4.5 Article

Effect of intramuscular baculovirus encoding mutant hypoxia-inducible factor 1-alpha on neovasculogenesis and ischemic muscle protection in rabbits with peripheral arterial disease

期刊

CYTOTHERAPY
卷 22, 期 10, 页码 563-572

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.jcyt.2020.06.010

关键词

angiogenesis; baculovirus vector; hypoxia-inducible factor 1-alpha; peripheral arterial disease; rabbit

资金

  1. National Agency for the Promotion of Science and Technology of Argentina [PICT 2015-1073]
  2. Florencio Fiorini Foundation of Argentina
  3. National Council for Scientific and Technical Research of Argentina

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Background aims: Peripheral arterial disease (PAD) is a progressive, disabling ailment for which no effective treatment exists. Gene therapy-mediated neovascularization has emerged as a potentially useful strategy. We tested the angiogenic and arteriogenic efficacy and safety of a baculovirus (BV) encoding mutant, oxygen-resistant hypoxia-inducible factor 1-alpha (mHIF-1 alpha), in rabbits with PAD. Methods: After assessing the transfection efficiency of the BV.mHIF-1 alpha vector and its tubulogenesis potential in vitro, we randomized rabbits with experimental PAD to receive 1 x 10(9) copies of BV.mHIF-1 alpha or BV.null (n = 6 per group) 7 days after surgery. Two weeks post-treatment, collateralization (digital angiography) and capillary and arteriolar densities (immunohistochemistry) were measured in the posterior limbs. Ischemic damage was evaluated in adductor and gastrocnemius muscle samples. Tracking of viral DNA in injected zones and remote tissues at different time points was performed in additional rabbits using a BV encoding GFP. Results: Angiographically visible collaterals were more numerous in BV.mHIF-1 alpha-treated rabbits (8.12 +/- 0.42 vs 6.13 +/- 1.15 collaterals/cm(2), P < 0.05). The same occurred with arteriolar (27.9 +/- 7.0 vs 15.3 +/- 4.0 arterioles/mm(2)) and capillary (341.8 +/- 109.9 vs 208.8 +/- 87.7 capillaries/mm(2), P < 0.05) densities. BV.mHIFla-treated rabbits displayed less ischemic muscle damage than BV.null-treated animals. Viral DNA and GFP mRNA were detectable only at 3 and 7 days after injection in hind limbs. Neither the virus nor GFP mRNA was detected in remote tissues. Conclusions: In rabbits with PAD, BV.mHIF-1 alpha induced neovascularization and reduced ischemic damage, exhibiting a good safety profile at 14 days post-treatment. Complementary studies to evaluate its potential usefulness in the clinic are needed. (C) 2020 International Society for Cell & Gene Therapy. Published by Elsevier Inc. All rights reserved.

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