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Ann Thorac Surg 1999;68:1008-1013
© 1999 The Society of Thoracic Surgeons
a Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA
b Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA
c Department of Pathology, Washington University School of Medicine, St. Louis, Missouri, USA
Address reprint requests to Dr Patterson, Division of Cardiothoracic Surgery, Washington University School of Medicine, 3108 Queeny Tower, One Barnes-Jewish Hospital Plaza, St. Louis, MO 63110
Presented at the Thirty-fifth Annual Meeting of The Society of Thoracic Surgeons, San Antonio, TX, Jan 2527, 1999.
Abstract
Background. We investigated endobronchial transfection of CAT and TGF-ß1 cDNA selectively delivered to the lung graft with or without liposomes.
Methods. Phase I: F344 rats received 130 µg of naked plasmid pCF1-CAT or complexed to liposome GL67 via left main bronchus instillation. Rats were awakened (pCF1-CAT, n = 4; GL67:pCF1-CAT, n = 4) or served as donors in an isogenic transplant (pCF1-CAT, n = 5; GL67:pCF1-CAT, n = 5). ELISA was performed on lungs, hearts, and livers on POD 2. Phase II: BN lungs received TGF-ß1 sense (n = 6); antisense (n = 5); GL67:TGF-ß1 sense (n = 10); or saline solution (n = 10). F344 recipients were sacrificed on POD 5. The arterial pO2 and rejection were assessed. RT-PCR for murine TGF-ß1 was performed.
Results. Phase I: CAT expression was 519 ± 287 pg and 63 ± 68 with pCF1-CAT and 104 ± 67 and 37 ± 45 with GL67:pCF1-CAT, respectively, in the non-transplant and in the transplant setting. No protein was detected in the hearts, livers, and in the native lung of the recipients. Phase II: RT-PCR confirmed murine TGF-ß1 transfection. pO2 was 362.7 ± 110.2 (mean mmHg ± SD) for sense TGF-ß1; 146.88 ± 85.5 for antisense; 241.5 ± 181.5 for GL67-TGF-ß1 sense; and 88.4 ± 38.7 for saline. TGF-ß1 sense versus all other groups, p < 0.05, GL67-TGF-ß1 sense versus saline, p = 0.01. Rejection was significantly lower for TGF-ß1 sense versus saline, p = 0.04.
Conclusions. Endobronchial administration of naked plasmid achieves selective transfection of lung grafts. Using this strategy, TGF-ß1 reduces early lung allograft rejection.
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