CLINICAL TRIALS OF GENE THERAPY FOR MYOCARDIAL ANGIOGENESIS
Douglas Losordo, Tufts University School of Medicine, Boston, USA
Keywords: Angiogenesis, VEGF, randomized clinical trial, endothelium, coronary arthery disease

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L04// OLIGONUCLEOTIDE-BASED GENE CORRECTION STRATEGIES: APPLICATIONS TO NEUROMUSCULAR AND CARDIVASCULAR DISEASES
Ian Graham, School of Biological Sciences, University of London, Egham, UK
Keywords: apolipoproteins, dystrophin, gene targeting, hyperlipidemia, muscular dystrophies, point mutation, antisense, RNA splicing

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L05// THERAPY BY GENE REPAIR
Michael Blaese, Valigen Inc., Newtown, USA
Keywords: Genoplasty, DNA repair, monogenic diseases, DNA sequence conversion, MutS, chimeraplast

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L06// GENE-ASSISTED TREATMENT OF HEMOPHILIA
Katherine High, Children's Hospital, Philadelphia, USA
Keywords: Adeno-associated vectors, blood clotting factor, clinical trial

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L07// GENE THERAPY AND GENE MARKING CONCEPTS IN CANCER TREATMENT
Roland Mertelsmann, Universitätsklinikum Freiburg i.Br., Germany
Keywords: gene marking, stem cells, cancer therapy, gene therapy

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L08// IN UTERO GENE THERAPY
Holm Schneider, Children's Hospital, Erlangen, Germany
Keywords: aims, candidate diseases, choice of vectors, routes of administratiuon, animal models, developmental windows, ethical considerations

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L09// POTENTIAL OF ANIMAL CLONING TECHNOLOGIES IN FUTURE THERAPIES
Alan Colman, PPL Therapeutics, Midlothian, UK
Keywords: nuclear transfer, reprogramming, imprinting, stem cells, cloning

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ABSTRACTS 20 MIN TALKS

M01// DIAGNOSTIC TEST FOR MHC CLASS II DEFICIENCY PATIENTS BY DIRECT GENETIC CORRECTION
NFP37 Nr: 055159; Franck Matheux1, Aydan Ikinciogullari3, Madeleine Zufferey1, Emanuèle Barras1, Walter Reith1 and Jean Villard1,2; 1Department of Genetics and Microbiology, University of Geneva Medical School, Centre Medical Universitaire (CMU), 2Immunology and Transplant Unit, University Geneva Hospital, 3Ankara University, Department of Pediatric Immunology
MHC class II (MHC-II) deficiency is a genetically heterogeneous immunodeficiency syndrome resulting from defects in four trans-acting regulatory factors (CIITA, RFX5, RFXAP and RFXANK) required for transcriptional activation of MHC-II promoters. In contrats to the genetic heterogeneity of the disease, the clinical characteristics are usually homogenous. By cell fusion analysis, patients have been first classified in four different groups corresponding to the four mutated genes. In some cases the diagnostic are clear with typical clinical and immunological features or a family story. In other cases it's not so evident and even the classical and biological diagnostic is clear, it's not permitted to determine the genetic defect of the patient. The isolation of the factors mutated in the different group has permitted to envisage a rapid and easy diagnostic test. We have transduce cell derived from a new Turkisch patient (PBL) with a supernatant of lentivirus vector containing the gene of interest (CIITA, RFX5, RFXAP or RFXANK). We have observed by FACS analysis, the reexpression of MHC class II molecules at the cell surface of the PBL stimulated with IL-2 and PHA with the lentivirus containing the RFXAP gene only. Therefore, the patient is mutated in the RFXAP gene and belongs to the complementation group D. The molecular analysis confirm the defect in the RFXAP gene. The RFXAP cDNA of this turkish patient was ampliffied and subcloned and we find a point mutation (C to T) leading to a premature sto codon. The truncated RFXAP protein derived from the mutated gene is unable to activated MHC class II expression at the cell surfaces. By direct genetic correction this new tool permits to classifiy easily new MHC-II deficient patient and to envisage prenatal diagnostic analysis.

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M02// ADENOVIRUSES WITH TCF BINDING SITES IN MULTIPLE EARLY PROMOTERS SHOW ENHANCED SELECTIVITY FOR TUMOUR CELLS WITH CONSTITUTIVE ACTIVATION OF THE WNT SIGNALLING PATHWAY
NFP37 Nr: 055140; Christophe Fuerer and Richard Iggo; Oncogene Group; Swiss Institute for Experimental Cancer Research; Chemin des Boveresses 155; CH-1066 Epalinges; Switzerland
Mutations in the adenomatous polyposis coli and b-catenin genes in colon cancer lead to constitutive activation of transcription from promoters containing binding sites for Tcf/LEF transcription factors. We have constructed adenoviruses with Tcf binding sites in multiple early promoters, in order to target viral replication to colon tumours. Tcf regulation of the E1A or E2 promoters leads to selective replication in cells where the wnt signalling pathway is active. We show that p300 is a coactivator for b-catenin and E1A inhibits Tcf-dependent transcription through sequestration of p300. Mutation of the p300 binding site in E1A reduces E1A-mediated repression of transcription from the Tcf-E1A and Tcf-E2 promoters in transient transfection assays but does not increase promoter activity in the context of the virus. On the contrary, mutation of the p300 binding site in E1A leads to a 10-fold reduction in cytopathic effect of all of the Tcf-regulated viruses. When Tcf sites are inserted in the E1A, E1B, E2 and E4 promoters, the viruses are highly selective for cells with activated wnt signalling but 10 to 1,000-fold attenuated relative to wt Ad5. The virus with Tcf changes only in the E1A and E4 promoters (vCF11) shows 100 to 10,000-fold selectivity for cells with activated wnt signalling in viral burst and cytopathic effect assays and is active in a broad panel of colon cancer cell lines.

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M03// LENTIVIRAL VECTORS FOR THE TREATMENT OF NEURODEGENERATIVE DISORDER
NFP37 Nr: ; Patrick Aebischer
see abstracts Lobianco et al (P09) and Ridet et al (P11)

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M04// LENTIVIRUS-MEDIATED GENE TRANSFER INTO HEMATOPOIETIC PRECURSOR CELLS FROM UMBILICAL CORD BLOOD
NFP37 Nr: 055157; Luther-Wyrsch A (1), Kalberer CP (1), Siegler U (1), Costello E (2), Buetti E (2), Thali M (2), Surbek D (3), Holzgreve W (3), Nissen C (1) and Wodnar-Filipowicz A (1). (1) Research Department and (2) Obstetrics Department, University Hospital Basel; (3) Institute of Microbiology, University Hospital Lausanne
Hematopoietic stem cells are important targets for gene therapy of inborn and acquired diseases. This project examined the efficiency of genetic modification and the maintenance of transgene expression during long-term expansion and lineage-specific differentiation of human CD34+ hematopoietic progenitor cells from cord blood (CB) transduced with lentiviral vectors. Transfer vectors contained the green fluorescent protein (GFP) gene under the control of PGK promoter (Costello et al, Gene Ther 7, 596-604, 2000) or EF1a promoter (kind gift of P. Salmon and D. Trono, University of Geneva). The transduction rate was 25-35% when cells were exposed to growth factors (IL-3, IL-6, flt3 ligand and SCF) or 5-10% without stimulation. Analysis of transduction efficiency relative to cell cycle phases demonstrated GFP expression distributed evenly in dormant Go and cycling G1 and S/G2/M cells stained with pyronin Y and Hoechst 33342. The expansion capacity of transduced hematopoietic progenitors was equal to untransduced cells. In liquid cultures supplemented with flt3 ligand and thrombopoietin, a 1000-fold amplification of CD34+ cells was achieved and GFP expression was maintained at the 25-35% level for 10 weeks after transduction, but declined after 2 more months in culture. In the absence of GFP expression, integrated GFP-specific sequences could be detected, consistent with transgene silencing as a function of time. Next, we determined whether genetically modified progenitors can be driven to lineage differentiation without loss of transgene expression. Using IL-15 and flt3 ligand, we obtained effective differentiation of CD34+ cells to natural killer (NK) cells. After 5 weeks in culture, the content of CD56+CD3- NK cells was 40-70% including 10-20% of GFP+ population. In summary, these results demonstrated an efficient lentivirus-mediated GFP gene transfer to hematopoietic progenitors with high potential for self-renewal and lineage-specific differentiation. Since CB cells are considered as targets for somatic gene therapy of inborn defects before birth of an affected child, we analysed the feasibility of transduction of CD34+ cells from CB of early gestational ages. We found that fetal CB is rich in hematopoietic progenitors (Wyrsch et al, Exp Hematol 27:1338-1345, 1999) and that fetal precursors can be transduced using lentiviral vectors and expanded ex vivo with the efficiency comparable to neonatal CB (Luther-Wyrsch et al. Human Gene Ther. 12, 377-389, 2001). These results suggest that CB progenitors obtained in the second and early third trimester can be targeted for gene transfer and may prove useful for autologous gene therapy of genetic diseases amenable to prenatal stem cell transplantation.

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M05// SELECTIVE ENHANCEMENT OF GENE TRANSFER BY STEROID-MEDIATED GENE DELIVERY (SMGD)
NFP37 Nr: 044802; Alexandre Rebuffat (1), Alessio Bernasconi (1), Maurizio Ceppi (2), Hans Wehrli (1), Stefano Brenz Verca (2), Merdol Ibrahim (3), Brigitte M. Frey (1), Felix J. Frey (1), and Sandro Rusconi (2) . 1) Division of Nephrology, Inselspital, Bern; 2) Institute of Biochemistry, UNIFR, Fribourg; 3) Institute of Histology, UNIFR, Fribourg.
The strategy that we name steroid-mediated gene delivery (SMGD) is designed to facilitate the nuclear uptake of transfected DNA with the help of steroid receptors, which are natural cytoplasm-nuclear shuttles. In this work the SMGD principle was modelled with the Glucocorticoid Receptor (GR) system. The challenge was to chemically derivatize steroids to allow their covalent linkage to plasmid DNA while maintaining their affinity and accessibility for the GR. We synthesized and tested several bifunctional steroid derivatives to finally focus on the compound named DR9NP that consists of a dexamethasone backbone linked to a psoralen moiety with a 9-atom chemical spacer. DR9NP is shown to be able bind to GR either in its free or DNA crosslinked form and to induce nuclear translocation of GR. The expression of DR9NP-decorated reporter plasmids transiently transfected into dividing cells is reproducibly enhanced (up to 4 fold). Most importantly, the enhanced expression occurs only in cells expressing the GR, is independent of the transactivation potential of GR and correlates with the enhanced nuclear accumulation of hormone-decorated plasmids in GR-positive cells. The SMGD effect can be also reproduced in cells that naturally express the GR and gives a markedly increased transfection advantage (up to 40 fold) to hormone-decorated transgenes in non-dividing cell cultures. Therefore, we propose the SMGD approach as a platform strategy for an additional selective targeting in non-viral somatic gene transfer.

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M06// PROGRESS IN SOMATIC GENE THERAPY OF X-LINKED CHRONIC GRANULOMATOUS DISEASE
NFP37 Nr: 055165; Hossle JP (1), Saulnier SO (1), Steinhoff D (1), Hellwig R (1), Al-Azzeh E (1), Grez M (2), Trono D (3), Ott MG (4), Hoelzer D (4), Merget-Millitzer H (5), Dinauer MC (6), and Seger RA (1); (1) Div. of Immunology/Hematology, Univ. Children's Hospital, Zuerich, Switzerland; (2) Georg-Speyer-Haus, Frankfurt a.M., Germany, (3) Dept. of Genetics and Microbiology, University of Geneva Medical School, Geneva, Switzerland, (4) Hematology/Oncology, Univ. of Frankfurt Medical School, Frankfurt a.M., Germany, (5) MainGen GmbH, Frankfurt a.M. Germany, (6) Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA.
The objectives of our project were the development and implementation of clinically applicable protocols for somatic gene therapy of X-linked chronic granulomatous disease (X-CGD). We developed a bicistronic retroviral vector (SPsLdS) carrying the therapeutic gp91phox gene and a truncated form of the low affinity nerve growth factor receptor (deltaLNGFR) as a selectable marker. After successful preclinical testing of this vector, including long-term expression in a murine X-CGD model, PG13-SPsLdS virus-containing supernatant was produced according to good-manufacturing-practise (GMP) for clinical use of the produced material. A collaborative first clinical phase I study has been initiated earlier this year with adult X-CGD patients enrolled in Frankfurt. This is the first gene therapy study worldwide to combine the gene transfer with a mild myelosuppressive chemotherapy with autologous reconstitution (cyclophosphamide conditioning). It is planned to use the same retroviral vector in a phase I study to start later in Zuerich for the treatment of X-CGD children. Most recent further progress includes i) the generation of improved lentiviral vector constructs for gp91phox gene transfer into not only resting pluripotent hematopoietic stem cells but also featuring stronger and potentially myeloid tissue-specific promoters and ii) construction of human G-CSFR/estrogen chimeric receptor variants responsive to 4-hydroxy-tamoxifen, for to provide transduced progenitor cells with a selection advantage. Finally, preliminary experiments in EBV-transformed B-cells from an X-CGD patient suggest the feasibility of direct oligonucleotide-mediated targeted gene repair in selected X-CGD cases with single nucleotide point mutations.

