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Gene transfer of CFTR to airway epithelia: low levels of expression are sufficient to correct Cl- transport and overexpression can generate basolateral CFTR
Journal article   Open access   Peer reviewed

Gene transfer of CFTR to airway epithelia: low levels of expression are sufficient to correct Cl- transport and overexpression can generate basolateral CFTR

Sara L Farmen, Philip H Karp, Philip Ng, Donna J Palmer, David R Koehler, Jim Hu, Arthur L Beaudet, Joseph Zabner and Michael J Welsh
American journal of physiology. Lung cellular and molecular physiology, Vol.289(6), pp.L1123-1130
12/2005
DOI: 10.1152/ajplung.00049.2005
PMID: 16085675
url
https://doi.org/10.1152/AJPLUNG.00049.2005View
Published (Version of record) Open Access

Abstract

Gene transfer of CFTR cDNA to airway epithelia is a promising approach to treat cystic fibrosis (CF). Most gene transfer vectors use strong viral promoters even though the endogenous CFTR promoter is very weak. To learn whether expressing CFTR at a low level in a fraction of cells would correct Cl(-) transport, we mixed freshly isolated wild-type and CF airway epithelial cells in varying proportions and generated differentiated epithelia. Epithelia with approximately 20% wild-type cells generated approximately 70% the transepithelial Cl(-) current of epithelia containing 100% wild-type cells. These data were nearly identical to those previously obtained with CFTR expressed under control of a strong promoter in a CF epithelial cell line. We also tested high level CFTR expression using the very strong cytomegalovirus (CMV) promoter as well as the cytokeratin-18 (K18) promoter. In differentiated airway epithelia, the CMV promoter generated 50-fold more transgene expression than the K18 promoter, but the K18 promoter generated more transepithelial Cl(-) current at high vector doses. Using functional studies, we found that with marked overexpression, some CFTR channels were present in the basolateral membrane where they shunted Cl(-) flow, thereby reducing net transepithelial Cl(-) transport. These results suggest that very little CFTR is required in a fraction of CF epithelial cells to complement Cl(-) transport because transepithelial Cl(-) flow is limited at the basolateral membrane. Thus they suggest a broad leeway in promoter strength for correcting the CF gene transfer, although at very high expression levels CFTR may be mislocalized to the basolateral membrane.
Gene Expression Cell Line Cytomegalovirus - genetics Gene Transfer Techniques Promoter Regions, Genetic Bronchi - enzymology Trachea - cytology Humans Cystic Fibrosis Transmembrane Conductance Regulator - metabolism Genetic Vectors - genetics Chlorides - metabolism Epithelial Cells - enzymology Cystic Fibrosis Transmembrane Conductance Regulator - genetics Epithelial Cells - cytology Keratins - genetics Bronchi - cytology Trachea - enzymology Ion Transport - genetics

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