2015
DOI: 10.1038/gt.2015.36
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Ultrasound-assisted nonviral gene transfer of AQP1 to the irradiated minipig parotid gland restores fluid secretion

Abstract: RationaleXerostomia is a common side effect of ionizing radiation used to treat head and neck cancer. A groundbreaking Phase I human clinical trial utilizing Adenoviral gene transfer of Aquaporin-1 (AQP1) to a single salivary gland of individuals suffering from radiation-induced xerostomia has recently been reported. Unfortunately, the limitations of the Adenoviral vector system utilized in this pioneering trial preclude its advancement to a Phase II trial and we have thus undertaken to evaluate the therapeuti… Show more

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Cited by 43 publications
(60 citation statements)
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References 37 publications
(43 reference statements)
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“…Thus, using the same expression cassette and equimolar amounts of gene, the authors found that UAGT with minicircles eliminated >95% of the protein changes associated with plasmid vectors. As noted above, Passineau and colleagues have extended these studies to examine delivery of the AQP1 cDNA to irradiated porcine parotid glands with considerable success [27], essentially replicating the results of Shan et al [37] without requiring the need to employ an Ad5 vector. These results offer considerable promise for future uses for sonoporation, microbubbles and minicircles in all clinical salivary gene transfer applications.…”
Section: Methodological Advancesmentioning
confidence: 87%
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“…Thus, using the same expression cassette and equimolar amounts of gene, the authors found that UAGT with minicircles eliminated >95% of the protein changes associated with plasmid vectors. As noted above, Passineau and colleagues have extended these studies to examine delivery of the AQP1 cDNA to irradiated porcine parotid glands with considerable success [27], essentially replicating the results of Shan et al [37] without requiring the need to employ an Ad5 vector. These results offer considerable promise for future uses for sonoporation, microbubbles and minicircles in all clinical salivary gene transfer applications.…”
Section: Methodological Advancesmentioning
confidence: 87%
“…Also of particular note, very recent studies by Wang et al [27], used ultrasound-assisted gene transfer (UAGT) to deliver both the human and porcine AQP1 cDNAs to irradiated miniature pig parotid glands. They showed that this non-viral gene transfer approach can lead to increased parotid saliva flow from the radiation damaged glands, with levels approximating those achieved with Ad5-mediated hAQP1 cDNA transfer.…”
Section: Glandular Disordersmentioning
confidence: 99%
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“…This has been considered as a translational step, as this approach can be used to treat a huge number of patients suffering from dry mouth (xerostomia) due to radiation therapy and autoimmune diseases. A recent clinical trial has advocated the safety of using AQP1 gene therapy for the management of xerostomia patients [72]. Patients undergoing radiotherapy usually develop xerostomia due to irreversible acinar damages.…”
Section: Applications In Dentistrymentioning
confidence: 99%
“…The study procedures were well tolerated over 42 days. Nevertheless, the risks connected to the use of an adenoviral vector impeded an advancement to phase II trials (Wang et al, 2015). The recent successful ultrasound-assisted, nonviral gene transfer of AQP1 to an irradiated swine model may open up new options for human trials.…”
Section: Aqp Gene Replacement Therapymentioning
confidence: 99%