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M07//
Lessons learned from VEGF gene therapy; abstract not received.

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M08// THE FOCAL ADHESION KINASE (FAK) IS HIGHLY EXPRESSED IN HUMAN BRAIN TUMORS AND IS REQUIRED FOR TUMOR INVASION AND SURVIVAL: NEW DIRECTIONS FOR ANTI-INVASIVE THERAPIES?
NFP37 Nr: 055167; JONES G, MERLO A; Molecular Neuro-Oncology, Department of Biological and Clinical Sciences, Kantonsspital Basel, Basel, Switzerland.
To improve the dismal outlook of patients suffering from glial brain tumors, a new therapy must target both the diffuse infiltration of healthy brain tissue and the rapid proliferation of tumor cells. We have investigated the role of the focal adhesion kinase (FAK), which modulates cellular migration and survival, in human glial tumors. Examination of tumor samples consistently showed increased expression of FAK in low- and high- grade astrocytomas, but not in the more benign oligodendroglioma. Increased FAK immunoreactivity was also observed during glioblastoma progression following radiotherapy. Expression of the C-terminal focal adhesion targeting domain (FAT) of FAK, which targets FAK to the focal adhesions, inhibited FAK in cultured glioblastoma cell lines in a dominant-negative manner, resulting in loss of invasion and enhanced sensitivity to apoptotic stimuli. Significantly, the inhibition of FAK resulted in loss of integrin and growth factor-dependent signalling. Investigation of how FAK might integrate these pathways in glioblastoma cells revealed that FAK was required for sustained EGFR activity at the cell membrane and cell migration. Unexpectedly, FAK was not only present at the cell membrane, but also in the nucleus, predominantly as a truncated N-terminal variant. Although FAK was present in the nucleus of normally growing cells, exposure to apoptotic stimuli induced the aggregation of FAK in the nucleus, which was enhanced by expression of the FAT domain. In summary, our results identify FAK expression as a marker of brain tumor progression and as a signalling platform integrating growth and invasive pathways. Finally, the novel observation that FAK is present at the membrane and in the nucleus provides clues as to how such integration might occur. Publications: Cancer Res 59: 5479-5482, 1999. Cancer Res. 61: 5688-5691, 2001. Cancer Res. 61:4978-4981, 2001.

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M09// PROLONGING THE LIFE SPAN OF MATURE DENDRITIC CELLS
NFP37 Nr: 044711; Dominique Garcin and Daniel Kolakofsky, University of Geneva
Linear paramyxovirus RNA genomes contain promoters at each end which control genome and antigenome synthesis (the leader and trailer regions). One of the first rSeV we prepared, called GP42, contains the first 42 nt of its genomic promoter replaced with 42 nt of the antigenomic promoter. Remarkably, this virus infects most cell lines and grows almost normally, but GP42 is non-cytopathic and leads to a persistent infection of cell lines. SeV-GP42 infection appears to interfere with the normal cellular apoptotic program, because these cells also become resistant to the relative absence of serum factors (GP42-persistently-infected Hela cells can be split 1 : 1000 !). Part of this work has been published ; Garcin, D., G. Taylor, T. Tanebayashi, R. Compans, and D. Kolakofsky. The short Sendai virus leader region controls induction of programmed cell death. Virology, 243: 340-353, 1998. We have since determined that of the 42 nt that have been exchanged in GP42, only 11 nt (the palindrome UUUUAAAUUUU, positions 31-41) are important for preventing programmed cell death. This palindrome represents a 40 kD host cell protein binding site, and the non-cytopathic virus phenotype apparently results from the presence of this binding site on the short RNAs now expressed from both viral promoters (manuscript in preparation). A large effort is underway to use ´ programmed ª dendritic cells for immuno-therapy, e.g., DCs loaded with tumor antigen peptides ex vivo as anti-tumor agents. If the DCs also express an anti-apoptotic gene like bxl (in a mouse model), their anti-tumor activity is much improved. We have therefore examined the effects of SeV-GP42 infection on human DCs generated from CD14+ monocyte precursors, to see whether SeV-GP42 can increase the life span of such cells which normally have short life spans. In particular, dendritic cells which have been induced to mature, ie, to present antigens via HLA class II at their surface, normally all die well within 10 days following maturation, by apoptosis. SeV, like many other viruses, is relatively efficient in inducing human dendritic cell maturation, and dendritic cells infected with wild-type SeV also all die within 10 days. Dendritic cells infected with SeV-GP42, on the other hand, remain in excellent health for at least 15 days, as determined by staining with vital dyes. Moreover, analysis by FACS sorting determined that these living cells were indeed mature dendritic cells, and immunoblotting showed that these cells continue to produce quite respectable amounts of viral antigens.
Given these encouraging first results, we have prepared two new ´ types ª of GP42 viruses for further studies.
a) Wild-type and GP42 viruses containing either an aditional red-FP or GFP transgene. These viruses will allow us to follow the on-going virus infection simply by following red or green fluoresence, using the other color to follow some aspect of dendritic cell maturation. This will alow us to study the effect of the GP42 virus on human dendritic cells in detail, in real time, and more accurately, by FACS. b) The same wild-type and GP42 viruses as above, except that their F (fusion) genes carry the TR5 mutation so that their fusion proteins are no longer activated (cleaved) by trypsin-like proteases (but which grow in eggs supplemented with chymotrypsin). These viruses are safe for mouse infections (and are, in fact, used as SeV mouse vaccines) because they undergo only a single round of infection in the animal (the virus progeny are not infectious).
We have begun a collaboration with Claire-Anne Siegrist in Geneva (who can legally infect mice with TR5 SeV), to evaluate these viruses as antigen presenters in mice. We know that control TR-5 immunization produces robusts antibody responses in adult mice. We can then evaluate the levels of IgG1 and IgG2a antibodies to Sendai following intramuscular injection, as these antibodies are acceptable surrogate markers for APC-Th1/Th2 interactions and for APC- B cell activation.

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M10// PERCEPTIONS OF HEALING NEEDS: SOMATIC GENE THERAPY, DISABILITY AND IDENTITY
NFP37 Nr: 053073; Scully JL, Rippberger C, Loew C, Rehmann-Sutter C.; Arbeitsstelle fuer Ethik in den Biowissenschaften, Institut fuer Geschichte und Epistemologie der Medizin, Universitaet Basel, Schoenbeinstrasse 20, CH-4056 Basel
This project has analysed differences between interest groups in the perception of the ethical issues associated with somatic gene therapy (SGT). We use well established qualitative research methodologies to analyse questionnaire and interview data from potential consumers and from the medical profession. Our results demonstrate that there are significant differences between these two groups in (a) the ethical issues they find significant, and (b) the approaches they bring to decision making, in the area of SGT. The key areas of difference identified include: a) perception of disability and illness as part of the person's identity; b) belief in the alteration of fundamental identity by gene therapy; c) issues of power differentials and trust in/mistrust of the medical profession and biotechnology; d) the time-scale over which ethical evaluation is made, and use of factors other than the medical, e.g. emotional, financial factors. Currently we are analysing in more detail how these differences may reflect the underlying perception of the moral meaning of a medical condition and its connection with personal and group identity. We have also made preliminary identification of differences between affected groups. People with the late-onset condition of multiple sclerosis (MS) generally were much more positive towards SGT than people whose conditions were stable and/or of early onset (achondroplasia, deafness). Some achondroplasiacs, however, distinguished between separate manifestations of the condition. Interviewees with cystic fibrosis (CF) were more ambivalent than the other groups. We relate these differences to different constructions of the relationship between identity and illness in these groups.

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M11// DISRUPTION OF INTEGRIN FUNCTION BY EXPRESSING PARTIAL REGIONS OF THE CYTOPLASMIC DOMAIN OF THE BETA3 SUBUNIT
NFP37 Nr: 055150; A.Foletti, D. Oguey, C. Paroz, and C. Ruegg; Centre Pluridisciplinaire d'Oncologie, School of Medicine, University of Lausanne CH-1011 Lausanne c/o ISREC CH-1066 Epalinges
Administration of tumor necrosis factor (TNF), interferon gamma (IFNg) and chemotherapy through the isolated limb perfusion technique, has emerged as a potent anticancer therapy in which disruption of the tumor vasculature is an essential component. Since systemic administration of TNF induce severe side effects before therapeutic level, we are investigating alternative treatments, which acting in synergy would allow reduction of TNF dose and so systemic administration. Endothelial cells adhere to the basement membrane mainly via the integrins beta1 (quiescent vessels) and beta3 (angiogenic vessels). Since TNF/IFNg treatment suppress alphavbeta3 mediated endothelial cell adhesion we are aiming at further destabilise angiogenic endothelial cells interfering specifically on beta3 subunit. Dominant negative constructs encoding for membrane bound cytoplasmic domain of beta1 or beta3 induce detachment of confluent monolayers of HUVEC, block re-adhesion to different matrix proteins but have transdominant effects. To improve the specificity of the dominant negative effect to beta3, FLAG peptidic tag or GFP protein were fused to parts of the beta3 cytoplasmic domain. Introduced in confluent HUVEC monolayer by electroporation, the constructs were expressed at the same level and with the same kinetic within 24h. beta3 fragments fused to the FLAG had no effects on adhesion of HUVEC. We think to an intracellular degradation. Among GFP fused proteins only the construct expressing the full length beta3 cytoplasmic domain induced detachment of confluent HUVEC monolayers and blocked re-adhesion to different matrix proteins but without any specificity towards beta1 or beta3 integrin mediated adhesion. These data demonstrate that, membrane proximal sequence is required for dominant negative activity of isolated beta3 cytoplasmic domain and that full length beta3 tail has trans dominant negative activity as both membrane anchored or cytoplasmic soluble chimeric protein.

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M12// CYTOKINE-ENCODING DNA FOR CANCER GENE THERAPY
NFP37 Nr: 048767; Moelling, K; Institute of Medical Virology, University of Zuerich, Gloriastrasse 30, CH- 8028 Zuerich
We have recently demonstrated that the cytokine Interleukin-12 (IL-12) induces a long-lasting anti-metastatic effect in a mouse model using the melanoma cell line B16-F10 and plasmid DNA injected intramuscularly. DNA encoding IL-12 is superior to DNA encoding GM-CSF, CpG oligonukleotides or DNA coding for the tumor-associated antigen gp100.The anti-metastatic effect involves CD8 positive T cells as shown by genetically modified CD8 or perforin deficient mice. Moreover, depletion of natural killer cells abrogates the anti-metastatic effect. Interferon-gamma or TNF-alpha are not the cause. DNA injected up to 30 days before tumor cell challenge prevented formation of metastases. IL-12 expression is long-lasting, up to 60 days due to an autocrine loop involving various cytokines. A second animal model was employed as alternative to mice, grey horses, which naturally develop malignant melanoma at a high incidence. IL-12 encoding plasmid injected intratumorally lead to tumor reduction in 7 horses with a total of 12 lesions. On the basis of these two animal models and a 3 year follow up of a DNA vaccine trial with HIV infected patients, who did not show any side effects, a clinical trail was initiated at the University hospital in Zuerich.The study includes a dose escalation of IL-12 DNA applied intratumorally in patients with late stage malignant melanoma. The trial is ongoing with no serious side effects in the patients treated so far. Schultz, J., Pavlovic, J., Strack, B., Nawrath, M. and Moelling, K.: Long-lasting anti-metastatic efficiency of IL-12-encoding plasmid DNA. Human Gene Therapy 10, 407-417 (1999). Schultz, J., Heinzerling, L., Pavlovic, J. and Moelling, K.: Induction of long-lasting cytokine effect by injection of IL-12 encoding plasmid DNA. Cancer Gene Therapy, 7, 1557-1565 (2000). Heinzerling, L., Feige, K., Rieder, S., Akens, M., Dummer, R., Stranzinger, G., Moelling, K.: Tumor regression induced by intratumoral injection of DNA coding for human interleukin 12 into melanoma metastases in gray horses. Journal of Molecular Medicine, 78, 692-702 (2001).

