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Antimicrobial Agents and Chemotherapy, February 2007, p. 724-731, Vol. 51, No. 2
0066-4804/07/$08.00+0 doi:10.1128/AAC.00360-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Department of Microbiology and Immunology, Capital University of Medical Sciences, Beijing, China,1 Department of Immunology, Cancer Institute and Cancer Hospital of CAMS and PUMC, Beijing, China,2 Division of Transfusion Medicine, National Blood Service and University of Cambridge, Cambridge CB2 2PT, United Kingdom,3 Department of Microbiology, Institute of Basic Medical Sciences of CAMS and PUMC, Beijing, China4
Received 13 March 2006/ Returned for modification 6 August 2006/ Accepted 22 November 2006
To
evaluate the potentiality of applying gene therapy to bacterial
infections, especially for preventing infection in high-risk patients,
we investigated protection of mice from challenge with lethal
Escherichia coli infection by adeno-associated virus serotype
2 (AAV2)-mediated gene transfer of a chimeric
BPI23-Fc
1 gene, which consisted of human
bactericidal/permeability-increasing protein (BPI) gene encoding the
functional N terminus (amino acid residues 1 to 199) of human BPI and
an Fc
1 gene encoding the Fc segment of human immunoglobulin
G1. Here we show that the target protein that was expressed and
secreted into the serum of the gene-transferred mice demonstrated the
activity of a neutralizing endotoxin, killing E. coli and
mediating opsonization. After lethal E. coli infection, the
count of bacteria and the levels of endotoxin and proinflammatory
cytokines in the gene-transferred mice were decreased. The survival
rate of BPI23-Fc
1 gene-transferred mice markedly
increased, especially in conjunction with antibiotics. Our data suggest
that AAV2-mediated chimeric BPI23-Fc
1 gene delivery
could potentially be used clinically for the protection and treatment
of infection with gram-negative bacteria in high-risk
individuals.
Published ahead of print on 4 December 2006.
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