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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
13
pubmed:dateCreated
2001-9-5
pubmed:abstractText
Hemophilia A patients are typically treated by factor VIII (FVIII) protein replacement, an expensive therapy that induces FVIII-specific inhibitors in approximately 30% of patients with severe hemophilia. FVIII gene therapy has the potential to improve the current treatment protocols. In this report, we used a hemophilia A mouse model to compare the humoral and cellular immune responses between an E1/E2a/E3-deficient adenovirus expressing human FVIII directed by a liver-specific albumin promoter and purified recombinant FVIII protein infusion. Adenovirus-mediated FVIII expression did not elicit detectable CD4+ or CD8+ T cell responses and induced a weak antibody immune response to FVIII. In contrast, FVIII protein administration resulted in a potent anti-FVIII antibody response and moderate CD4+ T cell response. Furthermore, hemophiliac mice preimmunized with FVIII protein infusion to induce anti-FVIII immunity, and subsequently treated by adenovirus-mediated FVIII gene therapy, expressed therapeutic levels of FVIII despite the presence of low levels of anti-FVIII antibodies. No FVIII was detected in the plasma of mice with intermediate or high antibody levels, although anti-FVIII antibody levels in some vector-treated animals declined. The data support the hypothesis that liver-specific gene therapy-mediated expression of FVIII may be less immunogenic than traditional protein replacement therapy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1043-0342
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1651-61
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:11535168-Adenoviridae, pubmed-meshheading:11535168-Albumins, pubmed-meshheading:11535168-Animals, pubmed-meshheading:11535168-Antibodies, pubmed-meshheading:11535168-Disease Models, Animal, pubmed-meshheading:11535168-Factor VIII, pubmed-meshheading:11535168-Gene Expression, pubmed-meshheading:11535168-Gene Therapy, pubmed-meshheading:11535168-Genetic Vectors, pubmed-meshheading:11535168-Hemophilia A, pubmed-meshheading:11535168-Humans, pubmed-meshheading:11535168-Immunoglobulin Isotypes, pubmed-meshheading:11535168-Liver, pubmed-meshheading:11535168-Mice, pubmed-meshheading:11535168-Mice, Inbred C57BL, pubmed-meshheading:11535168-Organ Specificity, pubmed-meshheading:11535168-Ovalbumin, pubmed-meshheading:11535168-Promoter Regions, Genetic, pubmed-meshheading:11535168-T-Lymphocytes, Cytotoxic, pubmed-meshheading:11535168-Time Factors
pubmed:year
2001
pubmed:articleTitle
Adenovirus-mediated factor VIII gene expression results in attenuated anti-factor VIII-specific immunity in hemophilia A mice compared with factor VIII protein infusion.
pubmed:affiliation
DNA Viral Vectors Unit, Genetic Therapy, Inc., A Novartis Company, 9 West Watkins Mill Road, Gaithersburg, MD 20878, USA.
pubmed:publicationType
Journal Article