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M13/ MICROPARTICLE-MEDIATED TRANSFECTION OF NON-PHAGOCYTIC CELLS IN VITRO
NFP37 Nr: 055144; Walter E (1), Dreher D (2), Merkle HP (1); (1)Department of Applied BioSciences, ETH Zuerich, (2)Division of Pneumology, University Hospital of Geneva
A novel approach involves the preparation of cationic microparticles to adsorb DNA onto the cationic surface instead of incorporation into the microparticle matrix (1). This eliminates the difficulties of DNA degradation during the encapsulation process (2), and optimises the release properties towards a faster release before the actual degradation of the polymer. In this study, we prepared cationic microparticles for loading plasmid DNA on the microparticle surface. Two cationic polymers were chosen regarding their gene transfer capacity and their ability to delivery DNA from the endosomal compartments to the cytosol of the cells. Microparticles exhibiting a positively charged surface were prepared by the incorporation of the two selected cationic polymers into a poly(D,L-lactide-co-glycolide) polymer (PLGA) core. The toxicity of the different formulations was checked in two cell lines and was found to be comparable to plain PLGA particles. Increased toxicity of some formulations was observed in primary macrophages (MF) with high phagocytosis activity. Plasmid DNA was efficiently adsorbed to the microparticle surfaces, and the different formulations were checked for their transfection efficiency in phagocytic and non-phagocytic cells. Interestingly, the most pronounced gene transfer efficiency was observed in a non-phagocytic 293 cell line when compared to a macrophage cell line and primary MF. Possible mechanisms include the dissociation of DNA-polymer complex and subsequent transfection of the cells. Microscopic observation of fluorescent-labeled DNA in primary MF revealed large amounts of DNA entering the cells, but no detectable DNA inside the nuclei. We conclude that phagocytic professional APC represent a group of cells which is especially difficult to transfect when compared to other cell types. Although DNA-loaded cationic microparticles resulted in significant transfection of cells, toxicity and transfection efficiency was not superior to that of DNA complexed with soluble cationic polymer. (1) Hedley ML (1998) Nature Med. 4:365; (2) Walter E (1999) J. Control. Rel. 61:361

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M14// SCAVENGER RECEPTOR BLOCK AS IMPROVED STRATEGY FOR THE IDENTIFICATION OF BONE MARROW HOMING PHAGES BY PANNING IN VIVO RANDOM PEPTIDE PHAGE DISPLAYED LIBRARIES
NFP37 Nr: 044804; Finger AN, Bisoffi M, Wetterwald A, Gautschi E, Hohenfeld U, Klima I, Thalmann GN, Stadler BM, Mazzucchelli L, Cecchini MG; Gene Therapy Laboratory, Department of Clinical Research and Department of Urology, and Institute of Immunology, and Institute of Pathology, University of Bern, Inselspital, 3010 Bern, Switzerland
Surface molecules exclusively expressed by cells of the bone marrow (BM) are candidate targets for delivery of therapeutic agents to this tissue. To identify ligands specific for the BM we screened a series of random peptide phage displayed libraries in vivo. Some phage clones, apparently BM-specific, could be identified after 5 consecutive panning cycles. However, a consensus motif did not emerge and synthetic peptides were unable to inhibit the BM homing of the corresponding phages, indicating that their binding to bone marrow endothelium (BME) was not mediated by the peptide insert. Furthermore, parental control phages, bearing no peptide insert, showed a strong "natural" affinity to the BME that was abrogated by polyanions. These results indicate that the BME is part of the reticulo-endothelial system (RES). They also suggest that phage trapping by this endothelium is mediated by scavenger receptors (SR). To circumvent interference by SR, polyinosinic acid was administered prior to phage panning in vivo. This led to the identification of phage clones bearing a consensus motif that confers binding specificity for a subpopulation of hemopoietic marrow cells. Thus, SR inhibition, by avoiding phage trapping by the endothelium, seems to allow phage particles to extravasate and reach parenchymal cells. Accordingly, this panning strategy in vivo may be useful for the identification of targeting motifs specific for cells located in the extravascular space of various tissues.

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M15// A REGULATORY NETWORK FOR THE EFFICIENT CONTROL OF TRANSGENE EXPRESSION
NFP37 Nr: 044744; Mickail Bettan, Damien Saugy and Nicolas Mermod; Laboratory of Molecular Biotechnology, University of Lausanne, CH-1015 Lausanne
We previously constructed a doxycycline-regulated gene switch system for gene therapy using a network of transcriptional repressor and activator proteins. This allowed long term and tight regulation the erythropoietin gene in stably transfected myoblastic cell lines. We next turned to an in vivo gene transfer approach of mice muscles in situ. In vivo gene transfer were performed using transcutaneous injection of DNA into the tibialis cranialis muscles of mice, and enhanced using the electrotransfer method. The settings determined in vitro for the plasmid type and relative abundance were found to be equally optimal in vivo. In the absence of doxycycline, the level of transgene expression was close to background values, indicating extremely tight transgene control, despite the high sensitivity of the luciferase reporter system. When doxycycline was added to the animals' drinking water, the transgene expression level was increased by 3 to 4 orders of magnitude within several days. The network compared favourably with the original tTA-based gene switch in terms of fold activation and for its non leakiness in absence of doxycycline. Transgene expression with the network was sustained for weeks in nude mice, with no indication of expression decline or toxicity. However, this system triggered an immune response in immunocompetent mice, and transgene expression was extinguished within 3 weeks. Studies are underway to identify the system component(s) responsible for the immune response. In conclusion, the system shows promising properties in terms of transgene regulation in vivo, but it requires further work before human gene therapy applications can be envisaged.

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M16/ STABLE TRANSDUCTION AND EXPRESSION OF ANTISENSE SMALL NUCLEAR RNAS FROM HIV- AND MURINE STEM CELL VIRUS-DERIVED VECTORS
NFP37 Nr: 044704;; Reber U.1, Bouliong, E.1, Krähenbühl, P.1, Liu S.-K.1, Zufferey R.2, Trono D.2, Kole, R.3, Schümperli D.1. 1) Institut für Zellbiologie, Universität Bern, Switzerland; 2) Département de génétique et de microbiologie, Université de Genève, Switzerland; and 3) Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA
We are exploring the potential of U7 small nuclear RNA (snRNA), a factor involved in 3' end processing of animal histone mRNAs, as a delivery system for antisense RNA sequences. The 5' end of U7 RNA which is complementary to part of the processing signal in histone pre-mRNAs can be replaced by antisense sequences to other targets. The specific nuclear location is advantageous if early steps in the metabolism of the target RNAs, such as specific splicing events, are to be affected. For efficient in vivo application, the modified U7 genes must be introduced and expressed in primary cells of experimental animals or patients. We have analysed gene delivery using two types of retroviral vectors. With murine stem cell virus (MSCV)-derived vectors4) that should be particularly suited for hematopoietic cells, several murine and human cell lines could be transduced albeit with low transduction efficiencies. However, expression of the U7 snRNA gene was very inefficient and was only observed when the vector contained a self-inactivating (SIN) deletion in the 3' LTR. We have more successfully used an HIV-derived vector system5) that allows for transduction of nondividing cells. With this system, the transduction efficiencies were generally higher for human than for murine cells and for hematopoietic as opposed to fibroblastic cells. Murine erythroleukemia (MEL) cells were much more efficiently transduced by a vector containing full-length LTRs than by the corresponding SIN-deleted vector. With the HIV vector system, the expression of the U7 snRNA gene was generally efficient, reaching ~30% of endogenous U7 snRNA levels. Moreover, at least in MEL cells, the U7 snRNA levels were high irrespective of whether the vector had full-length or SIN-deleted LTRs, indicating that transcriptional interference by the HIV LTR promoter was not a problem. Thus the HIV vector system may allow for efficient U7 gene transduction and expression in a variety of cell types, including erythropoietic, lymphopoietic and myogenic cells. We are currently testing this vector in primary blood stem cells of murine and human origin. 4) Cheng, L. et al., 1997. Gene Ther. 4, 1013. 5) Zufferey, R. et al., 1998. J Virol. 72, 9873.

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M17// FROM GENOMICS TO VACCINATION: TREATMENT OF LATENT TUBERCULOSIS BY RECOMBINANT SALMONELLA
NFP37 Nr: 055164; Donatus Dreher (1), Menno Kok (2), Paul Imboden (3), Stephen G. Kiama (4), David W. Muhindi (5), Costa Georgopoulos (2), and Laurent P. Nicod (1); 1) Division of Pneumology, University Hospital of Geneva; 2) Department of Medical Biochemistry, University of Geneva; 3) Dr. PI Bioconsulting, Zollikofen, Switzerland; 4) Department of Veterinary Anatomy, University of Nairobi; and 5) Aga Khan Hospital, Nairobi, Kenya
BACKGROUND: One third of the world's population is infected with Mycobacterium tuberculosis (Mtb). The majority of the infected develop latent tuberculosis (TB), but remain at risk of switching to active disease during lifetime. The conversion to active TB is dramatically accelerated by AIDS. OBJECTIVE: To develop a bacterial live vector that delivers Mtb genes for the immunotherapy of TB and that would be safe, even for HIV-infected individuals. SUMMARY: We have demonstrated that the facultative intracellular bacteria Salmonella typhimurium (ST) can efficiently invade human dendritic cells (DC) without killing the infected cells. The genetic background of ST has profound impact on the cytokine pattern that is induced in the DC. Moreover, DC infected with the attenuated strain PhoPc secreted a T helper type 1 cytokine pattern, which is known to be effective against TB, and became very potent inducers of IFN-gamma in autologous T cells. Due to these unique properties of the ST vector, our vaccine system was selected as one of the first nine approaches worldwide to receive the Sequella Global Tuberculosis Foundation grant for the development of TB vaccines. We have combined our live vector with a new particular set of Mtb genes that are expressed when the low oxygen conditions that Mtb encounters during latency are reproduced in vitro. We have identified and cloned some of these genes in the ST vector. The vector is currently being tested in vivo at the University of Geneva. The proof of principle will be carried out at the Kenya Medical Research Institute (KEMRI) in Nairobi, using the Cornell mouse model, where a state of latent TB is obtained and the conversion into disease is triggered by inducing immunodeficiency. CONCLUSIONS: ST are not only a very efficient tool for the transfer of plasmid-encoded antigens into human dendritic cells, but they also stimulate the DC to induce a potent Th1 type immune response. By combining this vector system with a new set of Mtb genes expressed in the latent stage, we hope to provide a safe and effective means for the immunotherapy of latent TB.

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M18// GENE TRANSFER FOR TREATMENT OF RHEUMATOID ARTHRITIS
NFP37 Nr: 055152; CA Seemayer1, S Kuchen1, P Kuenzler1, M Neidhart1, WK Aicher2, BA Michel1, RE Gay1, S Gay1
1. SV40 transformation leads to proliferation, but not to invasion of synovial fibroblasts into cartilage in the SCID mouse model. To determine, whether SV40 transformation could increase the invasiveness of synovial fibroblasts in the SCID mouse coimplantation model of rheumatoid arthritis (RA). RA synovial fibroblasts (SF) and normal (N)SF were transformed with an plasmid encoding for the SV40 T-antigen. Colony forming unit assays on fibroblast layers were undertaken with the SV40 transformed cells and controls. Cell cycle analysis was performed by flow cytometry. RASF, NSF and SV40 transformed RASF (ST-1) and NSF (ST-2) were coimplanted with normal human cartilage under the renal capsule of SCID mice (n=22). After 60 days the invasion of the synoviocytes was assessed by a semi-quantitative score, and the cellular density of synoviocytes adjacent to the cartilage was analyzed by counting on HE stained sections. The proliferative rate of RASF (n=5) was low (0.8 -5.5% S-phase) compared to the SV40 transformed ST-1 and ST-2 (28% and 24%). In the SCID mice coimplantation model RA-SF revealed a significantly stronger invasion into the cartilage than NSF and ST-2 (p=0.004 for both), and stronger than ST-1 (p=0.052). Of note, both ST-1 and ST-2 cells formed tumor-like tissues adjacent to kidney and cartilage, but without infiltration into neighbouring organs. In comparison to RASF and NSF the cellular density adjacent to the cartilage was significantly higher in the ST-1 (p=0.004 and p=0.017) and higher in the ST-2 (p<0.1). In the colony forming unit assay RASF and NSF did not form colonies, but the SV40 transformed ST-1 and ST-2 lost contact inhibition. Although SV40 transformation of synovial fibroblasts leads to an enhanced proliferation, it does not result in a higher invasiveness. Therefore, the data suggest a dissociation of proliferation and invasive behaviour. 2. Cytokine-independent up-regulation of matrix-metalloproteinase 1 mRNA expression by stress activated protein kinase 4. S Kuchen1, CA Seemayer1, P Kuenzler1, T Pap1, RE Gay1, BA Michel1, M Neidhart1, S Gay; 3. Targeting cathepsin L by specific ribozymes decreases protein synthesis and cartilage destruction in rheumatoid arthritis. J Schedel1, CA Seemayer1, W Zacharias3, T Pap1, M Neidhart1, S Kuchen1, BA Michel1, RE Gay1, S Gay1; 4. Gene transfer of TIMP-1 and TIMP-3 inhibits proliferation of RA synovial fibroblasts and reduces cartilage invasion in the SCID mouse model of RA. WH van der Laan4,5, CA Seemayer1, PHA Quax4, JH Verheijen4, TWJ Huizinga4, BA Michel1, RE Gay1, S Gay1, T Pap1 1Ctr Exp Rheum, Dept Rheum, Univ Hosp, Zuerich, Switzerland 2Bas Sci Lab, Orth Surg, Tubingen, Germany; 3Dept Biochem Mol Genetics, Univ Alabama, Birmingham, AL 35294, USA; 4TNO Prev Health, Leiden, NL, 5Dept Rheum, Univ Med Ctr, Leiden, NL; All the data under No. 2-4, will be presented at the ACR meeting in November 2001 in San Francisco.

