Recent studies have demonstrated that delivery of genes to the inner ear can achieve a variety of effects ranging from support of auditory neuron survival to protection and restoration of hair cells, demonstrating the utility of vector based gene delivery. Translation of these findings to useful experimental systems or even clinical applications requires a detailed understanding of the pharmacokinetics of gene delivery in the inner ear. Ideal gene delivery systems will employ a well tolerated vector which efficiently transduces the appropriate target cells within a tissue, but spare non-target structures. Adenovectors based on serotype 5 (Ad 5) are commonly used vectors, are easy to construct and have a long track record of efficacious gene transfer in the inner ear. In this study we demonstrate that distribution of Ad5 vector occurs in a basal to apical gradient with rapid distribution of vector to the vestibule after delivery via a round window cochleostomy. Transduction of the vector and expression of the delivered transgene occurs by 10 min post vector delivery. At 24 h post delivery only 16% of vector that was initially detectable within the inner ear by quantitative PCR remained. Perilymph sampling was used to determine that vector concentrations in perilymph peaked at 30 min post delivery and then declined rapidly. Understanding these basic distribution patterns and parameters for delivery are important for the design of gene delivery vectors and vital for modeling dose responses to achieve safe efficacious delivery of a therapeutic agent.

译文

:最近的研究表明,向内耳传递基因可以实现多种效果,从支持听觉神经元存活到保护和恢复毛细胞,证明了基于载体的基因传递的实用性。将这些发现转化为有用的实验系统甚至临床应用,都需要对内耳基因传递的药代动力学的详细了解。理想的基因递送系统将采用耐受性良好的载体,该载体可有效地转导组织内适当的靶细胞,但保留非靶结构。基于血清型5(Ad 5)的腺载体是常用的载体,易于构建并且在内耳中有效基因转移具有悠久的记录。在这项研究中,我们证明了Ad5载体的分布发生在基础到顶端的梯度中,通过圆形窗口耳蜗切开术递送后,载体快速分布到前庭。在载体递送后10分钟发生载体的转导和递送的转基因的表达。分娩后24小时,仅剩下16%的最初可通过定量PCR在内耳中检测到的载体。外周淋巴取样用于确定外周淋巴中的载体浓度在分娩后30分钟达到峰值,然后迅速下降。理解这些基本的分布模式和传递参数对于基因传递载体的设计很重要,对于建模剂量反应以实现安全有效的治疗药物传递也至关重要。

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