Gene transfer into pancreatic islet cells is a basis requirement for gene therapy approaches to insulin-dependent diabetes (IDDM). Lentiviral vectors carrying the GFP gene under the control of ubiquitously expressing promoters like the cytomegalovirus (LV-CMV-GFP) or the phosphoglycerate kinase (LV-PGK-GFP) promoter efficiently transduce porcine Langerhans islets and express the transgene. However, apart from insulin-secreting B cells, three other cell types exist in pancreatic islets: A (glucagon-producing) cells, D (somatostatin-secreting) and F (pancreatic polypeptide-producing) cells. To achieve specific transgene expression in insulin-secreting cells, we tested different promoters. Two nonallelic genes encoding preproinsulin have been described for mouse and rat. We cloned promoter sequences of the rat insulin I (RIPI, 420bp) and insulin II (RIPII, 600bp) gene into an HIV-1 derived lentiviral vector 5' of the GFP gene, resulting in LV-RIPI-GFP and LV-RIPII-GFP, respectively. Rat islet cell line (RINm5f) cells were infected with an identical amount of p24 of LV-RIPI-GFP, LV-RIPII-GFP, and LV-CMV-GFP. Fluorescence-activated cell sorting (FACscan) revealed GFP expression in 69,4% of the LV-RIPI-GFP infected cells, whereas only 42,1% of the LV-RIPII-GFP infected RINm5f cells expressed GFP. Comparison of the mean fluorescence revealed a 2.5 higher expression level (52,7 versus 19,3) in LV-RIPI-GFP-infected cells, as compared to the LV-RIPII-GFP infected cells. 98,4% of the LV-CMV-GFP infected RINm5f cells were GFP-positive with a mean fluorescence of 4267. As controls we infected porcine fetal fibroblasts with the lentiviral vectors, and observed a ~ 4-fold reduction in the number of GFP-positive cells in both LV-RIPI-GFP and LV-RIPII-GFP. In contrast, the number of GFP-positive fibroblasts after infection with LV-CMV-GFP was not significantly reduced as compared to the RINm5f cells. Given the high similarities of human and porcine anatomy and physiology, diabetes models in the pig would be much more clinically relevant than rodent models. In addition, the porcine pancreas could be a source of islet xenografts for IDDM patients. Therefore, we are currently investigating the use of lentiviral vectors to achieve B-cell specific transgene expression in vivo in the porcine pancreas. Lentiviral vectors efficiently transduce islet cells, and insulin-specific expression can be achieved using rat insulin gene promoters, with RIPI resulting in a higher expression levels in insulin-producing cells than RIPII.
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