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M19// HEMATOPOIETIC STEM CELLS-DIRECTED GENE THERAPY: CHRONIC GRANULOMATOUS DISEASE
NFP37 Nr: 046196; Maciej Wiznerowicz, Didier Trono. University of Geneva, Faculty of Medicine, Department of Genetics and Microbiology, Geneva, Switzerland. wizner@cmu.unige.ch
An optimal stem cell gene therapy approach should result in the efficient transduction of HSCs, and considering the stem cells plasticity, in the restricted expression of therapeutic genes into specific mature blood cells. Third generation lentiviral vectors are currently the most optimized tools for gene delivery into non-cycling human HSC. Moreover, a self-inactivating design allows for the use of tissue specific promoters without interference from the upstream LTR. In a first series of experiments, a high percentage of UCB HSCs transduction - up to 80% - was achieved by a lentivector in which a central poly-purine tract was inserted upstream of an EF1a-GFP expression cassette. High numbers of GFP positive cells were retained after in vitro (cytokine cocktail) or in vivo (SCID/NOD mice transplantation) differentiation of transduced HSCs. In order to obtain specific transgene expression into differentiated neutrophils, the ubiquitous EF1a promoter was replaced with transcriptional elements (-1.5kb) of the sequence encoding human gp91phox subunit of phagocyte NADPH oxidase. Transduction of HSCs with lentivector carrying the gp91-GFP cassette followed by their in vitro or in vivo differentiation resulted in GFP expression restricted exclusively to mature monocytes and granulocytes. GFP expression from the gp91 promoter in mature neutrophils was enhanced by insertion of WPRE without loss of specificity. Moreover, the gp91 promoter delivered into HSCs by a lentivector, with or without WPRE, exhibited its physiological responsiveness to INF-? in mature neutrophils. These results show that the neutrophils-specific expression of a marker gene can be efficiently achieved by third-generation lentivectors. This represents an important step towards gene therapy of chronic granulomatous disease.

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M51// ADENOVIRUS-DISASSEMBLY REVEALS A FUNCTION OF NUCLEAR HISTONE-H1 IN VIRAL DNA-IMPORT INTO THE NUCLEUS
NFP37 Nr: guest; Lloyd C. Trotman, Nicole Mosberger, Maarten Fornerodð, Robert P. Stidwill & Urs F. Greber; University of Zuerich, Institute of Zoology, Winterthurerstrasse 190 CH-8057 Zuerich, Switzerland; Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands
Adenovirus type 2 (Ad2) imports its DNA-genome through the nuclear pore complex (NPC) of interphase cells for viral production. Here we identify the NPC-filament protein CAN/Nup214 as a docking site for incoming Ad2-capsids. Binding to CAN is independent of cytosolic factors. Capsids disassemble at NPCs to free their DNA for import. This process requires binding of nuclear histone-H1 to the stably docked capsids and involves H1-import factors, restricting this irreversible process to the proximity of the nucleus. Our results provide a molecular mechanism for disassembly of Ad2 and reveal an unexpected function of H1 in virus-mediated DNA import.

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POSTERS ABSTRACTS

P00// A SINGLE-GENE APPROACH TO DEVISE INDUCIBLE OR REMOVABLE THERAPEUTIC GENES: A GENERAL METHOD TO DRIVE CONDITIONAL (TRANS-) GENE EXPRESSION
NFP37 Nr: 055105; Edya Fuhrman-Benzakein, Jean-Dominique Vassalli and Pedro Herrera; Department of Morphology, University of Geneva Medical School, 1 rue Michel-Servet, CH-1211 Geneva 4, Switzerland
1) Two-gene (binary) systems are no longer required. Inducible recombinases can be used to temporally control the expression of a given coding sequence. In our design, the gene of the tamoxifen (4-OHT)-dependent Cre-ERT is flanked by its target sequences (loxP sites). This cassette, (loxP-CreERT-loxP) or a derivative, may be used to modulate the translation of a gene located on the same DNA molecule. 2) Induction of expression. In a first configuration, the loxP-CreERT-loxP cassette was placed upstream of an EGFP gene, within the same DNA molecule, under the control of a potent promoter. The transgene was introduced into BHK cells which, upon 4-OHT administration, became fluorescent (NAR, 2000, Vol 28, e99). 3) Repression of expression (transgene removal). Stopping the activity of a gene is often a requirement in human gene therapy protocols. With our approach, this can be achieved by introducing the gene of interest, behind an internal ribosome entry site (ires), within the Cre-ERT cassette, i.e. between the loxPs. We have thus shown that EGFP expression can be abrogated in the presence of 4-OHT in BHK cells bearing a loxP-CreERT ires EGFP-loxP gene. In another experiment, a diphtheria toxin A (DT-A) coding sequence was placed downstream of the loxP-CreERT-ires-EGFP-loxP cassette; 4-OHT administration induced the death of fluorescent BHK cells transfected with such a construct. In ongoing experiments, an additional transgene encodes the angiogenic factor gene hVEGF instead of DT-A. We are currently working on validating this conditional gene expression system also in vivo: HeLa cells carrying the DT-A encoding transgene will be injected into SCID mice. We seek to determine whether tumor progression is inhibited when the animals are given 4-OHT. 4) Perspectives. We have shown that a segment of DNA capable of inducible self-excision, the loxP-CreERT-loxP cassette, can function as a rapid molecular switch to control the expression (activation or silencing) of a physically associated transgene. The simplicity and power of this approach makes it particularly suitable for a variety of experimental and therapeutical designs involving human gene therapy where conditional gene expression with biosafety are required.

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P01// SELECTION OF SPONTANEOUSLY TRANSLOCATING NUCLEIC ACIDS
NFP37 Nr: 055154; Genilloud, A; Rusconi, S; Institute of Biochemistry, University of Fribourg, Ch. du Musee 5, 1700 Fribourg, Switzerland
We have designed a procedure to generate in vitro an amplifiable/selectable library of randomized oligoDNA molecules. Starting with a population of ssDNA molecules with a complexity of 1014, the deoxyoligonucleotides are selected for their capacity of penetrating mammalian cells. Selected DNAs are PCR-amplified and subjected to subsequent cycles of selection-amplification/denaturation. Using the limit-dilution-detection by PCR, we could show that the fifth-round population of selected molecules has at least a one-log advantage over the initial population. Sequencing of clones derived from this resulting population will give informations about its components. If redundant sequences are found, individual candidates could be tested for their spontaneous translocation ability in mammalian cells.

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P02// OLIGONUCLEOTIDE-MEDIATED TARGETED GENE REPAIR OF X-LINKED CHRONIC GRANULOMATOUS DISEASES
NFP37 Nr: 055165; Hellwig R, Seger RA and Hossle JP; Div. of Immunology/Hematology, Univ. Children's Hospital, Zuerich, Switzerland
Chronic granulomatous disease (CGD) comprises a group of primary immunodeficiencies characterized by failure of superoxide production due to defects in one of the phagocyte NADPH oxidase (phox) genes. Two thirds of the patients have mutations in their X-linked CGD gene (X-CGD) encoding gp91phox, the largest subunit of the NADPH oxidase. These mutations include several single nucleotide changes, which represent possible targets for oligonucleotide-mediated targeted gene repair. This technique is based on transfection of chimeric RNA/DNA oligonucleotides carrying the correct sequence into target cells, in which they provoke nucleotide conversion at the homologous genomic site [1]. However, the actual mechanism is still under investigation [2]. Recently, Gamper et al. demonstrated that single-stranded DNA oligonucleotides with thioate backbone modifications are also capable of gene repair [3]. We used an EBV-transformed B-cell line of a X-CGD patient characterised by a C to T nonsense mutation at position 285 of gp91phox as a model system for gene repair. Transfection of chimeric RNA/DNA oligonucleotides or DNA oligonucleotides with terminal phosphothioate linkages was performed with DOTAP and polyethylenimine (PEI), respectively. Determination of gene repair frequencies was performed with SNUPE-ONCE (co-developed together with Dr. G. Matyas, Div. of Metabolism and Molecular Pediatrics, in house), based on single nucleotide primer extension products being quantified by Gene scan analysis on an ABI 310 sequence analysis system. Transfection of chimeric RNA/DNA oligonucleotides and DNA oligonucleotides with terminal phosphothioate linkages using DOTAP led to efficient gene conversion for both oligonucleotide types at the molecular level. Using PEI as transfection reagent, gene conversion was observed only with the phosphothioate oligonucleotide. A test for functional reconstitution of superoxide production indicated the presence of successfully converted cells at low frequency as a result of specific gene repair. 1. Cole-Strauss, A., et al. Science, 1996. 273(5280): p. 1386-9 2. Gamper, H.B., et al. Biochemistry, 2000. 39(19): p. 5808-16. 3. Gamper, H.B., et al. Nucleic Acids Res, 2000. 28(21): p. 4332-9.

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P03// GLIOBLASTOMA MULTIFORME GENE THERAPY
NFP37 Nr: 055155; Bernasconi L, Malipiero U, Fontana A; Institute of clinical immunology, University Hospital Zuerich, Switzerland
Glioblastoma multiforme (GBM) is a tumour arising from glia cells in the central nervous system (CNS). Its rapid growth and the lack of an efficient treatment, confer a poor prognosis to this kind of disease. The average survival of the patients ranges from six to twelve months. We tested two different gene therapy approaches on a murine and a rat model of the disease. Both approaches were performed using recombinant adenovirus (rAd) modified to express genes that interfere with the development of the tumour. In the first approach, Fisher rats were stereotactically inoculated with F98 tumour cells and then treated with rAd expressing Fas ligand (rAd-FasL) alone or in combination with Topotecan. FasL operates via induction of tumour cell apoptosis, whereas Topotecan (a topoisomerase I blocker) was found to be additive to FasL induced glioma killing. The second approach was performed on C57Bl/6 mice that were stereotactically inoculated with GL261 tumour cells and subsequently treated with rAd-IL-12 alone and or in combination with rAd-IP-10. IL-12 acts as an immunostimulatory cytokine, whereas IP-10 is thought to be an angiostatic factor. The combination of FasL/Topotecan and IL-12 alone exert beneficial therapeutic effects in the two studied glioma models, leading to an increase of the mean survival ranging from 50% to 90%. To understand the effect of IL-12 as an immunoregulatory cytokine affecting IFN gamma production by CD4 T cells, the GL261 tumour model was studied in terms of infiltration of dendritic cells (DC). Both T cells and DC invade indeed GL261 tumours. Currently we are investigating the degree of maturation and the functionality of this antigen presenting cells after infection of GL261 with rAd-IL-12.

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P04// PARTIAL AND TRANSIENT RESTORATION OF MHC-II MOLECULES IN RFX5-/- MICE BY LENTIVIRAL VECTOR
NFP37 Nr: 055159; Franck Matheux1,Walter Reith1 and Jean Villard1,2; 1Department of Genetics and Microbiology, University of Geneva Medical School, Centre Medical Universitaire (CMU), 2Immunology and Transplant Unit, University Geneva Hospital
The RFX5 mouse model reproduce all of the major features typical of the diseases in term of functionnal immunodeficiency for B and T cell compartiments (Clausen BE, Immunity, 1998 143-155). Therefore, the mouse RFX5-/- represents a underestimate toll for the proof of concept required to validate gene therapy in immunodeficiency patients. In MHC-II deficiency, the key cellular compartments in which MHC-II expression should be restored by gene therapy are bone marrow derived antigen presenting cells including dendritic cells, B cells and macrophages To achieve this, bone marrow cells are isolated from RFX5-/- donor mouse. These cells are cultured during 24 hours with IL-3, IL-6 and stem cell factor and then infected ex vivo with a lentiviral vectors expressing the mouse RFX5 gene or the GFP reporter gene (MOI 2 to 10). This is done with bulk bone marrow cells first treated with 5-FU. After 6 to 10 hours, the cells are then injected via the tail vein into irradited recipient six weeks old RFX5-/- mice. Repopulation of the recipient mice by corrected (transduced) bone marrow derived cells are then analyzed by examining MHC-II and GFP expression by means of standard FACS analysis. Our results show first that after one and two months, the GFP is expressed in 35% of the peripheral blood and the spleen of the corrected transplantanted mice. The analysis of the RFX5 transplanted mice demonstrated the expression of MHC-II molecules in 15% of the B220 spleen cells compared to the control after 30 days. In two other mice the expression of MHC II is demonstrated in 15% of the B220 spleen cells after 10 weeks. Two other mice sacrified after 4 month do not expressed MHC-II molecules. We conclucled from these encouraging preliminary results that expression of the of MHC-II proteins are restored in B cells from RFX5-/- mice. These expression are present in 10 to 20 % of the cells and seems to be transient, resulting probably from the transduction of progenitors and not from stem cells. Next experiments are underway with the transduction of an enriched population of stem cells (SCA+ cell) at a higher MOI.

