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Gentherapie als mögliche Behandlungsstrategie für kardiovaskuläre Erkrankungen

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Interventionen am Herzen

Zusammenfassung

Die Anwendung molekularbiologischer Techniken in der kardiovaskulären Forschung hat sich derartig schnell ausgebreitet, daß traditionelle Konzepte der Physiologie und Pharmakologie kardiovaskulärer Organe durch neue Konzepte der zellulären und molekularen Regulation revolutioniert worden sind [35]. Im Hinblick auf das kardiovaskuläre System sind wir Zeuge eines fundamentalen Paradigmenwechsels geworden. Wurden noch vor 50 Jahren Herz und Blutgefäße als mechanische Organe angesehen, die auf Nervensignale und Hormone reagieren, so gelten sie heute als biologisch aktive Organe. Diese können Substanzen synthetisieren die wiederum an der Regulation kardialer und vaskulärer Funktionen beteiligt sind [19, 20]. Es ist in den letzten Jahren deutlich geworden, daß die komplexen Organe des kardiovaskulären Systems zu einer sensiblen Wahrnehmung bestimmter Einflußgrößen fähig sind.

There is no doubt that the development and application of recombinant DNA technology has put us at the threshold of new forms of medicine.

Paul Berg [6]

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Literatur

  1. Adams, BA, Tanabe T, Mikami A, Numa S, Beam KG (1990) Intramembrane charged movement restored in dysgenic skeletal muscle by injection of dihydropyridine receptor cDNAs. Nature 345: 569–572

    Article  Google Scholar 

  2. Anderson WA (1992) Human gene therapy. Science 256: 808–813

    Article  PubMed  CAS  Google Scholar 

  3. Barr E, Leiden JM (1991) Systemic delivery of recombinant proteins by genetically modified myoblasts. Science 254: 1507–1509

    Article  PubMed  CAS  Google Scholar 

  4. Barr J, Kalynych AM, Tripathy SK, Kozarsky K, Wilson JM, Leiden JM (1994) Efficient catheter-mediated gene transfer into the heart using replication-defective adenovirus. Gene Ther 1: 51–58

    PubMed  CAS  Google Scholar 

  5. Bennett MR, Anglin S, McEwan JR, Jagoe R, Newby AC, Evan GI (1994) Inhibition of vascular smooth muscle cell proliferation in vitro and in vivo by C-myc antisense oligonucleotides. J Clin Invest 93: 820–828

    Article  PubMed  CAS  Google Scholar 

  6. Berg P (1981) Dissections and reconstructions of genes and chromosomes. Science 213: 296–303

    Article  PubMed  CAS  Google Scholar 

  7. Berkner KL (1992) Expression of heterologous sequences in adenoviral vectors. Curr Top Microbiol Immunol 158: 39–66

    Article  PubMed  CAS  Google Scholar 

  8. Breakefield XO, DeLuca NA (1991) Herpes simplex virus for gene delivery to neurons. New Biologist 3: 203–218

    PubMed  CAS  Google Scholar 

  9. Brown WRA (1992) Mammalian artificial chromosomes. Curr Opin Gene Dev 2: 479–486

    Article  CAS  Google Scholar 

  10. Capecchi M (1980) High efficiency transformation by direct microinjection of DNA into mammalian cells. Cell 22: 479–488

    Article  PubMed  CAS  Google Scholar 

  11. Cepko CL, Roberts BE, Mulligan RC (1984) Construction and applications of a highly transmissible murine retrovirus shuttle vector. Cell 37: 1053–1062

    Article  PubMed  CAS  Google Scholar 

  12. Chen S, Wilson JM, Muller DWM (1994) Adenovirusmediated gene transfer of soluble vascular cell adhesion molecule to porcine interposition vein grafts. Circulation 89:1922–1928

    PubMed  CAS  Google Scholar 

  13. Cone RD, Mulligan RC (1984) High-efficiency gene transfer into mammalian cells: Generation of helper-free recombinant retrovirus with broad mammalian host range. Proc Natl Acad Sci USA 81: 6349–6353

    Article  PubMed  CAS  Google Scholar 

  14. Curiel DT, Agarwal S, Wagner E, Cotten M (1991) Adenovirus enhancement of transferrin-polylysine-mediated gene delivery. Proc Natl Acad Sci USA 88: 8850–8854

    Article  PubMed  CAS  Google Scholar 

  15. Danos O, Mulligan RC (1988) Expression of retroviral trans-acting functions from complementary crippled genomes: A system for helper free packaging of retroviral vectors. J Cell Biochem 12: 172–178

