PMID- 23065925 OWN - NLM STAT- MEDLINE DCOM- 20130422 LR - 20211021 IS - 1521-2254 (Electronic) IS - 1099-498X (Print) IS - 1099-498X (Linking) VI - 14 IP - 9-10 DP - 2012 Sep-Oct TI - Adeno-associated virus serotype 9 administered systemically after reperfusion preferentially targets cardiomyocytes in the infarct border zone with pharmacodynamics suitable for the attenuation of left ventricular remodeling. PG - 609-20 LID - 10.1002/jgm.2673 [doi] AB - BACKGROUND: Adeno-associated virus serotype 9 (AAV9) vectors provide efficient and uniform gene expression to normal myocardium following systemic administration, with kinetics that approach steady-state within 2-3 weeks. However, as a result of the delayed onset of gene expression, AAV vectors have not previously been administered intravenously after reperfusion for post-infarct gene therapy applications. The present study evaluated the therapeutic potential of post-myocardial infarction gene delivery using intravenous AAV9. METHODS: AAV9 vectors expressing firefly luciferase, enhanced green fluorescent protein (eGFP) or extracellular superoxide dismutase genes from the cardiac troponin-T (cTnT) promoter (AcTnTLuc, AcTnTeGFP, AcTnTEcSOD) were employed. AcTnTLuc was administered intravenously at 10 min and at 1, 2 and 3 days post-ischemia/reperfusion (IR), and the kinetics of luciferase expression were assessed with bioluminescence imaging. AcTnTeGFP was used to evaluate the distribution of eGFP expression. High-resolution echocardiography was used to evaluate the effects of AcTnTEcSOD on left ventricular (LV) remodeling when injected 10 min post-IR. RESULTS: Compared to sham animals, luciferase expression at 2 days after vector administration was elevated by four-, 24-, 210- and 213-fold in groups injected at 10 min, 1 day, 2 days and 3 days post-IR, respectively. The expression of cTnT-driven eGFP was strongest in cardiomyocytes bordering the infarct zone. In the efficacy study of EcSOD, post-infarct LV end-systolic and end-diastolic volumes at days 14 and 28 were significantly smaller in the EcSOD group compared to the control. CONCLUSIONS: Systemic administration of AAV9 vectors after IR both elevates and accelerates gene expression that preferentially targets cardiomyocytes in the border zone with pharmacodynamics suitable for the attenuation of LV remodeling. CI - Copyright (c) 2012 John Wiley & Sons, Ltd. FAU - Konkalmatt, Prasad R AU - Konkalmatt PR AD - Department of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA. FAU - Wang, Feng AU - Wang F FAU - Piras, Bryan A AU - Piras BA FAU - Xu, Yaqin AU - Xu Y FAU - O'Connor, Daniel M AU - O'Connor DM FAU - Beyers, Ronald J AU - Beyers RJ FAU - Epstein, Frederick H AU - Epstein FH FAU - Annex, Brian H AU - Annex BH FAU - Hossack, John A AU - Hossack JA FAU - French, Brent A AU - French BA LA - eng GR - R01S HL058582/HL/NHLBI NIH HHS/United States GR - S10 RR027333/RR/NCRR NIH HHS/United States GR - R01 EB001826/EB/NIBIB NIH HHS/United States GR - R01 HL092305/HL/NHLBI NIH HHS/United States GR - R01 HL058582/HL/NHLBI NIH HHS/United States GR - HL092305/HL/NHLBI NIH HHS/United States 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 (enhanced green fluorescent protein) RN - 147336-22-9 (Green Fluorescent Proteins) RN - EC 1.13.12.- (Luciferases) SB - IM MH - Animals MH - Dependovirus/*genetics MH - Gene Expression MH - Genetic Therapy/*methods MH - Genetic Vectors/*administration & dosage/*pharmacokinetics MH - Green Fluorescent Proteins/genetics MH - Luciferases/genetics MH - Mice MH - Mice, Inbred C57BL MH - Myocardial Infarction/genetics/*therapy MH - Myocardial Ischemia/genetics/therapy MH - *Myocardial Reperfusion MH - Myocardial Reperfusion Injury/genetics/therapy MH - Myocytes, Cardiac/*drug effects MH - Reference Values MH - Transgenes MH - Ventricular Remodeling/*genetics PMC - PMC3729029 MID - NIHMS490992 COIS- Conflict of Interest Statement The authors have no disclosures to report relevant to this manuscript. EDAT- 2012/10/16 06:00 MHDA- 2013/04/23 06:00 PMCR- 2013/09/01 CRDT- 2012/10/16 06:00 PHST- 2012/10/16 06:00 [entrez] PHST- 2012/10/16 06:00 [pubmed] PHST- 2013/04/23 06:00 [medline] PHST- 2013/09/01 00:00 [pmc-release] AID - 10.1002/jgm.2673 [doi] PST - ppublish SO - J Gene Med. 2012 Sep-Oct;14(9-10):609-20. doi: 10.1002/jgm.2673.