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P05// EXPLORING THE LIMITS OF ORGANELLAR TRANSLATION: A SINGLE GENE PRODUCT SPECIFIES CYTOSOLIC ELONGATOR AND MITOCHONDRIAL INITIATOR TRNAMET IN TRYPANOSOMA BRUCEI
NFP37 Nr: 055154; T. Tan, N. Allemann, R. Pach and A. Schneider; Department of Biology/Zoology, University of Fribourg, Switzerland
The mitochondrion of T. brucei lacks tRNA genes. Its translation system therefore depends on the import of cytosolic, nucleus-encoded tRNAs. Thus, most trypanosomal tRNAs function in both the cytosol and the mitochondrion and all are of the eukaryotic-type. This is also the case for the elongator tRNAMet, whereas the only other trypanosomal tRNAMet, the eukaryotic initiator, is found exclusively in the cytosol. Unlike their cytosolic counterparts organellar initiator tRNAsMet carry a formylated methionine. This raises the question of how initiation of translation works in trypanosomal mitochondria where only elongator tRNAMet is found. Using in organello charging and formylation assays we have shown that unexpectedly a fraction of elongator tRNAMet becomes formylated after import into mitochondria. Furthermore, in vitro experiments with mitochondrial extracts demonstrated that only the trypanosomal elongator but not the initiator tRNAMet is recognized by the formylation activity. Finally, RNA interference assays have identified the gene encoding the trypanosomal formylase activity. Whereas the predicted protein is homologous to prokaryotic and mitochondrial methionyl-tRNAMet formyltransferases it has about twice the mass of any of these proteins. Two aspect of the study of mitochondrial tRNA import in T. brucei might be relevant for the field of gene therapy. 1) Numerous protocols have been established to target nucleic acids into cells where they can exert their effects, however, despite these attempts an efficient system is still lacking. A detailed knowledege of a natural occuring mitochondrial RNA import systems may therefore help to develop more efficient protocols. 2) Many mitochondrial cytopathies exist which are not amenable to classic protocols of gene therapy, since they are caused by mutations in mitochondrially encoded tRNAs. However, these diseases may be treated if mitochondrial import of the corresponding cytosolic tRNAs can be induced and if the imported tRNA can function in the bacterial-type translation system of mitochondria.

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P06// NEUROPROTECTIVE EFFECT OF INTERLEUKIN-6 AND IL6/IL6R CHIMERA IN THE QUINOLINIC ACID RAT MODEL OF HUNTINGTON'S DISEASE
NFP37 Nr: 044718; Jean-Charles Bensadoun1, Luis Pereira de Almeida1,3, Michel Dreano2, Patrick Aebischer1,4 and Nicole Deglon1; 1Division of Surgical Research and Gene Therapy Center, Lausanne Medical School, Switzerland; 2Serono International SA, 1228 Plan-Les-Ouates/Geneva, Switzerland, 3Laboratory of Pharmaceutical Technology; Faculty of Pharmacy and Center for Neuroscience; University of Coimbra, Portugal; 4Swiss Federal Institute of Technology, EPFL, Lausanne, Switzerland.
Ciliary neurotrophic factor prevents behavioral deficits and striatal degeneration in rat and primate models of Huntington's disease (HD). Another member of the cytokine family, the interleukin-6 (IL-6) and a chimeric molecule (IL6/IL6R) consisting in a fusion of IL-6 and its soluble receptor have been shown to exert trophic action on various neuronal populations in the central nervous system. In the present study, we have investigated the neuroprotective effect of these two molecules in the quinolinic acid (QA) model of HD. LacZ-, IL-6-, and IL6/IL6R-expressing lentiviral vectors were stereotaxically injected into the striatum of rats. Three weeks later the animals were lesioned through the intrastriatal injection of 180 nmol of QA. The extent of the striatal damage was significantly diminished in the IL-6- and IL6/IL6R-treated rats. The neuroprotective effect was however more pronounced with the IL6/IL6R chimera than with IL-6 as indicated by the lesion volume of 38.6 ± 10% and 63.3 ± 3.6% respectively, compared to 84.3 ± 2.9% in the control group. Quantitative analysis of striatal interneurons further demonstrated that the IL6/IL6R chimera has a more robust effect than IL-6 on ChAT and NADPH-d-immunoreactive neurons. These results suggest that IL6/IL6R chimera may hold potential for the treatment of HD.

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P07// LONG-TERM GENE TRANSFER TO THE MOUSE SPINAL CORD USING A LENTIVIRAL VECTOR
NFP37 Nr: 044718; 1S. Guillot, 1,3M. Azzouz, 1N. Deglon, 1,2P. Aebischer, and 1A.D. Zurn; 1Division of Surgical Research and Gene Therapy Center, Lausanne University Medical School, CHUV, Lausanne; 2Swiss Federal Institute of Technology Lausanne, EPFL, Switzerland; 3Oxford BioMedica, Oxford, United Kingdom.
The potential of a lentiviral vector to transfer the reporter gene LacZ and the gene encoding the neurotrophic factor glial cell line-derived neurotrophic factor (GDNF) to the spinal cord of wild-type mice was investigated. An ad hoc developed system composed of a stereotaxic frame and an automatic micropump allowed the localized injection of 0.5 ml of viral stock solution in the anterior horn of the spinal cord. Extensive rostrocaudal diffusion of the virus within the spinal cord was observed at 5 weeks and 3 months, with b-galactosidase-expressing cells and GDNF immunoreactivity covering a distance of up to 3mm along the spinal cord, respectively. Numerous motoneurons were strongly labeled with the GDNF antibody. At the injection site, approximately 80% of the b-galactosidase-labeled cells co-expressed the neuronal marker NeuN. To assess the proportion of motoneurons infected with the viral vector, spinal motoneurons were retrogradely labeled with fluorogold 1 week prior to sacrifice. At the site of injection, 32.9 ± 4.5% of the fluorogold-labeled motoneurons were found to be transduced with b-galactosidase. The present study demonstrates that lentiviral vectors allow to express transgenes in the spinal cord over long distances and for long periods of time. This vector system may thus constitute an excellent tool to evaluate potential protective therapies in mouse models of motoneuron diseases such as amyotrophic lateral sclerosis and spinal muscular atrophy.

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P08// BIOARTIFICIAL PANCREAS: MATCHING DEVICE AND CELL ENGINEERING
NFP37 Nr: 044718; 1H. Hussain-Khan, 1N. Bouche, 1,2P. Aebischer, 1,2WF. Pralong; 1Surgical Research Division and Gene Therapy Center, CHUV, CH-1011Lausanne, 2Swiss Federal Institute of Technology (EPFL/ETHL), Ecublens, CH-1014 Lausanne Switzerland
Cell-based therapies provide promising alternative to the treatment of numerous diseases such as insulin-dependent diabetes mellitus (IDDM) relying on the chronic administration of insulin. In this context, cell encapsulation offer an attractive solution to favor immunological acceptance of allogeneic transplanted cells and to prevent acute reactivation of the underlying auto-immune disease by insulating the implanted cells from host immune cells. þTC-tet cells express a phenotype similar to primary pancreatic cells. They represent therefore an ideal cell model to design and test artificial devices capable of supporting b-cell immunoisolation and in vivo cell function for the treatment of IDDM. Two encapsulation systems were investigated in parallel with these cells. Micro-encapsulation of b-cell clusters in polylysine-alginate beads (PAB), as a non-limited diffusion model, was compared to b-cells loading into thermoplastic polyether-sulfone flatsheet disks (PFD). Following in vitro testing, which demonstrated similar glucose responsiveness and cell survival, the two types of device were implanted intraperitoneally (IP) in streptozotocin-induced diabetic mice (blood glucose > 25 mM). PAB-encapsulated cells (2-3 x 106 cells) corrected glycemia (5 mM) and weight profiles within a few days to control values. The effect was observed for more then 3 months with a good cell survival on histological analysis. In contrast, PFDs (pore size < 1 mm) loaded with the same number of cells were only transiently efficient on glycemia control and showed poor cell survival. Genetic engineering of the cells with the anti-apoptotic gene bcl-2, the gluco-incretin GLP-I together with the use of more open PES membranes (pore size > 5mm) were necessary to confer a good survival and functional properties in vivo to PFD-encapsulated pure b-cells. It is concluded that non-genetically modified pure b-cells can behave as a normal endocrine pancreas substitute only in a non-limited diffusion microdevice system. In contrast to previous observations made with primary islets (constituted by different cell types also exerting paracrine effects, i.e. a-cells secreting glucagon), pure b-cells may need, in addition to optimized oxygen supply, specific engineering to provide them with gluco-incretins in order to function properly in a macro-device configuration.

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P09// DOPAMINERGIC CELL LOSS INDUCED BY LENTIVIRAL-MEDIATED OVEREXPRESSION OF WILD TYPE OR MUTANT HUMAN A-SYNUCLEIN IN THE SUBSTANTIA NIGRA OF RATS
NFP37 Nr: 044718; C. Lobianco1, J.L. Ridet1, A. Zurn1, N. Deglon1, P. Aebischer1,2. 1Division of Surgical Research and Gene Therapy Center, Lausanne University Medical School, CHUV; 2Swiss Federal Institute of Technology Lausanne, EPFL, Switzerland
Parkinson's disease (PD) is characterized by a progressive loss of dopaminergic neurons and the appearance of Lewy bodies in neurons of the substantia nigra pars compacta. Two missense mutations of the a-synuclein (A30P and A53T) have been described in several families with an autosomal dominant form of PD. Since then, it was reported that a-synuclein constitutes one of the main component of Lewy bodies in sporadic cases of PD. The lentiviral vector mediated overexpression of both wild type and mutant forms of a-synuclein is being evaluated both in in vitro and in vivo models. In vitro we showed that the overexpression of both A53T and A30P mutant human a-synuclein induces a substantial cell death in the SH-SY5Y human neuroblastoma cell line. In order to develop genetic animal models of PD, lentiviral vectors expressing either wild type or mutant human forms of a-synuclein were injected into the substantia nigra of rats. Five months post-injection, a significant loss of substantia nigra dopaminergic cells was observed in animals injected with both wild type and mutant forms of human a-synuclein as compared to rats injected with viral vectors expressing b-galactosidase. Analysis for the presence of inclusions, dopaminergic cell death specificity and striatal dopaminergic nerve terminal loss is currently investigated. This work is supported by the Swiss National Science Foundation

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P10// LENTIVIRAL-MEDIATED DELIVERY OF MUTANT HUNTINGTIN (HTT) IN THE STRIATUM OF RATS INDUCES A NEUROPATHOLOGY MODULATED BY POLYGLUTAMINE REPEAT SIZE, HTT EXPRESSION LEVELS AND PROTEIN LENGTH
NFP37 Nr: 044718; E.Regulier1, L.Pereira de Almeida1,2, D.Zala1, P.Aebischer1,3, N.Deglon1; 1Univ. of Lausanne, Switzerland; 2Univ. of Coimbra, Portugal, 3EPFL, Lausanne, Switzerland.
In the present work, we used lentiviral vectors as a gene delivery system to produce models of Huntington's disease (HD) in rats and assessed the importance of large polyglutamine CAG repeats, Htt protein length and expression levels on the onset and specificity of the pathology. The cDNAs encoding the first 171, 853 and 1520 amino acids of Htt protein with either 19 (wild type), 44, 66 and 82 CAG repeats (mutants) were cloned in SIN-W transfer vectors with cytomegalovirus or mouse phosphoglycerate kinase 1 internal promoters. The viruses expressing wild type or mutant Htt were injected in the right and left striatum of adult Wistar rats and lesion formation was followed over 6 months. A progressive pathology was observed only in hemispheres injected with the mutant Htt proteins and characterized by a cascade of successive neuropathological events: appearance Htt of aggregates, ubiquitination, loss of DARPP-32 stained neurones and neurodegeneration. Earlier onset and faster kinetics occurred with shorter Htt fragments, larger CAG repeats and higher expression levels. Importantly, in animals injected with a lentiviral vector expressing Htt171-82Q, a selective sparing of cholinergic and GABAergic interneurons was observed at 12 weeks even though a drastic loss of DARPP-32 staining and an atrophy of the striatum was observed already at 1 month. Experiments are currently underway to explore the relationship between mutant protein expression and progression of the disease using tet-regulatable htt expressing lentiviruses.

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P11// IN VIVO CHARACTERIZATION OF A TETRACYCLINE-REGULATED LENTIVIRAL SYSTEM FOR A CONTROLLED DELIVERY OF THERAPEUTIC MOLECULES
NFP37 Nr: 044718; Ridet JL1*, Spicher A1, Sommer B1, Deglon N1 and Aebischer P1,2; 1Surgical Res. & Gene Therapy, CHUV, Lausanne, 2 Swiss Federal Institute of Technology Lausanne, EPFL, Switzerland.
In vivo CNS gene therapy approaches require the development of regulated gene expression systems especially for vectors such as lentiviruses leading to the long-term expression of the transgene. Lentiviral vectors carrying the tetracycline (tet)-regulatable system for the controlled expression of green fluorescent protein (d2EGFP) or glial cell line-derived neurotrophic factor (GDNF) were therefore developed. In vitro, we showed that doxycycline (DOX), a tet analogue, decreases d2EGFP expression by 50 to 100 fold in infected 293T cells. Lentiviral vectors encoding either for d2EGFP or GDNF were then injected into the striatum of adult rats. DOX (200 microg/ml) was added in the drinking water of defined cohorts. One week later, only scarce GFP-positive cells were detected in the cohort that received DOX treatment whereas numerous neurons with robust GFP expression were observed in the cohort that did not received DOX. The ability to cycle several times the GFP expression as a function of DOX administration was observed in subsequent animals. GDNF expression was also regulated by DOX, although a background revealing a certain level of leakage was observed. Based on GDNF immunostaining the regulation reached 2-3 fold level. ELISA assay revealed that DOX allowed a 5 fold decrease of protein level. New vector constructs including silencers are currently being developed to resolve the leakage problem. This work is supported by the the Swiss National Science Foundation.

