PMID- 25295466 OWN - NLM STAT- MEDLINE DCOM- 20160204 LR - 20150209 IS - 1533-4023 (Electronic) IS - 0160-2446 (Linking) VI - 65 IP - 2 DP - 2015 Feb TI - Gene therapy for hemophilia B with liver-specific element mediated by Rep-RBE site-specific integration system. PG - 153-9 LID - 10.1097/FJC.0000000000000172 [doi] AB - Adeno-associated virus (AAV) is a nonpathogenic virus capable of targeting human chromosome 19 for integration at AAVS1 site, and a 16 bp Rep binding element (RBE) sequence of AAV was sufficient for mediating this specific integration in the presence of AAV regulation proteins (Rep). Previously, we cotransduced 2 plasmids, pRBE-CMV-hFIX and pRC, into the AAVS1 transgenic mice by hydrodynamic injection, and a long-term expression of human coagulation Factor IX (hFIX) was observed. The corresponding AAVS1 locus site-specific integrations were verified by nested polymerase chain reaction. In this study, we established a novel hFIX expression plasmid, pRBE-HCR-hAAT-hFIX, driven by a liver-specific promoter by replacing the CMV promoter of pRBE-CMV-hFIX with a humanized promoter consisting of HCR-hAAT. The expression of hFIX in vitro was almost the same in transient transfection of pRBE-CMV-hFIX or pRBE-HCR-hAAT-hFIX. AAVS1-specific integrations were identified both in mice transfected with pRC/pRBE-CMV-hFIX cocktail and pRC/pRBE-HCR-hAAT-hFIX cocktail. However, the expression of hFIX of pRBE-HCR-hAAT-hFIX mice was higher and persisted longer. It achieved more than 1% of normal plasma hFIX concentration and maintained for 240 days. The result suggested that RBE-HCR-hAAT element could improve the expression of hFIX and present potential usage of Rep-RBE site-specific integration in gene therapy for hemophilia B. FAU - Xu, Zhengxin AU - Xu Z AD - *State Key Laboratory of Genetic Engineering, Institute of Genetics, School of Life Sciences, Fudan University, Shanghai, China; and daggerDepartment of Pharmacology, Medical School, Yangzhou University, Yangzhou, China. FAU - Ye, Juan AU - Ye J FAU - Zhang, Amin AU - Zhang A FAU - Xie, Linjun AU - Xie L FAU - Shen, Qi AU - Shen Q FAU - Xue, Jinglun AU - Xue J FAU - Chen, Jinzhong AU - Chen J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Cardiovasc Pharmacol JT - Journal of cardiovascular pharmacology JID - 7902492 RN - 0 (DNA-Binding Proteins) RN - 0 (Viral Proteins) RN - 137750-19-7 (rep proteins, Adeno-associated virus 2) RN - 9001-28-9 (Factor IX) SB - IM MH - Animals MH - Cells, Cultured MH - *Chromosomes, Human, Pair 19 MH - DNA-Binding Proteins/*genetics MH - Dependovirus/physiology MH - Factor IX/genetics MH - Gene Transfer Techniques MH - Genetic Therapy/*methods MH - Genetic Vectors MH - Hemophilia B/*therapy MH - Humans MH - Liver/metabolism MH - Mice MH - Mice, Transgenic MH - Plasmids/physiology MH - Promoter Regions, Genetic MH - Viral Proteins/*genetics EDAT- 2014/10/09 06:00 MHDA- 2016/02/05 06:00 CRDT- 2014/10/09 06:00 PHST- 2014/10/09 06:00 [entrez] PHST- 2014/10/09 06:00 [pubmed] PHST- 2016/02/05 06:00 [medline] AID - 10.1097/FJC.0000000000000172 [doi] PST - ppublish SO - J Cardiovasc Pharmacol. 2015 Feb;65(2):153-9. doi: 10.1097/FJC.0000000000000172.