1. Intravenous Adeno-Associated Virus Serotype 8 Encoding Urocortin-2 Provides Sustained Augmentation of Left Ventricular Function in Mice
- Author
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Gao, Mei Hua, Lai, N Chin, Miyanohara, Atsushi, Schilling, Jan M, Suarez, Jorge, Tang, Tong, Guo, Tracy, Tang, Ruoying, Parikh, Jay, Giamouridis, Dimosthenis, Dillmann, Wolfgang H, Patel, Hemal H, Roth, David M, Dalton, Nancy D, and Hammond, H Kirk
- Subjects
Medical Biotechnology ,Medical Physiology ,Biomedical and Clinical Sciences ,Heart Disease ,Biotechnology ,Gene Therapy ,Cardiovascular ,Genetics ,Animals ,Calcium ,Corticotropin-Releasing Hormone ,Dependovirus ,Gene Transfer Techniques ,Genetic Therapy ,Genetic Vectors ,Heart Failure ,Heart Ventricles ,Liver ,Male ,Mice ,Mice ,Inbred C57BL ,Myocytes ,Cardiac ,RNA ,Messenger ,Sarcoplasmic Reticulum Calcium-Transporting ATPases ,Urocortins ,Ventricular Function ,Left ,Clinical Sciences ,Medical biotechnology - Abstract
Urocortin-2 (UCn2) peptide infusion increases cardiac function in patients with heart failure, but chronic peptide infusion is cumbersome, costly, and provides only short-term benefits. Gene transfer would circumvent these shortcomings. Here we ask whether a single intravenous injection of adeno-associated virus type 8 encoding murine urocortin-2 (AAV8.UCn2) could provide long-term elevation in plasma UCn2 levels and increased left ventricular (LV) function. Normal mice received AAV8.UCn2 (5×10¹¹ genome copies, intravenous). Plasma UCn2 increased 15-fold 6 weeks and >11-fold 7 months after delivery. AAV8 DNA and UCn2 mRNA expression was persistent in LV and liver up to 7 months after a single intravenous injection of AAV8.UCn2. Physiological studies conducted both in situ and ex vivo showed increases in LV +dP/dt and in LV -dP/dt, findings that endured unchanged for 7 months. SERCA2a mRNA and protein expression was increased in LV samples and Ca²⁺ transient studies showed an increased rate of Ca²⁺ decline in cardiac myocytes from mice that had received UCn2 gene transfer. We conclude that a single intravenous injection of AAV8.UCn2 increases plasma UCn2 and increases LV systolic and diastolic function for at least 7 months. The simplicity of intravenous injection of a long-term expression vector encoding a gene with paracrine activity to increase cardiac function is a potentially attractive strategy in clinical settings. Future studies will determine the usefulness of this approach in the treatment of heart failure.
- Published
- 2013