PMID- 21674736 OWN - NLM STAT- MEDLINE DCOM- 20111104 LR - 20220316 IS - 1521-2254 (Electronic) IS - 1099-498X (Print) IS - 1099-498X (Linking) VI - 13 IP - 6 DP - 2011 Jun TI - A single direct injection into the left ventricular wall of an adeno-associated virus 9 (AAV9) vector expressing extracellular superoxide dismutase from the cardiac troponin-T promoter protects mice against myocardial infarction. PG - 333-41 LID - 10.1002/jgm.1576 [doi] AB - BACKGROUND: Localized administration of a highly efficient gene delivery system in combination with a cardiac-selective promoter may provide a favorable biosafety profile in clinical applications such as coronary artery bypass graft surgery, where regions of myocardium can be readily injected to protect them against the potential threat of future ischemic events. METHODS: Adeno-associated virus (AAV) vectors expressing luciferase or enhanced green fluorescent protein (eGFP) packaged into AAV serotypes 1, 2, 6, 8 and 9 were injected into the left ventricular (LV) wall of adult mice to determine the time course, magnitude and distribution of gene expression. An AAV9 vector expressing extracellular superoxide dismutase (EcSOD) from the cardiac troponin T (cTnT) promoter was then directly injected into the LV wall of adult mice. Myocardial infarction was induced 4 weeks after injection and infarct size was determined by triphenyltetrazolium chloride and phthalo blue staining. RESULTS: Serotypes AAV 9, 8, 1 and 6 provided early onset of gene expression in the heart with minimal extra-cardiac gene expression. AAV9 provided the highest magnitude of gene expression. Immunostaining for eGFP showed expression spanning the anterior to posterior walls from the mid ventricle to the apex. A single direct injection of the AAV9 vector bearing EcSOD ( n = 5) decreased the mean infarct size by 50% compared to the eGFP control group (n = 8) (44 +/- 7% versus 22 +/- 5%; p = 0.04). CONCLUSIONS: AAV serotype 9 is highly efficient for cardiac gene delivery, as evidenced by early onset and high-level gene expression. AAV9-mediated, cardiac selective overexpression of EcSOD from the cTnT promoter significantly reduced infarct size in mice. CI - Copyright (c) 2011 John Wiley & Sons, Ltd. FAU - Prasad, Konkal-Matt R AU - Prasad KM AD - Department of Biomedical Engineering, University of Virginia, Charlottesville, VA 22903, USA. FAU - Smith, Robert S AU - Smith RS FAU - Xu, Yaqin AU - Xu Y FAU - French, Brent A AU - French BA LA - eng GR - R01 HL058582/HL/NHLBI NIH HHS/United States GR - R01 HL092305/HL/NHLBI NIH HHS/United States PT - Evaluation Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - J Gene Med JT - The journal of gene medicine JID - 9815764 RN - 0 (Cardiotonic Agents) RN - 0 (Troponin T) RN - EC 1.13.12.- (Luciferases) RN - EC 1.15.1.1 (Superoxide Dismutase) SB - IM MH - Animals MH - Cardiotonic Agents MH - Dependovirus/metabolism MH - Fluorescence MH - Gene Expression Regulation, Enzymologic/genetics/*physiology MH - *Gene Transfer Techniques MH - Genetic Therapy/*methods MH - Genetic Vectors/administration & dosage MH - Heart Ventricles/*metabolism MH - Immunoblotting MH - Immunohistochemistry MH - Luciferases MH - Mice MH - Myocardial Infarction/*enzymology/pathology/*prevention & control MH - Promoter Regions, Genetic/genetics MH - Superoxide Dismutase/genetics/*metabolism MH - Troponin T/genetics PMC - PMC3984922 MID - NIHMS565424 EDAT- 2011/06/16 06:00 MHDA- 2011/11/05 06:00 PMCR- 2014/04/13 CRDT- 2011/06/16 06:00 PHST- 2011/06/16 06:00 [entrez] PHST- 2011/06/16 06:00 [pubmed] PHST- 2011/11/05 06:00 [medline] PHST- 2014/04/13 00:00 [pmc-release] AID - 10.1002/jgm.1576 [doi] PST - ppublish SO - J Gene Med. 2011 Jun;13(6):333-41. doi: 10.1002/jgm.1576.