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P12// OPTIMIZATION OF HUMAN ERYTHROPOIETIN SECRETION FROM MLV-INFECTED HUMAN PRIMARY FIBROBLASTS FOR ENCAPSULATED CELL THERAPY
NFP37 Nr: 044718; F. Schwenter1, N. Deglon1 and P. Aebischer1,2; 1Division of Surgical Research & Gene Therapy Center, Lausanne University Medical School, CHUV Pavillon 4, 1011 Lausanne, Switzerland 2Swiss Federal Institute of Technology, Lausanne, EPFL, Switzerland
The transplantation of encapsulated cells genetically engineered to secrete human erythropoietin represents an alternative to repeated injections of the recombinant hormone for the treatment of Epo-responsive anemia. In the present study, we have examined the ability of primary human foreskin fibroblasts to produce therapeutically relevant levels of Epo. First, the transduction efficiency of these cells was evaluated using b-galactosidase(LacZ)-encoding retroviral vectors derived from the murine leukemia virus containing either an amphotropic envelope or the G envelope glycoprotein of the vesicular stomatitis virus (VSV-G). Human fibroblasts were then infected with hEpo-expressing retroviral vectors. We demonstrated a 7.5-fold increase in Epo production with the insertion in the vector of a regulatory element from the woodchuck hepatits virus (WPRE) as well as of a Kozak consensus sequence (KZ). Transgene expression was further optimized by increasing multiplicity of infection of VSV-G-pseudotyped viruses and selecting high producer cells with raising concentration of G418. These modifications led to a 40-fold increase in hEpo secretion, reaching approximately 200 IU hEpo/106 cells/day. The survival and the transgene expression of modified fibroblasts were then evaluated in vivo. The cells were encapsulated into microporous hollow fibers and subcutaneously implanted in nude mice. An increase in the hematocrit was observed during the first 2 weeks and elevated levels exceeding 60% were maintained over a 6-week period. These results indicate that genetically engineered primary human fibroblasts can secrete therapeutically relevant amounts of hEpo and represent a promising cell source for encapsulated cell therapy approach of Epo-responsive anemia.

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P13// SELECTION OF PEPTIDE LIGANDS BINDING TO THE BASOLATERAL CELL SURFACE OF PROXIMAL CONVOLUTED TUBULES
NFP37 Nr: 044802; Annette Audige1, Christoph Frick1, Felix J. Frey1, Luca Mazzucchelli2, and Alex Odermatt1; 1Division of Nephrology and Hypertension, Department of Clinical Research, and 2Institute of Pathology, University of Berne, 3010 Berne, Switzerland
Recently, we have developed a novel approach of screening phage-display peptide libraries on microdissected intact renal tubular segments for the identification of ligands that bind specifically to the basolateral membrane. Here, we applied phage libraries, that were depleted of ligands binding to ubiquitously expressed receptors by preincubation with HEK-293 cells. Two distinct ligands, that bind specifically to receptors expressed at the basolateral membrane, were selected from screening libraries on microdissected intact proximal convoluted tubules (PCT). Phage expressing peptides with the consensus sequence GV(K/R)GX3(T/S) or RDXR mediated 15-fold and 13-fold higher binding to PCT than control phage, and binding to PCT was 13-fold and 21-fold higher than binding to CCD, respectively. Both phage did not mediate significant binding to various epithelial cell lines. Binding of both ligands was abolished by the addition of the corresponding synthetic peptide. Immunofluorescence experiments revealed a submembrane localization of both ligands upon incubation with PCT.
Conclusions: Exploiting the versatility of phage-display and biopanning allowed the identification of two distinct peptide ligands that bind specifically to the basolateral membrane of PCT. Tubule segment-specific ligands, such as the described PCT ligands, may be useful for the analysis of cell-extracellular matrix interactions and may contribute to the development of new therapeutic strategies for renal diseases.

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P14// IP-10 ENCODING PLASMID DNA IMMUNIZATION EXHIBITS PROFOUND ANTITUMOR/ANTIMETASTATIC EFFICIENCY AND SYNERGISM WITH IL-12
NFP37 Nr: 048767; Schultz J, Keyser J, Heinzerling L, Dollenmaier G, Pavlovic J, Moelling K; Institute of Medical Virology, University of Zuerich, Gloriastr. 30, CH-8028 Zuerich, Switzerland
Interferon-gamma inducible protein 10 (IP-10), a C-X-C chemokine, has been shown earlier to display antitumoral properties through immune system-mediated as well as angiostatic effects when applied by genetically engineered tumor cells, recombinant defective adenoviruses or as protein. We report here that IP-10 also elicits strong antitumor and antimetastatic responses when administered by DNA immunization. Intratumoral but not intramuscular DNA inoculation profoundly reduced tumor formation in a B16F10/C57BL/6 malignant melanoma- and a Lewis lung carcinoma model (LL/2/C57BL/6). Reduction of tumor burden was partly mediated by immunological mechanisms, since the antitumor effect was abrogated in NK cell-depleted mice. Furthermore, IP-10 encoding plasmid DNA substantially abrogated the establishment of metastases in the B16F10C57BL/6 model when injected systemically by the intramuscular route. This effect was completely mediated by NK cells, because it was abolished in NK cell-depleted mice. When compared to IL-12 DNA therapy IP-10 DNA immunization exhibited lower efficacy in the B16F10/C57BL/6 tumor and metastasis model but higher efficacy in the LL2/C57BL/6 tumor model. Coadministration of IP-10 with IL-12 DNA improved the induced antitumor and antimetastatic effects in the B16F10/C57BL/6 model. Due to this additive inhibition of tumor and metastasis formation the amount of individual DNAs applied could be reduced, thereby lowering the risk of potential side effects. IP-10 serum levels remained below the detection limit and, correspondingly, no toxic side effects were observed, suggesting that immunization with IP-10-, in particular in combination with IL-12 encoding plasmid DNA, might have clinical value for cancer therapy.

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P15// EXON SKIPPING OF DYSTROPHIN mRNA BY EXPRESSION OF ANTISENSE U7 snRNAs
NFP37 Nr: 044704; Brun C1, Pauli C1, Dunant P4, Schuemperli D2, Lochmuller H4, Burgunder J-M3, Weis J1, Suter D1; 1Division of Neuropathology, Institute of Pathology, 2Institute of Cell Biology, 3Neurological Clinic, Inselspital, University of Berne, Switzerland; 4Genzentrum, Ludwig-Maximilian-Universitaet, Munich, Germany
In most cases, Duchenne muscular dystrophy (DMD) is caused by dystrophin gene mutations that disrupt the reading frame of the mRNA. Artificial exclusion of additional exons (exon skipping) often would restore the reading frame and might give rise to a truncated but semi-functional dystrophin protein. Similarly, a natural alternative splicing mechanism leads to rare dystrophin-positive, "revertant" fibers in the mdx mouse and in DMD patients. Using antisense sequences expressed on derivatives of U7 small nuclear RNA (snRNA), we aim at blocking distinct splice sites and specifically inducing artificial exon skipping. We first targeted the splice sites flanking exon 23 and showed precise exon 23 skipping in the dystrophin mRNA of "wild-type" C2C12 muscle cells. The same strategy was then successfully adapted to immortalized mdx mouse muscle cells that normally do not express functional dystrophin. Here, skipping of exon 23 carrying the nonsense mutation restores the reading frame. These results demonstrate that dystrophin gene mutations can be corrected on the level of pre-mRNA splicing by the use of custom-made U7 snRNAs.

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P16// MONITORING THE MATURATION OF DENDRITIC CELLS UPON ADDITION OF BIODEGRADABLE MICROPARTICLES
NFP37 Nr: 055144; Samantha Jilek, Hans P. Merkle and Elke Walter; Department of Applied Biosciences, Institute of Pharmaceutical Sciences, ETH Zuerich, 8057 Zuerich
Dendritic cells (DC) are the key cell type for the induction of the immune response and represent the most important cell type for antigen presentation. In their immature state, they are able to phagocytose antigens or even microparticles. As mature cells, they migrate into secondary lymphoid follicles to induce an immune response by activating the T helper lymphocytes. Maturation is induced by various factors, such as LPS or phagocytosis of bacteria or viruses. Thus, the capacity to phagocytose antigenic material is restricted to the immature state of DC. Targeting of immature DC through antigen loaded microparticles could therefore represent an efficient way to induce long lasting immune reponse. The focus of this project was to study the capacity of microparticles to induce DC maturation. For preparation of the microparticles we used two biodegradable polymers, poly(D,L-lactide) (PLA) and poly(D,L-lactide-co-glycolide) (PLGA), and the microparticles were made by spray drying. Plasmid DNA or salmon DNA were either encapsulated or coated on the microparticles' surface. After isolation of monocytes from human blood, DC were differentiated over 7 days before incubation with the microparticles. On day 11, the presence of different surface markers (CD11b, CD14, CD83, CD86) was assessed by flow cytometry (FACS). Maturation of DC, as indicated by upregulation of CD83 and CD86, was induced by both LPS and microparticles, but was superior with LPS. Further experiments will be carried out with CpG- or non CpG- oligonucleotides-coated particles or with DNA directly added to the culture medium in order to determine whether upregulation of CD83 and CD86, and thus maturation of DC can be further enhanced.

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P17// TARGETING OF DENDRITC CELLS BY SPECIFIC PHAGOCYTOSIS OF RGD-SURFACE MODIFIED MICROSPHERES
NFP37 Nr: 055144; Kralisch S (2), Mueller M (3), Voros J (3), Thiele L (1), Beck-Sickinger AG (2), Textor M (3), Merkle HP (1), Walter E (1); (1)Department of Applied BioSciences, ETH Zuerich, (2)Institute of Biochemistry, University of Leipzig, Germany, (3) Laboratory for Surface Science and Technology, ETH Zuerich
Gene delivery to professional antigen presenting cells such as dendritic cells (DCs) has great potential for the immunotherapy of infectious diseases, cancer and for tolerance and is likely to revolutionize future vaccine design. Thereby, synthetic gene delivery approaches have emerged as a promising technology to circumvent safety concerns involved with life vectors. Microspheres from biodegradable poly(lactide-co-glycolide) (PLGA)-polymers have a proven track record for the microencapsulation of therapeutics and can be used to selectively target phagocytic cells such as DCs and macrophages (Mo). A targeting approach to selectively address DCs by avoiding Mo involves coating of PLGA particles with polyethyleneglycol (PEG)-derivatives (1) as a first step. We demonstrated resistance to protein adsorption to avoid opsonization by serum proteins which generally initiates phagocytosis by Mo. Subsequently, specific targeting to DCs is suggested by addressing the alphavbeta3 integrin receptor which is selectively expressed on the cell membrane of DCs (2). We demonstrated specific uptake of a RGD-peptide ligand (3) in DCs. Furthermore, chemical conjugation of this ligand to the surface of carboxylated polystyrene beads was performed by linkage via a modified maleimide chemistry. Phagocytosis of modified beads in DCs and Mo was evaluated. (1) Kenausis GL (2000) J. Phys. Chem. B 104:3298; (2) Albert ML (1998) J. Exp. Med. 188:359; (3) Verdaguer N (1995) EMBO 14:1690

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P18// ADENOVIRAL GENE TRANSFER OF A SOLUBLE IL-1 TYPE II RECEPTOR PROLONGS CARDIAC ALLOGRAFT SURVIVAL IN RATS
NFP37 Nr: 055162; Li J, Dudler J, Fleury S, Driscoll R, Vassalli G. Cardiology, Rheumatology and Gene Therapy Center, University of Lausanne Medical School, Lausanne
Interleukin (IL)-1 is involved in inflammatory and immune responses leading to cardiac allograft rejection. We have constructed an adenoviral vector expressing a soluble IL-1 type II receptor/IgG-fusion protein (Ad-sIL-1RII). The effect of this vector on cardiac allograft survival was tested in a rat model of heart transplantation. F344 rat donor hearts (n = 9) were instilled with Ad-sIL-1RII (10E10 PFU/mL) containing saline solution immediately before transplantation into LEW recipients. Control F344 hearts received either a control vector (Ad-Null; n = 5) or saline alone (n = 3) before transplantation into LEW recipients. Allograft survival was as follows: Ad-sIL-1RII = 15.7 + 5.9 days; Ad-Null = 9.8 + 0.8 days; saline = 7.8 + 0.5 days (Ad-sIL-1RII: p = 0.053 vs Ad-Null; p<0.05 vs saline). Control LEW/LEW isografts (n = 3) survived >150 days. Additional heart transplants (n = 3 per group) were explanted at day 6 for immunohistological analysis (in progress). In conclusion, sIL-1RII gene transfer produces a moderate prolongation of cardiac allograft survival in a rat transplantation model.

