Treatment of experimental asthma by long-term gene therapy directed against IL-4 and IL-13

Mol Ther. 2003 Feb;7(2):155-62. doi: 10.1016/s1525-0016(02)00050-3.

Abstract

The clinical manifestations of allergic asthma are believed to result from a dysregulated, T helper 2 lymphocyte (Th2)-biased response to antigen. Although asthma symptoms can be controlled acutely, there is a need for a therapy that will address the underlying immune dysfunction and provide continuous control of chronic airway inflammation. The Th2-type cytokines, IL-13 and IL-4, have been demonstrated to play a crucial role in asthma pathogenesis and their selective neutralization results in the alleviation of asthmatic symptoms in mouse models. The activity of both of these cytokines can be inhibited by a mutant IL-4 protein, IL-4 receptor antagonist (IL-4RA), and thus, continual IL-4RA therapy might be beneficial in treatment of chronic asthma. To explore the potential utility of long-term gene therapy for the treatment of asthma we used a recombinant adeno-associated virus (AAV) vector to deliver and provide sustained expression of IL-4RA in vivo. We show that AAV-mediated delivery of IL-4RA to the airways of mice reduces airway hyperresponsiveness (AHR) and airway eosinophilia triggered by either IL-13 or IL-4. Furthermore, AAV-delivered IL-4RA, expressed either systemically or in the airways of mice following allergen sensitization, significantly inhibited development of airway eosinophilia and mucus production and reduced the levels of asthma-associated Th2 cytokines and AHR in the experimental mouse model of allergic asthma. Thus, gene therapy can be a potential therapeutic option to treat and control chronic airway inflammation and asthmatic symptoms.

MeSH terms

  • Animals
  • Asthma / therapy*
  • Dependovirus / genetics
  • Dose-Response Relationship, Drug
  • Enzyme-Linked Immunosorbent Assay
  • Eosinophils / metabolism
  • Female
  • Gene Transfer Techniques
  • Genetic Therapy / methods*
  • Genetic Vectors
  • Immunohistochemistry
  • Interleukin-13 / genetics*
  • Interleukin-4 / genetics*
  • Methacholine Chloride / pharmacology
  • Mice
  • Mice, Inbred BALB C
  • Plasmids / metabolism
  • Receptors, Interleukin-4 / genetics
  • Recombinant Proteins / metabolism
  • Th2 Cells / immunology
  • Time Factors

Substances

  • Interleukin-13
  • Receptors, Interleukin-4
  • Recombinant Proteins
  • Methacholine Chloride
  • Interleukin-4