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The source of this article is innovations-report.com. http://tinyurl.com/ex8sb

  23.12.2005
Cedars-Sinai researchers demonstrate a new way to switch therapeutic genes
'on' and 'off'

Novel signaling system may eventually help make gene therapies more effective

A gene therapy research team at Cedars-Sinai Medical Center has developed a
new method of signaling therapeutic genes to turn "off" or "on," a
mechanism that could enable scientists to fine-tune genetic- and stem
cell-based therapies so that they are safer, more controllable and more
effective.

Although other similar signaling systems have been developed, the
Cedars-Sinai research is the first to give physicians the flexibility to
arbitrarily turn the gene expression on or off even in the presence of an
immune response to adenovirus, as would be present in most patients
undergoing clinical trials. This has been a major obstacle in bringing the
testing of genetic therapies to humans in a clinical setting.

As reported in a study published in the January issue of the Journal of
Virology, the development of a new delivery system that can more
effectively regulate therapeutic gene expression has important implications
for efforts to advance gene and stem cell therapy strategies that may
ultimately be used to treat life-threatening neurodegenerative diseases in
the clinical setting. The study, which involved laboratory rats, focused on
the area of the brain that has already been the target for research into
genetic therapies for Parkinson's disease.

"Since some diseases treated with gene therapy will require constant
therapeutic expression while others may have periods of remission and
therefore only require treatment during 'active' disease states, a system
that can more closely monitor the 'how much' and 'when' the therapeutic
gene is produced is a critically important tool in the development of gene
therapy treatments that could help people suffering from Parkinson's and
other diseases," said Maria Castro, Ph.D., co-director of the Board of
Governors' Gene Therapeutic Research Institute at Cedars-Sinai and lead
author of the study.

"Until now, researchers working to develop successful gene therapy for
diseases such as Parkinson's have hit roadblocks such as toxic side-effects
from over-expression of the therapeutic gene, and adverse events caused by
immune system reactions to the viral delivery systems currently used to
deliver the therapeutic genes," said Pedro Lowenstein, M.D., Ph.D.,
co-director of the Institute and co-author of the study. "Now, we've
engineered a genetic switch in a novel gene transfer vector that will
overcome those barriers and set the stage to allow the next phase of
research to occur."

Gene therapy is an experimental treatment that uses genetically engineered
viruses (vectors) to transfer therapeutic genes and/or proteins into cells.
As in a viral infection, the viruses work by tricking cells into accepting
them as part of their own genetic machinery. To make them safe, scientists
remove the viral genes that cause infection and engineer them so that they
stop reproducing after they have delivered the therapeutic gene.

In this study, researchers created a genetic switch system that is turned
on in the presence of the antibiotic tetracycline. Therefore, if this
method is tested eventually in humans, patients would need to be given this
antibiotic before they begin gene therapy treatment. The switch system also
produces a protein called silencer, which completely shuts down gene
expression in the "off" state, thereby preventing leakage of the
therapeutic gene when it is no longer needed. According to Castro, this
novel vector system is much less likely to create an undesirable immune
response in the host and would still be functional in the presence of an
infection to wild type adenovirus (a non-engineered virus that causes
conjunctivitis and upper respiratory tract infections) as is present in a
high percentage of patients undergoing clinical trails. These are the main
hurdles that needed to be overcome before gene therapy can be considered a
safe and efficacious clinical strategy.

According to Drs. Castro and Lowenstein, the next step in the development
of this new signaling system is to activate the newly developed genetic
switch to actively express compounds that are known to be effective at
reversing the symptoms and rescuing the damaged neurons in Parkinson's
disease patients. Researchers hope to begin a Phase 1 clinical trial in
humans in the near future.


More information: www.cshs.org
www.cshs.org/gtri/

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