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P19// withdrawn

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P20// LIVE SALMONELLA VECTORS FOR ANTIGEN TRANSFER INTO HUMAN DENDRITIC CELLS
NFP37 Nr: 055164; Menno Kok (1), Elke Walter (2), Elisabeth Buehlmann (3), Laurent P. Nicod (4), and Donatus Dreher (4). (1) Department of Medical Biochemistry, University of Geneva; (2) Department of Applied BioSciences, ETH Zuerich; (3) Department of Genetics and Microbiology, University of Geneva; (4) Division of Pneumology, University Hospital of Geneva
BACKGROUND: The natural infection pathway of Salmonellae includes both extracellular and intracellular stages, the latter involving passages through macrophages and dendritic cells (DC). In these cells, the bacteria exploit and modify the endosomal compartment for growth and survival. The equilibrium between microbial growth and bactericidal activities of the host cells may result in efficient antigen presentation via both the exogenous and the endogenous antigen presentation pathways. This feature qualifies S. typhimurium (ST) as interesting vector for delivery of macromolecules to APC. METHODS: Human DC were obtained by culture of peripheral blood monocytes in the presence of GM-CSF and IL-4. The green fluorescent protein (GPF) was detected by FACS and fluorescent microscopy and expression of the Mycobacterium tuberculosis (Mtb) antigen Ag85C was monitored by Western blotting. DC maturation was measured by FACS analysis of CD83, CD86 and MHCII expression. Presentation of antigen by the DC to primed CD4+ or CD8+ T lymphocytes was detected in the autologous mixed leukocyte reaction (AMLR), measuring interferon-gamma secretion by activated T cells. RESULTS: While screening a wide variety of bacterial mutants, infection conditions and plasmids, we incidentally observed expression of GFP in the cytoplasm of DC (10-20% of cells), indicative of transfection with bacterial DNA. This only occurred when monocytes had been infected as early as three days following the onset of induced development to DC and when bacteria with artificially increased plasmid contents were used. In spite of this early exposure to LPS, these cells developed normally to DC. We observed that attenuated ST efficiently infect and maturate DC, rather than killing them, prompting us to investigate the capacity of ST to deliver antigen rather than DNA. By fusion to E. coli MalE, which stabilizes antigens produced by ST, we obtained efficient synthesis of the Mtb antigen Ag85C by ST. Antigens from intracellular ST were processed by the DC for both MHC class I and class II presentation, resulting in significant stimulation of primed T-cells in vitro.
CONCLUSIONS: Transfer of antigen by ST to human DC is most effective when the antigen is synthesized inside the DC by the bacteria. In fact, human DC infected by ST present antigens efficiently to both CD4+ and CD8+ T cells. On the other hand, DNA transfer ex vivo by ST to human DC is not a reliable alternative for immunotherapy.

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P21// SALMONELLA TYPHIMURIUM SIPB PROTEIN MODULATES ACTIVATION AND RELEASE OF IL-18 BY ALVEOLAR MACROPHAGES
NFP37 Nr: 055164; Carolina Obregon1, Donatus Dreher1, Menno Kok2, Laurence Cochand1, and Laurent P. Nicod1. 1 Division of Pneumology, University of Geneva; 2 Department of Medical Biochemistry, University of Geneva
Alveolar macrophages (AM) represent the first line of immune defense in the lung. They have been shown to produce interleukin (IL)-18, which stimulates T-cells to secrete IFN-gamma that is essential for protection against intracellular pathogens such as M. tuberculosis. This cytokine is synthesized as an inactive precursor that is proteolytically processed to the mature, biologically active form by the IL-1beta-converting enzyme (ICE, or caspase-1). SipB has been identified as the cytotoxic factor of the facultative intracellular pathogen Salmonella that activates ICE. Therefore, we have investigated the role played by S. typhimurium (ST) SipB in IL-18 activation and release, and the role of ICE in this process. METHODS: The capacity of AM to release mature IL-18 after infection with genetically modified ST was analyzed. In particular, two bacterial strains were compared, a virulent strain, and its isogenic mutant in sipB, which lacks the active SipB protein that activates ICE. Intracellular IL-18 and its release in the supernatant were analyzed by Western blot to distinguish the mature (18kDa) from the immature form (24kDa), while the global amount of IL-18 was quantified by ELISA. For some experiments, AM were treated with a caspase-1 specific inhibitor (Ac-YVAD-CMK) at a concentration of 50 micromolar, 1 hour before bacterial infection. RESULTS: AM produce high amounts of IL-18 as compared to other antigen-presenting cells. The genetic background of ST had a profound impact on the release of IL-18 by AM. Infection with the wild type strongly stimulated the secretion of both the unprocessed and the mature forms of IL-18. The induction of IL-18 was detected as early as 3 hours after infection, with maximum levels observed at 24 hours. The ICE inhibitor blocked the release of IL-18 at an early stage. In contrast to the wild type, infection with the sipB-deficient mutant neither induced maturation nor secretion of IL-18. CONCLUSION: Understanding the Salmonella virulence factors will contribute to the improvement of bacterial live vectors. The maturation and the release of the immunostimulatory cytokine IL-18 are specifically triggered by the Salmonella virulence factor SipB. Thus, the genetic modification of live vectors may be used to regulate their effects on the immune system.

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P22// SINGLE-CHAIN ANTIBODY AND ITS DERIVATIVES DIRECTED AGAINST VASCULAR ENDOTHELIAL GROWTH FACTOR: APPLICATION FOR ANTIANGIOGENIC GENE THERAPY
NFP37 Nr: 044820; T. Afanasieva, M. Wittmer, A. Vitaliti, L. Wyder and R. Klemenz; Division of Cancer Research, Dept. of Pathology, University Hospital Zuerich, Switzerland
At present antiangiogenic therapy seems to be one of the most promising directions in preventing expansion and metastasizing of solid tumors. VEGF IS known to be ONE OF THE the major angiogenic players. Multiple strategies on VEGF inactivation have been shown to be successful in tumor growth inhibition. Our research interests are focused on the antiangiogenic potential of genetically engineered antibodies for cancer cure. Recently, an anti-VEGF single-chain antibody (scFv) was selected from phage-display library in our laboratory. This antibody was able to reduce the growth of subcutaneous tumors in nude mice by approximately 50% (A. Vitaliti et al., Cancer Research 2000; 60: 4311- 4314). To improve the antiangiogenic effect, the selected scFv was subjected to several modifications: 1) to increase the affinity of scFv to VEGF an in vitro affinity maturation approach was employed; 2) to increase the half-life of the scFv in the blood, a minibody consisting of the human IgG CH3 domain fused with scFv, and a scFv-Fc fusion protein were generated; 3) because production and purification of bulk quantities of scFvs in E. coli is laborious, we choose to work with a gene therapy settings based on the recombinant adenovirus system. We have produced a number of recombinant adenoviruses expressing different variants of anti-VEGF-scFv. Expression analysis of the recombinant adenoviruses produced showed that sustained high levels of the proteins of interest were achieved after systemic administration of the recombinant viruses to nude mice. Our preliminary experiments revealed that single injection of recombinant adenovirus encoding anti-VEGF scFv (4x108 PFU) led to a reduction of tumor growth comparable with those achieved by daily injections of purified recombinant scFv protein. Moreover, this effect could be improved by multiple injections of the virus. Our ongoing experiments will clarify the potential of genetically modified antibodies for therapeutic antiangiogenic treatment of solid tumors.

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P51// OVEREXPRESSION OF PARKINSON'S DISEASE-ASSOCIATED ALPHA-SYNUCLEIN(A53T) IN THE SUBSTANTIA NIGRA OF MICE BY RECOMBINANT AAV DOES NOT INCREASE THE SENSITIVITY OF DOPAMINERGIC NEURONS TO THE NEUROTOXIN MPTP
NFP37 Nr: guest; Zhizhong Dong, Boris Ferger*, Joram Feldon*, and Hansruedi Bueeler; Institute of Molecular Biology, University of Zuerich, and Institute of Behavioral Neurobiology, ETH Zuerich, Switzerland
Alpha-synuclein is the major component of Lewy bodies, that are a hallmark of sporadic and alpha-synuclein-associated familial Parkinson's disease (PD). Alpha-synuclein is nitrated in Lewy bodies of several human synucleinopathies. Furthermore, the neurotoxin MPTP has been shown to cause the nitration of alpha-synuclein in mice and its aggregation in baboons, suggesting that oxidative stress-dependent post-translational modifications of alpha-synuclein may underlie Lewy body formation and dopaminergic neuron death. While upregulation of endogenous alpha-synuclein in surviving dopaminergic neurons of mice treated with MPTP indicated that (wild-type) alpha-synuclein may be neuroprotective, mutated alpha-synuclein was reported to enhance the vulnerability of clonal SH-SY5Y "dopaminergic" cells to MPP+, the toxic metabolite of MPTP. In order to study the influence of the PD-associated alpha-synuclein(A53T) mutant on MPTP-induced neurodegeneration in vivo, we overexpressed human alpha-synuclein(A53T) (or EGFP as control) at high levels in the substantia nigra of mice by rAAV-mediated gene transfer, and treated the mice 5 weeks later subchronically with MPTP (or saline as control). Determination of dopaminergic neuron survival and striatal content of dopamine and its metabolites in the different groups of mice demonstrated that alpha-synuclein(A53T) neither sensitizes nor protects dopaminergic neurons from MPTP toxicity. Our results argue against a direct function of (mutant) alpha-synuclein in oxidative stress pathways, but do not rule out the possibility that alpha-synuclein aggregation in neurons exposed to oxidative stress for long periods of time may be neurotoxic.

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P52// HSV/AAV HYBRID VECTORS MEDIATE LONG-TERM GENE EXPRESSION IN CULTURED HUMAN CELLS
NFP37 Nr: guest; Heister T., Ackermann M., Fraefel C.; Institute of Virology, University of Zuerich, Winterthurerstr. 266a, 8057 Zuerich, Switzerland
HSV-1-based amplicon vectors have a large transgene capacity and can efficiently infect many different cell types. One disadvantage of amplicons is the instability of transgene expression. By contrast, vectors based on adeno-associated virus (AAV) can either persist in an episomal form or integrate into the host cell genome, thereby supporting long-term gene expression. AAV expresses four rep genes, rep68, 78, 40, and 52. Of those, rep68 or rep78 are sufficient to mediate site-specific integration of the AAV DNA into the host cell genome. The major disadvantage of AAV vectors is the small transgene capacity (~4.5 kb). In this study, we constructed HSV/AAV hybrid vectors that contain, in addition to the standard HSV-1 amplicon elements, AAV rep68, or rep78, or both rep68 and 78, or all four rep genes, and the GFP reporter gene that is flanked by the AAV inverted terminal repeats (ITR). Southern blots of Hirt extracted DNA from cells transfected with the hybrid vectors and HSV-1 helper DNA revealed that the entire vector was replicated as an HSV-1 amplicon and that the ITR-GFP expression cassette alone was replicated in addition, indicating that the rep genes and the ITRs were functional. One month after infection of cultured human cells (293) with pHyRaGFPa, a hybrid vector that contains all four rep genes, transgene expression was maintained in 32% of the initially transduced cells, as determined by flow cytometry; standard amplicon vectors supported only short-term transgene expression (1-2 weeks). Cell clones that stably (> 8 months) express the transgene could easily be isolated without chemical selection. Southern analysis of genomic DNA from the clones using P32-labeled AAVS-1 and GFP probes revealed co-localization of the ITR-GFP expression cassette and the AAVS-1 integration site in 4 of 11 clones analyzed indicating specific integration of GFP sequences in AAVS-1. We are currently investigating the junctions between vector derived DNA and AAVS-1 sequences in these clones.

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P53// ATTENUATED REPLICATION-COMPETENT ADENOVIRUSES AS TOOLS FOR MELANOMA THERAPY
NFP37 Nr: guest; Peter I, Schaffner W, Hemmi S; Institute of Molecular Biology, University of Zuerich, Switzerland; Greber UF, 2Institute of Zoology, University of Zuerich, Switzerland
Clinical trials are currently testing replicating viruses, including adenoviruses, as oncolytic agents for various tumors. Key issue of these approaches is to obtain high levels of viral replication specifically in the tumor tissue but not in nearby normal cells. Adenovirus controls its replication by the major transactivator, the E1A proteins. Therefore we aimed to tightly restrict E1A expression to melanoma, a tumor of readily accessible localization. The combination of four mouse tyrosinase enhancers (TE) fused to the human tyrosinase promoter (TP), showed up to 1000-fold higher activity in tyrosinase-expressing melanoma cells than in non-melanoma using reporter assays. The TETP promoter was introduced into an E3-deleted adenovirus to drive E1A. E1A expression was further restricted by deletion of adenoviral enhancer sequences upstream of E1A (EP). This virus (Ad*EP-TETP) replicated at efficiencies comparable to wt Ad5 in melanoma cells such as SK-Mel23. But in a panel of non-melanoma tumor cells and primary human cells, replication and cytopathic effects were reduced more than 50 fold. Injection of Ad*EP-TETP into xenotransplanted melanomas but not HeLa cells led to tumor regression in 5 out of 6 nude mice. These data demonstrate the selective oncolytic activity of Ad*EP-TETP and its potential application in melanoma therapy.

