Organ distribution of transgene expression following intranasal mucosal delivery of recombinant replication-defective adenovirus gene transfer vector
© Damjanovic et al; licensee BioMed Central Ltd. 2008
Received: 29 March 2007
Accepted: 08 February 2008
Published: 08 February 2008
It is believed that respiratory mucosal immunization triggers more effective immune protection than parenteral immunization against respiratory infection caused by viruses and intracellular bacteria. Such understanding has led to the successful implementation of intranasal immunization in humans with a live cold-adapted flu virus vaccine. Furthermore there has been an interest in developing effective mucosal-deliverable genetic vaccines against other infectious diseases. However, there is a concern that intranasally delivered recombinant viral-based vaccines may disseminate to the CNS via the olfactory tissue. Initial experimental evidence suggests that intranasally delivered recombinant adenoviral gene transfer vector may transport to the olfactory bulb. However, there is a lack of quantitative studies to compare the relative amounts of transgene products in the respiratory tract, lung, olfactory bulb and brain after intranasal mucosal delivery of viral gene transfer vector. To address this issue, we have used fluorescence macroscopic imaging, luciferase quantification and PCR approaches to compare the relative distribution of transgene products or adenoviral gene sequences in the respiratory tract, lung, draining lymph nodes, olfactory bulb, brain and spleen. Intranasal mucosal delivery of replication-defective recombinant adenoviral vector results in gene transfer predominantly in the respiratory system including the lung while it does lead to a moderate level of gene transfer in the olfactory bulb. However, intranasal inoculation of adenoviral vector leads to little or no viral dissemination to the major region of the CNS, the brain. These experimental findings support the efficaciousness of intranasal adenoviral-mediated gene transfer for the purpose of mucosal immunization and suggest that it may not be of significant safety concern.
It is increasingly believed that respiratory mucosal immunization will trigger more effective immune activation and protection against respiratory infection caused by viruses and intracellular bacteria. Indeed, such understanding has led to the successful development and licensure of a live cold-adapted flu virus vaccine that is given intranasally to healthy humans of 5–49 years of age . This flu vaccine was shown to be well-tolerated, safe and efficacious [1, 2]. Recently, a replication-deficient recombinant adenovirus-based flu vaccine expressing hemaglutinin was evaluated in healthy human subjects following intranasal administration and was found to be safe and more effective than cutaneous patch immunization . Mounting experimental evidence from us and others suggests that intranasal immunization with recombinant viral-vectored or adjuvanted protein vaccines is more effective than parenteral immunization against pulmonary tuberculosis [4–8]. Based on all of these findings, there has been a strong interest in promoting the development and ultimate application of additional vaccine candidates, particularly viral-vectored vaccines, for human intranasal immunization against respiratory pathogens.
Since the nose has been widely explored as a site of delivery of drugs to the cerebro-spinal fluid and the CNS , there is a concern that intranasally delivered recombinant viral-based vaccines may disseminate to the CNS via the olfactory tissue. In this regard, several recent studies using recombinant adenoviral gene transfer vectors expressing LacZ or placental alkaline phosphatase (P1AP) have localized the transgene products to the olfactory tissue following intranasal inoculation in rodents [10–12]. However, there has been a lack of quantitative studies to compare the relative amounts of transgene products in the respiratory tract, lung, olfactory bulb and brain after intranasal mucosal delivery of a viral gene transfer vector. In our current study, we have used fluorescence macroscopic imaging, luciferase quantification and PCR approaches to compare the relative distribution of transgene products or adenoviral gene sequences in the respiratory tract, lung, cervical draining lymph nodes, olfactory bulb, brain and spleen. The knowledge from our study helps address the important safety issue associated with genetic intranasal mucosal vaccination.
Female BALB/c mice 6 to 10 weeks of age purchased from Harlan Laboratory (Indianapolis, IN, USA) were housed under SPF conditions. All experiments were conducted following the guidelines of the Animal Research Ethics Board of McMaster University.
