To: LLCF who wrote (1213 ) 6/26/1999 9:47:00 PM From: Walkingshadow Respond to of 1352
I recently ran across two articles which appeared in the journal Nature Medicine (Jan. 1999), along with an accompanying editorial. In these two studies, investigators (some from Avigen, Inc) attempted to deliver the factor IX gene to dogs suffering from a naturally occuring canine hemophilia which is very similar to most of the human types. Both studies utilized adeno-associated virus vector to deliver the genes, one via intramuscular injection, and the other via injection into the portal vein (which passes into the liver, the site of factor IX synthesis). Both groups achieved partial correction of the hemophilia in the dogs. However, it should be noted that it does not take much of an effect to achieve partial correction: the blood levels of factor IX were only about 1% of normal. Clearly, this disease was chosen for study in part because a minimal response is sufficient to effectively treat the disease. Also, the effects on serum levels of factor IX were persistent (8 and 16 months). Of particular note was the vector chosen. The adeno-associated virus, which was "gutless" (i.e., viral genes are not present), elicited no immune response against either the vector or the transgene product. This vector would appear to show promise in human gene therapy trials, but the results would first have to be replicated in humans. A problem with this is that currently there is no method to produce the vector in quantities sufficient for human therapeutic use. So, it would appear that there is some good news here, but problems remain to be worked out. Meanwhile, Chiron's attempts at gene therapy in human hemophiliacs proceeds:washingtonpost.com hemophilia22.html Does anyone know whether these human studies utilized the adeno-associated virus vector? Does anyone have an update on preliminary results?? Thanks, Walkingshadow