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P54// PATTERN OF ACTIVITY OF VIRAL AND HOUSEKEEPING GENE PROMOTERS USING SELF-INACTIVATING LENTIVIRUS VECTOR DELIVERY INTO THE MOUSE RETINA
NFP37 Nr: guest; Kostic C, Chiodini F, Hornfeld D, Tekaya M, Salmon P, Deglon N, Aebischer P, Munier F and Arsenijevic Y; Jules ; Gonin Eye Hospital, Lausanne, Switzerland
Retinal degenerative diseases such as retinitis pigmentosa and age-related macular degeneration have an important incidence in the occidental world. The process impaired in this visual decline is a progressive loss of photoreceptors. No therapy exists so far to cure these diseases and gene transfer appears to be promising to prevent photoreceptor loss. In order to design adequate vectors, we explored the activity of different promoters (cytomegalovirus (CMV), phosphoglycerate kinase (PGK), elongation factor-1 (EFS) and rhodopsin (Rho) promoters) in postnatal and adult mice eyes (n=6 to 18). Self-inactivating lentivirus preparations were injected intravitreously in DBA/2 mice at 3 to 5 days or 8 weeks postnatal, followed by analysis of each promoter activity 7 days later. Cell transductions were observed over a 3 mm distance. As previously described (Miyoshi H. et al. (1997)), the CMV promoter was active in RPE cells, photoreceptors and cells of the inner nuclear layer (INL), but more restricted to RPE cells in adult mice eyes. The PGK promoter expression pattern in newborn injected eyes was principally defined as strong in RPE and weak in some cells of the INL. Injected adult eyes showed a predominant expression in RPE cells. The EFS promoter derived from the elongation factor-1 gene, allows a broad expression in the retina of newborn injected mice. Different cell types expressed the GFP reporter gene, such as glial cells, neurons, RPE and rarely photoreceptors. Finally, as expected, the Rho promoter is specifically expressed in photoreceptors. Thus, as shown in our study of CMV and PGK promoters, infection in the developing retina is more favorable for transgene expression. Additionally, in future attempts to slow or rescue photoreceptor degeneration by lentiviral delivery of a secreted survival factor, both CMV and PGK promoters should be appropriate due to their strong expression in RPE cells which are adjacent to the targeted photoreceptors. The EFS promoter could be useful to target neurons of the INL or ganglionic cells that are damaged in glaucomas, because it drives expression in adjacent glial cells. Finally, the Rho promoter is more suitable for genes necessary to be expressed in the photoreceptors themselves.

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P55// PROTEASOME ACTIVITY AND A POTENTIALLY DIFFERENT ENDOSOMAL ROUTING RESTRICT AAV-2 TRANSDUCTION IN ENDOTHELIAL CELLS
NFP37 Nr: guest; Pajusola K, Bueler H; Institute of Molecular Biology, University of Zuerich
Adeno-associated virus (AAV) is considered a promising vector for various gene therapy applications due to its long-lasting transgene expression in vivo and wide spectrum of target cell specificity. More recently however, it has become apparent that there are considerable differences in the efficiency of transduction of different cell types by AAV and this has important implications in the various applications of AAV. In this study, the transduction capacity of AAV-2 in endothelial cells was studied, because AAV-2 could potentially be a useful tool for the gene therapy of cancer and cardiovascular diseases. For this purpose the transduction efficiencies of AAV-2 in the endothelial cell line EAhy-926, the glioma cell line LN-229 and the cervical carcinoma cell line HeLa, which is the optimal target cell for AAV-2 transduction, were compared. The cell lines were infected with equal MOIs of recombinant AAV-2 expressing EGFP under CMV or Tie promoter, which is specific for endothelial cells. When the transgene expression induced by rAAV-2 under CMV promoter was analysed by FACS, it was discovered that there is 37 times higher overall expression and up to 92 times higher high-level expression of EGFP in LN-229 and HeLa cells compared to EAhy-926. To clarify the reason behind the difference in the transduction efficiencies, the cells were treated with the proteasome inhibitor MG-132 or Bafilomycin-A1, which inhibits endosomal acidification known to be important for AAV-2 transduction. MG-132 treatment increased the AAV-2 mediated transduction by 11 and 5 times in EAhy-926 or LN-229 and HeLa cell lines, respectively, and the transduction difference between these cell lines could be reduced to a factor of 3. On the other hand, Bafilomycin-A1 reduced the transduction in HeLa cells by a factor of 50 whereas in EAhy-926 cells only by a factor of 2. These results indicate that proteasome-dependent degradation of AAV-2 particles imparts a major block to AAV-2 transduction in endothelial cells. Moreover, EAhy-926 cells may use an alternative inefficient endocytic pathway, since bafilomycin-A1 had little effect on AAV-2 transduction in these cells. However, additional experiments are required to address the latter possibility.

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P56// INTERFERON RESISTANCE OF CUTANEOUS T-CELL LYMPHOMA DERIVED CLONAL T-HELPER 2 CELLS ALLOWS SELECTIVE VIRAL REPLICATION
NFP37 Nr: guest; Willers J, Dummer R, Doebbeling U, Geertsen R, Burg G, Pavlovic J; University Hospital Zuerich, Zuerich, Depts of Dermatology and Virology
Cutaneous T cell lymphomas (CTCL) comprise a heterogeneous group of lymphoproliferative disorders that are characterized by an accumulation of T lymphocytes in the skin and occasionally in blood (Sezary Syndrome, SS). In most cases the dominant clone displays T helper 2 cytokines. Since IFN-gamma is a natural inhibitor of T helper 2 cells and IFN-alpha is frequently used in CTCL, we studied the impact of IFNs on SS derived purified clonal T helper 2 cells using anti-Vb antibodies. Moreover, IFNs are known to mediate virus resistance in normal cells. The isolated clonal CD4+ cells, but not the non-clonal CD4+ cells appeared resistant to IFN-gamma and IFN-alpha stimulation in terms of HLA upregulation and MxA induction caused in part by alterations in STAT1 molecule mRNA and IFNGR1 mRNA transcription. The IFN resistance of the patient derived clonal cells was then targeted by vesicular stomatitis virus infection after IFN-alpha priming resulting in selective viral replication in clonal cells. In contrast, non-clonal cells of the same patient showed IFN-dependent MxA expression, which is a major mediator protein of viral protection. The IFN resistance of the dominant T helper 2 cells might be important for lymphomagenesis. Interferon signaling deficiencies can be targeted for purging patients' cells in vitro. Furthermore, this approach may allow specific molecular interventions resulting in efficient treatment of CTCL and other IFN-resistant neoplasms like lung cancer.

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P57// LENTIVIRAL-MEDIATED TRANSFER OF CILIARY NEUROTROPHIC FACTOR RESCUES INJURED RETINAL GANGLION CELLS: A POTENTIAL NEUROPROTECTIVE STRATEGY FOR GLAUCOMA TREATMENT
NFP37 Nr: guest; B. A. van Adel3, C. Kostic1, N. Deglon2, A.K. Ball3, and Y. Arsenijevic1; 1Eye Hospital Jules Gonin, Lausanne, 2 CHUV, Lausanne, Switzerland, 3Dept. of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada.
Glaucoma is a progressive optic neuropathy that leads to the degeneration of retinal ganglion cells (RGCs) and thus permanent visual field loss. Currently, there are no effective treatments to prevent RGC death after optic neuropathy. Several lines of evidence suggest that RGC death may be prevented by the continuous supply of neurotrophic factors. Ciliary neurotrophic factor (CNTF) has recently been demonstrated to be one of the most promising trophic factors for both the survival and regeneration of injured RGCs (Weise et al., 2000). In the present study, we used optic nerve transection as an in vivo animal model to test the efficacy of lentiviral-mediated gene transfer of ciliary neurotrophic factor (CNTF) to prevent RGC death. The optic nerve was transected intraorbitally 2mm behind the eye and RGCs were labeled by injecting Dextran-FITC into the proximal nerve ending. A replication-deficient lentivirus encoding CNTF (PGK-CNTF) was injected intraocularly at the time of axotomy. For control experiments, no injection was made or a control vector encoding for b-galactosidase (PGK-lacZ) or PBS was injected into the eye. RGC densities were determined using confocal microscopy in flatmounts isolated from experimental and control groups surviving 14 and 21 days post-axotomy (dpa). The percentage of surviving RGCs was drastically reduced after optic nerve transection to only 15 ± 2 and 8 ± 1 % at 14 and 21 dpa in untreated animals. In contrast, the percentage of surviving RGCs at 14 and 21 dpa in retinas treated with PGK-CNTF was 68 ± 6 and 31 ± 7 % respectively. This corresponded to a RGC rescue rate of 52 ± 5 and 25 ± 7 % at 14 and 21 dpa above control retinas treated with PGK-lacZ. For the first time a vector is able 1) to prevent optic nerve cell loss when injected at the time of injury and 2) to protect a population of ganglion cells 21 days after the axotomy. Therefore, continuous administration of CNTF could serve as a potential treatment for retinal disorders involving optic neuropathy and RGC injury such as in glaucoma.

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P58// HARMONIC THERMODYNAMICAL BEHAVIOR OF TELOMERIC SEQUENCES
NFP37 Nr: guest; Md. Ashrafuzzaman, Inst de physique, UNI Neuchatel, Switzerland
The interaction energies between the different types of bases of a single strand of DNA molecule have been calculated. Using these original values of energies the harmonic behavior of a number of base patterns of DNA has been studied. In view of the great interest aroused by the discovery of the role of the telomere segment of the DNA in the replication process and its possible link with the aging process, we have investigated, with simple models, the harmonic behavior of the telomeric pattern of bases as well as the thermodynamic response in the biological system. With these results a conclusion on the probable role of the telomeric pattern on aging has also been drawn.

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P59// EFFICIENT TRANSDUCTION OF DENDRITIC CELLS AND INDUCTION OF A T CELL RESPONSE BY THIRD GENERATION LENTIVECTORS
NFP37 Nr: guest; Christoph Esslinger and H. Robson MacDonald; Ludwig Institute for Cancer Research, Lausanne Branch, University of Lausanne, CH-1066 Epalinges, Switzerland
In order to induce a therapeutic T lymphocyte response recombinant viral vaccines are designed to target professional antigen presenting cells such as dendritic cells (DC). A key requirement for their use in humans is safe and efficient gene delivery. The present study assesses 3rd generation lentivectors with respect to their ability to transduce DC and to induce a CD8+ T cell response in a murine model. We show that 3rd generation lentivectors transduce DC with a superior efficiency as compared to adenovectors. The transfer of DC transduced with a recombinant lentivector encoding an antigenic epitope resulted in a strong specific CD8+ T cell response. The occurrence of lower proportions of non-specifically activated CD8+ cells suggests a lower anti-vector immunity of lentivector as compared to adenovector. Thus, lentivectors, in addition to their promise for gene therapy of brain disorders might also be suitable for immunotherapy.

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P60// PAIRED-BOX CONTAINING TRANSCRIPTION FACTORS AS TARGETS FOR THERAPY IN SOLID TUMORS, MELANOMAS AND BRAIN TUMORS
NFP37 Nr: guest; Beat W. Schaefer, Christiane M. Margue, Florence A. Scholl, University of Zuerich, Department of Pediatrics, Division of Clinical Chemistry and Biochemistry, Steinwiesstrasse 75, CH-8032 Zuerich, Switzerland
Paired-box containing transcription factors are crucial regulators of developmental processes. Interestingly, they also seem to play an important role in tumor development as implied by their involvement in specific chromosomal translocations. PAX3 and PAX7 are found as chimaeric proteins in the pediatric tumor rhabdomyosarcoma (RMS), expression of PAX5 is upregulated via a translocation in B cell lymphomas and, as demonstrated just recently, PAX8 is involved as a fusion partner in thyroid carcinomas. Previous experiments in our laboratory have shown that one of the possible oncogenic functions of PAX3/FKHR in RMS is protection from apoptosis. Surprisingly, a similar function was found for the native PAX3 in these tumor cells. To begin to investigate the mechanisms underlying this effect, we searched for potential target genes of PAX3. Here, we demonstrate that transcription of the anti-apoptotic protein BCL-XL can be stimulated by both PAX3 and PAX3/FKHR through cotransfection assays with the Bcl-x gene promoter as well as electrophoretic mobility shift assays. Also, modulation of both PAX and BCL-XL protein levels in tumor cells through antisense oligonucleotides shows that both proteins are functionally important for cell survival. Based on these experiments we speculated that upregulation of BCL-XL might also render tumor cells more resistant towards treatment with chemotherapeutic drugs. Indeed, RMS cells with enhanced expression of either PAX3 or PAX3/FKHR are more resistant to etoposide and actinomycinD treatment. Based on the apparently important function of PAX3 in solid tumors, we screened additional cancers for expression of this transcription factor. Indeed, expression of PAX3 was detected by RT-PCR as well as in situ hybridization experiments in about 50% of brain tumors and about 75% of melanomas. Using a similar antisense strategy as before, specific downregulation of its expression could be achieved resulting again in the induction of apoptosis. Hence, these experiments suggest that PAX proteins might be important targets for therapy in a range of tumor types.

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P107// Stolarczyc et al., abstract not received

 


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