Intranasal inoculation of adenoviral gene transfer vectors
For whole organ GFP imaging analysis, a replication-defective recombinant human type 5 adenoviral vector expressing green fluorescent protein (AdGFP) was used at the dose of 5 × 107 pfu per mouse. For luciferase assay, a replication-defective recombinant human type 5 adenoviral vector expressing luciferase (AdLuc) was used also at the dose of 5 × 107 pfu per mouse. Transgene expression by both vectors is driven off of a murine CMV promoter which represents an optimal promoter for adenoviral vectors allowing high levels of transgene expression in various tissues [13, 14]. An empty replication-defective recombinant human type 5 adenoviral vector (Addl) was used as a control at the same dose. All adenoviral vectors were amplified in 293 cells and purified according to the protocols that we previously described . The level of replication competent adenovirus (RCA) contamination in these preparations is below 0.000001% as determined by infecting A549 cells for at least 17 days with serially diluted viruses. A549 cells are recommended as a commonly used cell line in the method of testing for RCA although an improved two-cell line bioassay has been developed for this purpose in cases where the transgene product may potentially interfere with the A549 system . Before use, the adenoviral based vectors were diluted in PBS to a total volume of 25 μl/mouse. For intranasal inoculation, mice were first lightly anesthetized with isofluorane and the adenoviral preparation was delivered to a nostril drop-wise with a pipette as previously described [4, 5]. For the assessment of whole organ GFP fluorescence imaging, one mouse was used for each time point per each vector treatment (including the control), and three independent experiments were performed to verify the results. For the luciferase assay, three mice were set up per time point/gene transfer vector treatment and one mouse was used as control for each time point/control vector. In a separate experiment, mice were infected with AdLuc and various organs were then harvested, fixed in 10% formalin, processed, and stained with hematoxylin and eosin (H&E) for histologic assessment. Two mice were used per time point and the mice were sacrificed at days 1, 3, 7 and 12 post-intranasal inoculation.
Whole organ fluorescence imaging
At various times post-AdGFP i.n delivery, mice were sacrificed and the fresh tissues including trachea, lung, cervical lymph nodes, spleen, olfactory lobes and brain were harvested and immediately subjected to GFP fluorescence imaging. Imaging was carried out using the LEICA MZ16F fluorescence stereomicroscope with GFP2 filter and the processing software OpenLab 4.0.4 at proper zoom ranges. The exposure time for image taking was between 1 to 4 minutes varied with the intensity of fluorescence.
Tissue preparation and luciferase assay
Tissues were wrapped in aluminum foil, snap-frozen in liquid nitrogen and stored at -70°C until homogenization. The frozen samples were thawed in 1× CCLR (Cell culture lysis reagent, Part No: E153A, Promega) in 15 ml polypropylene tubes (1 ml CCLR for brain, lungs and spleen and 400 μl for olfactory lobes, lymph nodes and trachea). Tissues were homogenized for 30 seconds with tubes in ice, and then spun for 10 min at 3,000 rpm at 4°C. Immediately, 20 μl of supernatants were transferred into a luminometer plate (Microtiter Plates, Part No 7571, Thermo) in duplicate for each sample. Luciferase and substrate reaction was carried out by using the Promega Luciferase assay system (Cat No E1500, Promega), which allows for less than 10-20 moles of luciferase to be measured. Luciferase activity was quantified and expressed as relative luciferase units/per gram total tissue proteins on Microplate Luminometer TROPIX.