    Google Scholar 

  16. Dichek DA, Neville RF, Zwiebel JA, Freeman SM, Leon MB, Anderson WF (1989) Seeding of intravascular stents with genetically engineered endothelial cells. Circulation 80: 1347–1353

    Article  PubMed  CAS  Google Scholar 

  17. Dichek DA, Nussbaum O, Degen SJF, Anderson WF (1991) Enhancement of the fibrinolytic activity of sheep endothelial cells by retroviral vector-mediated gene transfer. Blood 77: 533–541

    PubMed  CAS  Google Scholar 

  18. Donahue RE, Kessler SW, Bodine D et al. (1992) Helper virus induced T cell lymphoma in nonhuman primates after retroviral mediated gene transfer. J Exp Med 176:1125–1135

    Article  PubMed  CAS  Google Scholar 

  19. Dzau VJ, Re N (1994) Tissue angiotensin system in cardiovascular medicine. A paradigm shift? Circulation 89: 493–498

    PubMed  CAS  Google Scholar 

  20. Dzau VJ, Gibbons GH, Cooke JP, Omoigui N (1993) Vascular biology and medicine in the 1990s: Scope, concepts, potentials and perspectives. Circulation 87: 705–719

    PubMed  CAS  Google Scholar 

  21. Epstein SE, Speir E, Unger EF, Guzman RJ, Finkel T (1994) The basis of molecular strategies for treating coronary restenosis after angioplasty. J Am Coll Cardiol 23: 1278–1288

    Article  PubMed  CAS  Google Scholar 

  22. Feigner PL, Rhodes G (1991) Gene therapeutics. Nature 349: 351–352

    Article  Google Scholar 

  23. Feigner PL, Gader TR, Holm M et al. (1987) Lipofectin: A highly efficient, lipid mediated DNA-transfection procedure. Proc Natl Acad Sci USA 84: 7413–7417

    Article  Google Scholar 

  24. Friedmann T (1992) A brief history of gene therapy. Nature Genetics 2: 93–98

    Article  PubMed  CAS  Google Scholar 

  25. Friedmann T, Roblin R (1972) Gene therapy for human genetic disease? Science 178: 648–649

    Article  Google Scholar 

  26. Guzman RJ, Lemarchand P, Crystal RG, Epstein SE, Finkel T (1993) Efficient and selective adenovirus-mediated gene transfer into vascular neointima. Circulation 88: 2838–2848

    PubMed  CAS  Google Scholar 

  27. Guzman RJ, Lemarchand P, Crystal RG, Epstein SE, Finkel T (1993) Efficient gene transfer into myocardium by direct injection of adenovirus vectors. Circ Res 73: 1202–1207

    PubMed  CAS  Google Scholar 

  28. Hayashi Y, Burant C, Refetoff S (1994) In vivo gene transfer that can be endogenously regulated by normal mechanisms (Abstr). Clin Res 42: 208A

    Google Scholar 

  29. Huxley C (1994) Mammalian artificial Chromosoms: a new tool for gene therapy. Gene Ther 1: 7–12

    PubMed  CAS  Google Scholar 

  30. Isaka Y, Fujiwara Y, Ueda N, Kaneda Y, Kamada T, Imai E (1993) Glomerulosclerosis induced by in vivo transfection of transforming growth factor-ß or platelet-derived growth factor gene into the rat kidney. J Clin Invest 92: 2597–2601

    Article  PubMed  CAS  Google Scholar 

  31. Jackson DA, Symons RH, Berg P (1972) Biochemical method for inserting new genetic information into DNA of simian virus 40: Circular SV40 DNA molecules containing lambda phage genes and the galactose Operon of Escherichia coli. Proc Natl Acad Sci USA 69: 2904–2909

    Article  PubMed  CAS  Google Scholar 

  32. Kaneda Y, Iwai K, Uchida T (1989) Increased expression of DNA cointroduced with nuclear protein in adult rat liver. Science 243: 375–378

    Article  PubMed  CAS  Google Scholar 

  33. Kaneda Y, Iwai K, Uchida T (1989) Introduction and expression of the human insulin gene in adult rat liver. J Biol Chem 264: 12126–12129

    PubMed  CAS  Google Scholar 

  34. Kass-Eisler A, Falck-Pedersen E, Alvira M, Rivera J, Buttrick PM, Wittenberg BA, Cipriani L, Leinwand LA (1993) Quantitative determination of adenovirus-mediated gene delivery to rat cardiac myocytes in vitro and in vivo. Proc Natl Acad Sci USA 90: 11498–11502

