(Circulation. 2001;104:1098.)
© 2001 American Heart Association, Inc.
Brief Rapid Communications |
From the Department of Clinical Pharmacology (K.W.) and the Department of Pharmacology (T.O.), Niigata College of Pharmacy; the Department of Medical Technology, School of Health Sciences, Niigata University School of Medicine (M.N.); the Division of Cardiology (K.F., H.H., M.K., Y.A.) and the Division of Clinical Nephrology and Rheumatology (F.G., H.M.), Niigata Graduate School of Medicine and Dental Science, Niigata, Japan; and the Department of Nutrition and Physiological Chemistry, Osaka University Graduate School of Medicine, Osaka, Japan (J.M.).
Correspondence to Kenichi Watanabe, MD, Department of Clinical Pharmacology, Niigata College of Pharmacy, Kamisin-ei-cho, Niigata, 950-2081, Japan. E-mail watanabe{at}niigata-pharm.ac.jp
Background Although immunosuppressive therapy for myocarditis has attracted a great deal of attention, its effectiveness is controversial. Interleukin (IL)-10 has a variety of immunomodulatory properties. Among the nonviral techniques for gene transfer in vivo, the direct injection of plasmid DNA into muscle is simple, inexpensive, and safe.
Methods and Results We examined the applicability of murine IL-10 (mIL-10) gene transfer to the treatment of rats with experimental autoimmune myocarditis. Nine-week-old Lewis rats were inoculated with pig myosin (day 0). A plasmid vector expressing mIL-10 cDNA (800 µg per rat) was transferred into the tibialis anterior muscles by electroporation 3 times (5 days before immunization and at days 4 and 13); control rats received empty plasmid. Electroporation increased the serum mIL-10 levels to >250 pg/mL. The 21-day survival rate in rats treated with mIL-10 cDNA was higher (15 of 15; 100%) than that of the control group (9 of 15; 60%). Furthermore, mIL-10 treatment significantly attenuated myocardial lesions and improved hemodynamic parameters.
Conclusions These findings showed that gene transfer into muscle by electroporation in vivo is an effective means of delivery of IL-10 for the treatment of autoimmune myocarditis.
Key Words: interleukins myocarditis gene therapy immune system cardiomyopathy
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