PCR assay for detection of adenoviral gene sequences in the tissue
Four mice were i.n infected with AdLuc at the dose of 5 × 107 pfu per mouse and sacrificed three days post-infection. To extract tissue genomic DNA, whole organs were wrapped in aluminum foil, snap-frozen in liquid nitrogen and stored at -70°C. The organs were then thawed and homogenized for 30 seconds in TRIZOL® Reagent (Cat No 15596-018, Invitrogen). Total tissue DNA was obtained according to the manufacturer's DNA Isolation Protocol. Polymerase Chain Reaction (PCR) amplification of a section of the adenoviral genome (primer annealing to the Ad5 genome in the vector: 5'-CGG AAC ACA TGT AAG CGA CG-3'; primer annealing to the mCMV promoter in the vector: 5'-GCT GGT CGC GCC TCT TAT AC-3'; expected size 720 bp) and the Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) housekeeping gene as a control (forward primer: 5'-AAT GCA TCC TGC ACC ACC AAC TGC-3'; reverse primer: 5'-GGA GGC CAT GTA GGC CAT GAG GTC-3'; expected size 550 bp) was performed. For each tissue, 4 μl of DNA at ~0.025 μg/μl was subjected to 35 cycles of PCR. The PCR reactions were electrophoresed through a 1% agarose gel, stained with ethidium bromide, and visualized under UV light. All target and control PCRs were done in triplicate.
Results and Discussion
Intranasal instillation of replication-defective recombinant adenoviral vector
Intranasal (i.n) instillation has been widely used to derive transgene expression within the respiratory tract, but the delivery methods may vary depending on the purpose of gene transfer. In our current study, in order to adequately address the organ distribution issue related to intranasal mucosal vaccination, we have used the same method of i.n delivery and the dose of adenoviral vector that we have employed for the purpose of intranasal adenoviral-mediated vaccination against pulmonary tuberculosis [4, 5]. More specifically as we described above, a relatively small volume of viral preparation was delivered i.n to mice that were lightly anesthetized and were in upright position. We have previously found that using a replication-defective adenoviral-vectored TB vaccine expressing M.tb Ag85A antigen represents an effective way of intranasal mucosal immunization against subsequent pulmonary M.tb challenge [4–6].
Distribution of transgene product by organ fluorescence macroscopic imaging after intranasal adenoviral vector delivery
As recombinant adenoviral gene transfer could reach the olfactory bulb as shown now by us and previously by others [10–12], it raises the question whether it may also reach the main part of the CNS, the brain. Upon examination of the brain excluding the olfactory lobes, however, we did not find any significant GFP (Fig. 2). This suggests that although i.n delivery leads to significant dissemination of adenoviral vector to the olfactory region, adenoviral vector unlikely affects other major parts of the CNS. Likewise, Lemiale and colleagues did not find any transgene product activities in the brain after i.n delivery of an adenoviral vector expressing placental alkaline phosphatase .
We found relatively faint GFP fluorescent patches/spots in the cervical draining lymph nodes, whereas we found no GFP at all in the spleen (data not shown). It was expected that small amounts of virus or virus-infected antigen presenting cells may migrate into the cervical lymph nodes which drain the nasal passage.
Quantification of transgene product in various organs by luciferase assay after intranasal adenoviral vector delivery
Average values of luciferase activity in various tissues
Relative level of tissue inflammation after intranasal Ad inoculation
Consistent with the lack of GFP by fluorescence imaging, luciferase activities in the main part of the brain were negligible (Fig. 3D & Table 1), close to those in the negative control brains (Fig. 3F & Table 1). These thus further suggest the lack of any significant dissemination of intranasally delivered replication-defective recombinant adenoviral gene transfer vector to the large part of the CNS. This differs sharply from significant transgene expression detected in the olfactory region of the CNS (Fig. 2, Fig. 3C and Table 1), suggesting that such differential distribution of transgene product in the two different areas of the CNS is due to retrograde viral trafficking from the nasal mucosa, but not due to differential viral infectivity or promoter activities. By using a quantitative measure of transgene expression, our current study lends support to the conclusion drawn from other independent studies [10–12]. While the overall luciferase activities in the cervical lymph nodes were small, there was an unquestionable rise at day 3 (Fig. 3E) which was comparable to that in the trachea or olfactory bulb at the same time point (Table 1). This supports the draining property of these lymph nodes and suggests that these could be one of the primary immune activation sites following i.n mucosal vaccination . The virus may directly disseminate via lymph and/or via infected antigen presenting cells to access the draining lymph nodes. With respect to the latter, we have recently observed in a separate study that fluorescently labeled dendritic cells, upon intranasal delivery, could subsequently be found in the cervical lymph nodes.