    Article  PubMed  CAS  Google Scholar 

  35. Katz AM (1988) Molecular biology in cardiology, a paradigmatic shift. J Mol Cell Cardiol 20: 355–366

    Article  PubMed  CAS  Google Scholar 

  36. Kitsis RN, Buttrick PM, McNally EM, Kaplan ML, Leinwand LA (1991) Hormonal modulation of a gene injected into rat heart in vivo. Proc Natl Acad Sci USA 88: 4138–4142

    Article  PubMed  CAS  Google Scholar 

  37. Lemarchand P, Jones M, Yamada I, Crystal RG (1993) In vivo gene transfer and expression in normal uninjured blood vessels using replication-deficient recombinant adenovirus vectors. Circ Res 72: 1132–1138

    PubMed  CAS  Google Scholar 

  38. Lim CS, Chapman GD, Gammon RS, Muhlestein JB, Bauman RP, Stack RS, Swain JL (1991) Direct in vivo gene transfer into the coronary artery and peripheral vasculatures in the intact dog. Circulation 83: 2007–2011

    PubMed  CAS  Google Scholar 

  39. Lin H, Parmacek MS, Morle G, Boiling S, Leiden JM (1990) Expression of recombinant gene in myocardium in vivo after direct injection of DNA. Circulation 82: 2217–2221

    Article  PubMed  CAS  Google Scholar 

  40. Losordo DW, Pickering JG, Takeshita S et al. (1994) Use of the rabbit ear artery to serially asses foreign secretion after site-specific arterial gene transfer in vivo. Circulation 89: 785–792

    PubMed  CAS  Google Scholar 

  41. Lynch CM, Clowes MM, Osborne RA, Clowes AW, Miller AD (1992) Long-term expression of human adenosine deaminase in vascular smooth muscle cells of rats: a model for gene therapy. Proc Natl Acad Sci USA 89:1138–1142

    Article  PubMed  CAS  Google Scholar 

  42. Milano CA, Allen LF, Rockman HA et al. (1994) Enhanced myocardial function in transgenic mice overexpressing the β2-adrenergic receptor. Science 264: 582–586

    Article  PubMed  CAS  Google Scholar 

  43. Morgan RA, Anderson WF (1993) Human gene therapy. Ann Rev Biochem 62: 191–217

    Article  PubMed  CAS  Google Scholar 

  44. Morishita R, Gibbons GH, Zhang L, Kaneda Y, Ogihara T, Dzau VJ (1992) In vivo gene transfer into intact blood vessels: a novel and efficient method (Abstr). Circulation 86 (Suppl I):I–227

    Google Scholar 

  45. Morishita R, Gibbons GH, Kaneda Y, Ogihara T, Dzau VJ (1993) Novel and effective gene transfer technique for study of vascular renin angiotensin system. J Clin Invest 91: 2580–2585

    Article  PubMed  CAS  Google Scholar 

  46. Morishita R, Gibbons GH, Kaneda Y, Ogihara T, Dzau VJ (1993) Novel in vitro gene transfer method for study of local modulators in vascular smooth muscle cells. Hypertension 21: 894–899

    PubMed  CAS  Google Scholar 

  47. Morishita R, Gibbons GH, Kaneda Y, Ogihara T, Dzau VJ (1993) Enhanced effectiveness of antisense oligonucleotides in vascular smooth muscle cells (VSMC) by HVJ mediated gene transfer (Abstract). J Cell Biochem 17E: 239

    Google Scholar 

  48. Morishita R, Gibbons GH, Kaneda Y, Ogihara T, Dzau VJ (1993) Single intraluminal delivery of antisense cdc2 kinase and proliferating-cell nuclear antigen oligonucleotides results in chronic inhibition of neointimal hyperplasia. Proc Natl Acad Sci USA 90: 8474–8478

    Article  PubMed  CAS  Google Scholar 

  49. Morishita R, Gibbons GH, Dzau VJ (1994) Gene therapy as potential treatment of cardiovascular diseases. In: Singh BN, Dzau VJ, Vanhoutte PM, Woosley RL (eds) Cardiovascular pharmacology and therapeutics. Churchill Livingstone, New York, pp 51–61

    Google Scholar 

  50. Morishita R, Gibbons GH, Ellison KE, Nakajima M, von der Leyen H, Zhang L, Kaneda Y, Dzau VJ (1994b) Intimai hyperplasia after vascular injury is inhibited by antisense cdk 2 kinase oligonucleotides. J Clin Invest 93: 1458–1464

    Article  PubMed  CAS  Google Scholar 

  51. Mulligan RC, Howard BH, Berg P (1979) Synthesis of rabbit beta-globin in cultured monkey kidney cells following infection with a SV40 beta-globin recombinant genome. Nature 277: 108–114

    Article  PubMed  CAS  Google Scholar 

  52. Nabel EG, Plautz G, Stanley JC, Nabel GJ (1989) Recombinant gene expression in vivo within endothelial cells of the arterial wall. Science 244: 1342–1344

    Article  PubMed  CAS  Google Scholar 

  53. Nabel EG, Plautz, Nabel GJ (1990) Site-specific gene expression in vivo by direct gene transfer into the arterial wall. Science 249: 1285–1288

    Article  PubMed  CAS  Google Scholar 

  54. Nabel EG, Yang Z, Plautz G, Forough R, Zhan X, Haudenschild C, Maciag T, Nabel GJ (1993) Recombinant fibroblast growth factor-1 promotes intimai hyperplasia and angiogenesis in arteries in vivo. Nature 362: 844–846

    Article  PubMed  CAS  Google Scholar 

  55. Nabel EG, Shum L, Pompili VJ et al. (1993) Direct transfer of transforming growth factor β1 gene into arteries stimulates fibrocellular hyperplasia. Proc Natl Acad Sci USA 90: 10579–10763

    Google Scholar 

  56. Ohno T, Gordon D, San H, Pompili VJ, Imperiale MJ, Nabel GJ, Nabel EG (1994) Gene therapy for vascular smooth muscle cell proliferation after arterial injury. Science 265: 781–784

    Article  PubMed  CAS  Google Scholar 

  57. Okada Y, Koseki L, Kim J, Hashimoto T, Kanno Y, Matsui Y (1975) Modification of cell membranes with viral envelopes during fusion of cells with HVJ (Sendai virus). Exp Cell Res 93: 368–378

    Article  PubMed  CAS  Google Scholar 

  58. Peterson KR, Clegg CH, Huxley C, Josephson BM, Haugen HS, Furukawa T, Stamatoyannopoulos G (1993) Transgenic mice containing a 210 kb human ß locus YAC display proper developmental control of human globin genes. Proc Natl Acad Sci USA 90: 7593–7597

    Article  PubMed  CAS  Google Scholar 

  59. Piepersberg W, Thiermann J (1991) Wirtssysteme für neukombinierte DNA. In: Gassen HG, Martin A, Bertram S (Hrsg) Gentechnik. Einführung in Prinzipien und Methoden. Fischer, Stuttgart, S 303–337

    Google Scholar 

  60. Quantin B, Perricaudet LD, Tajbakhsh S, Mandel JL (1992) Adenovirus as an expression vector in muscle cells in vivo. Proc Natl Acad Sci USA 89: 2581–2584

    Article  PubMed  CAS  Google Scholar 

  61. Riessen R, Issner JM (1994) Prospects for site-specific delivery of pharmacologic and molecular therapies. J Am Coll Cardiol 23:1234–1244

    Article  PubMed  CAS  Google Scholar 

  62. Rogers S, Pfuderer P (1968) Use of viruses as carriers of added genetic information. Nature 219: 749–751

    Article  PubMed  CAS  Google Scholar 

  63. Rogers S, Lowenthal A, Terheggen HG, Colombo JP (1973) Induction of arginase activity with the Shope papilloma virus in tissue culture cells from an argininemic patient. J Exp Med 137:1091–1096

    Article  PubMed  CAS  Google Scholar 

  64. Sambrook J, Westphal H, Srivansan PR, Dulbecco R (1968) The integrated state of viral DNA in SV40-transformed cells. Proc Natl Acad Sci USA 59:1288–1293

    Article  Google Scholar 

  65. Sambrook J, Fritsch EF, Maniatis T (1989) Molecular cloning, 2nd edn. Laboratory Press, Cold Spring Harbor, pp 16.1–16.81

    Google Scholar 

  66. Schedl A, Montoliu L, Kelsey G, Schutz G (1993) A yeast artificial chromosome covering the tyrosinase gene confers copy-number-dependent expression in transgenic mice. Nature 362: 258–261

    Article  PubMed  CAS  Google Scholar 

  67. Shi Y, Fard A, Galeo A et al. (1994) Transcatheter delivery of c-myc antisense oligomers reduces neointimal formation in a porcine model of coronary artery balloon injury. Circulation 90: 944–951

    PubMed  CAS  Google Scholar 

  68. Simon RH, Engelhardt JF, Yang Y, Zepeda M, Weber-Pendleton S, Grossman M, Wilson JM (1993) Adenovirusmediated gene transfer of CFTR gene to lung of nunhuman primates: toxicity study. Human Gene Ther 4: 771–780