Distribution of adenovirus by PCR amplification after intranasal adenoviral vector delivery
In conclusion, our results indicate that intranasal mucosal delivery of replication-defective recombinant adenoviral vector results in gene transfer predominantly in the respiratory system including the lung and transiently in the draining cervical lymph nodes, while it does lead to a moderate level of gene transfer in the olfactory bulb. However, intranasal inoculation of adenoviral vector leads to little or no viral dissemination to the major region of the CNS, the brain. These experimental findings support the efficaciousness of intranasal mucosal adenoviral-mediated vaccination. It is noteworthy that there have been no reports of brain-inflammation-related side effects after intranasal inoculation of Flumist – a live cold-adapted influenza virus vaccine or adenoviral-vectored vaccine in humans [1–3]. These observations together support the concept and feasibility of genetic-based intranasal vaccination in humans.
Authors thank Dr. Byram Bridle for his assistance in using the fluorescence scope and brain/olfactory bulb isolation, Drs. Frank Graham and Mary Hitt for providing the seed supplies of adenovirus gene transfer vectors, Dr. Jonathan Bramson for providing the luminometer plates, Duncan Chong and Xueya Feng for viral amplification and purification, Elizabeth Roediger for help with i.n infection and Kapilan Kugathasan for assistance in obtaining histology images. This study was supported by funds from the Canadian Institutes of Health Research.
- Ambrose CS, Walker RE, Connor EM: Live attenuated influenza vaccine in children. Semin Pediatr Infect Dis. 2006, 17: 206-12. 10.1053/j.spid.2006.08.007.View ArticlePubMedGoogle Scholar
- Belshe R, Lee MS, Walker RE, Stoddard J, Mendelman PM: Safety, immunogenicity and efficacy of intranasal, live attenuated influenza vaccine. Expert Rev Vaccines. 2004, 3: 643-54. 10.1586/147605188.8.131.523.View ArticlePubMedGoogle Scholar
- Van Kampen KR, Shi Z, Gao P, Zhang J, Foster KW, Chen DT, Marks D, Elmets CA, Tang DC: Safety and immunogenicity of adenovirus-vectored nasal and epicutaneous influenza vaccines in humans. Vaccine. 2005, 23: 1029-36. 10.1016/j.vaccine.2004.07.043.View ArticlePubMedGoogle Scholar
- Wang J, Thorson L, Stokes RW, Santosuosso M, Huygen K, Zganiacz A, Hitt M, Xing Z: Single Mucosal, but not Parenteral, Immunization with Recombinant Adenoviral-Based Vaccine Provides Potent Protection from Pulmonary Tuberculosis. J Immunol. 2004, 173: 6357-6365.View ArticlePubMedGoogle Scholar
- Santosuosso M, McCormick S, Zhang X, Zganiacz A, Xing Z: Intranasal boosting with an adenovirus-vectored vaccine markedly enhances protection by parenteral BCG immunization against pulmonary tuberculosis. Infect Immun. 2006, 74: 4634-43. 10.1128/IAI.00517-06.PubMed CentralView ArticlePubMedGoogle Scholar
- Xing Z, Lichty BD: Use of recombinant virus-vectored tuberculosis vaccines for respiratory mucosal immunization. Tuberculosis (Edinb). 2006, 86: 211-7. 10.1016/j.tube.2006.01.017.View ArticleGoogle Scholar
- Goonetilleke NP, McShane H, Hannan CM, Anderson RJ, Brookes RH, Hill AVS: Enhanced immunogenicity and protective efficacy against Mycobacterium tuberculosis of Bacille Calmette-Guerin vaccine using mucosal administration and boosting with a recombinant modified vaccinia virus Ankara. J Immunol. 2003, 171: 1602-9.View ArticlePubMedGoogle Scholar
- Dietrich J, Andersen C, Rappuoli R, Doherty M, Jensen CG, Andersen P: Mucosal administration of Ag85B-ESAT-6 protects against infection with Mycobacterium tuberculosis and boosts prior bacillus Calmette-Guerin immunity. J Immunol. 2006, 177: 6353-60.View ArticlePubMedGoogle Scholar
- Illum L: Nasal drug delivery – possibilities, problems and solutions. J Control Release. 2003, 87: 187-198. 10.1016/S0168-3659(02)00363-2.View ArticlePubMedGoogle Scholar
- Lemiale F, Kong W, Akyürek LM, Ling X, Huang Y, Chakrabarti BK, Eckhaus M, Nabel GJ: Enhanced Mucosal Immunoglobulin A Response of Intranasal Adenoviral Vector Human Immunodeficiency Virus Vaccine and Localization in the Central Nervous System. J Virol. 2003, 77: 10078-10087. 10.1128/JVI.77.18.10078-10087.2003.PubMed CentralView ArticlePubMedGoogle Scholar
- Doi K, Nibu K, Ishida H, Okado H, Terashima T: Adenovirus-mediated gene transfer in olfactory epithelium and olfactory bulb: a long-term study. Ann Otol Rhinol Laryngol. 2005, 114: 629-33.View ArticlePubMedGoogle Scholar
- Arimoto Y, Nagata H, Isegawa N, Kumahara K, Isoyama K, Konno A, Shirasawa H: In vivo expression of adenovirus-mediated lacZ gene in murine nasal mucosa. Acta Otolaryngol. 2002, 122: 627-33. 10.1080/000164802320396303.View ArticlePubMedGoogle Scholar
- Xing Z, Santosuosso M, McCormick S, Yang T-C, Millar J, Hitt M, Wan Y, Bramson J, Vordermeier HM: Recent advances in the development of adenovirus- and poxvirus-vectored tuberculosis vaccines. Curr Gene Ther. 2005, 5: 485-492. 10.2174/156652305774329230.View ArticlePubMedGoogle Scholar
- Sallenave J-M, Xing Z, Simpson AJ, Graham FL, Gauldie J: Adenovirus-mediated expression of an elastase-specific inhibitor (elafin): a comparison of different promoters. Gene Ther. 1998, 5: 352-360. 10.1038/sj.gt.3300610.View ArticlePubMedGoogle Scholar
- Xing Z, Stampfli MR, Gauldie J: Transient transgenic approaches for investigating the role of granulocyte-macrophage colony-stimulating factor in pulmonary inflammatory and immune diseases. Methods Mol Med. 2000, 4: 161-178.Google Scholar
- Hutchins Beth: Making the (clinical) grade with adenoviral gene therapy vectors. Qual Assur J. 1997, 2: 119-127. 10.1002/(SICI)1099-1786(199709)2:3<119::AID-QAJ44>3.0.CO;2-T.View ArticleGoogle Scholar
- Xing Z, Ohkawara Y, Jordana M, Graham FL, Gauldie J: Transfer of granulocyte-macrophage colony-stimulating factor gene to rat lung induces eosinophilia, monocytosis, and fibrotic reactions. J Clin Invest. 1996, 97: 1102-1110.PubMed CentralView ArticlePubMedGoogle Scholar
- Lei XF, Ohkawara Y, Stämpfli MR, Gauldie J, Croitoru K, Jordana M, Xing Z: Compartmentalized transgene expression of granulocyte-macrophage colony-stimulating factor (GM-CSF) in mouse lung enhances allergic airways inflammation. Clin Exp Immunol. 1998, 113: 157-165. 10.1046/j.1365-2249.1998.00652.x.PubMed CentralView ArticlePubMedGoogle Scholar
- Källenius G, Pawlowski A, Brandtzaeg P, Svenson S: Should a new tuberculosis vaccine be administered intranasally?. Tuberculosis (Edinb). 2007 Feb 23;,Google Scholar
- Johnson M, Huyn S, Burton J, Sato M, Wu L: Differential biodistribution of adenoviral vector in vivo as monitored by bioluminescence imaging and quantitative polymerase chain reaction. Hum Gene Ther. 2006, 17: 1262-1269. 10.1089/hum.2006.17.1262.View ArticlePubMedGoogle Scholar
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