    Article  CAS  Google Scholar 

  69. Simons M, Edelman ER, DeKeyser JL, Langer R, Rosenberg R (1992) Antisense c-myb oligonucleotides inhibit intimai arterial smooth muscle cell accumulation in vivo. Nature 359: 67–70

    Article  PubMed  CAS  Google Scholar 

  70. Simons M, Edelman ER, Rosenberg RD (1994) Antisense proliferating cell nuclear antigen oligonucleotides inhibit intimai hyperplasia in a rat carotid artery injury model. J Clin Invest 93: 2351–2356

    Article  PubMed  CAS  Google Scholar 

  71. Soonpaa MH, Koh GY, Klug MG, Field LJ (1994) Formation of nascent intercalated disks between grafted fetal cardiomyocytes and host myocardium. Science 264: 98–101

    Article  PubMed  CAS  Google Scholar 

  72. Stein CA, Cheng YC (1993) Antisense oligonucleotides as therapeutic agents — is the bullet really magical? Science 261: 1004–1012

    Article  PubMed  CAS  Google Scholar 

  73. Subramani S, Southern PJ (1983) Analysis of gene expression using Simian virus 40 vectors. Anal Biochem 135:1–15

    Article  PubMed  CAS  Google Scholar 

  74. Takeshita S, Gal D, Leclerc G, Pickering JG, Riessen R, Weir L, Isner JM (1994) Increased gene expression after liposome-mediated arterial gene transfer associated with intimal smooth muscle cell proliferation. J Clin Invest 93: 652–661

    Article  PubMed  CAS  Google Scholar 

  75. Thompson L (1992) At age 2, gene therapy enters a growth phase. Science 258: 744–746

    Article  PubMed  CAS  Google Scholar 

  76. Tomita N, Higaki J, Morishita R, Kato K, Mikami H, Kaneda Y, Ogihara T (1992) Direct in vivo gene introduction into rat kidney. Biochem Biophys Res Comm 186:129–134

    Article  PubMed  CAS  Google Scholar 

  77. Varmus H (1988) Retroviruses. Science 240: 1427–1435

    Article  PubMed  CAS  Google Scholar 

  78. Von der Leyen HE, Gibbons GH, Morishita R et al. (1995) Gene therapy inhibiting neointimal vascular lesion: In vivo gene transfer of endothelial-cell nitric oxide synthase gene. Proc Natl Acad Sci USA 92: 1137–1141

    Article  PubMed  Google Scholar 

  79. Wagner E, Zatloukal K, Cotten M, Kirlappos H, Mechtler K, Curiel DT, Birnstiel ML (1992) Coupling of adenovirus to transferrin-polylysine/DNA complexes greatly enhances receptor-mediated gene delivery and expression of transfected genes. Proc Natl Acad Sci USA 89: 6099–6103

    Article  PubMed  CAS  Google Scholar 

  80. Wilensky RL, March KL, Gradus-Pizlo I, Spaedy AJ, Hathaway DR (1993) Methods and devices for local drug delivery in coronary and peripheral arteries. Trends Cardiovasc Med 5: 163–170

    Article  Google Scholar 

  81. Willard JE, Jessen ME, Gerard RD, Meidell RS (1992) Recombinant adenovirus is an efficient vector for in vivo gene transfer and can be preferentially directed at vascular endothelium or smooth muscle cells (Abstr). Circulation 86 (SupplI):I–473

    Google Scholar 

  82. Wilson JM, Birinyi LK, Salomon RN, Libby P, Callow AD, Mulligan RC (1989) Implantation of vascular grafts lined with genetically modified endothelial cells. Science 244: 1344–1346

    Article  PubMed  CAS  Google Scholar 

  83. Yao SN, Kurachi K (1992) Expression of human factor IX in mice after injection of genetically modified myoblasts. Proc Natl Acad Sci USA 89: 3357–3361

    Article  PubMed  CAS  Google Scholar 

  84. Zhu N, Liggitt D, Liu Y, Debs R (1993) Systemic gene expression after intravenous DNA delivery into adult mice. Science 261: 209–211

    Article  PubMed  CAS  Google Scholar 

  85. Zoldhelyi P, McNatt J, Xu XM, Meidell R, Loose-Mitchell D, Willerson JT, Wu KK (1994) Prevention of balloon angioplasty-induced thrombotic complications in a pig model by adenovirus-mediated transfer of prostaglandin H synthase-1 cDNA (Abstract). Clin Res 42: 237A

    Google Scholar 

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von der Leyen, H.E., Dzau, V.J. (1995). Gentherapie als mögliche Behandlungsstrategie für kardiovaskuläre Erkrankungen. In: Unger, F., Mörl, H., Dieterich, H.A. (eds) Interventionen am Herzen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93558-9_41

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