2004
DOI: 10.2337/diabetes.53.10.2723
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Gene Therapy Using Replication-Defective Herpes Simplex Virus Vectors Expressing Nerve Growth Factor in a Rat Model of Diabetic Cystopathy

Abstract: Diabetic cystopathy is one of the common complications of diabetes and current therapy is limited. In the present study, the effects of gene therapy, using replication-defective herpes simplex virus type 1 (HSV-1) vectors to deliver and express the nerve growth factor (NGF) gene (HSV-NGF) on tissue NGF levels and bladder function, were evaluated in streptozotocin (STZ)-induced diabetic rats. Diabetic rats exhibited a significant decrease in NGF levels in the bladder and lumbosacral dorsal root ganglia (DRG) de… Show more

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Cited by 88 publications
(82 citation statements)
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References 42 publications
(47 reference statements)
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“…141 This observation may be exploited for the development of therapies for the autonomic neuropathy associated with diabetes. 142 In other studies, somatosensory neurons of rats were transduced by peripheral inoculation with a vector expressing neurotrophin-3 (NT-3). 143 Pretreatment with the NT-3-expressing vector significantly protected sensory axons from the toxic effects of pyridoxine overdose, demonstrated by behavioral, morphological, and electrophysiological analyses.…”
Section: Exploiting Axonal Transport For Delivery Of Therapeutic Agentsmentioning
confidence: 99%
“…141 This observation may be exploited for the development of therapies for the autonomic neuropathy associated with diabetes. 142 In other studies, somatosensory neurons of rats were transduced by peripheral inoculation with a vector expressing neurotrophin-3 (NT-3). 143 Pretreatment with the NT-3-expressing vector significantly protected sensory axons from the toxic effects of pyridoxine overdose, demonstrated by behavioral, morphological, and electrophysiological analyses.…”
Section: Exploiting Axonal Transport For Delivery Of Therapeutic Agentsmentioning
confidence: 99%
“…Previous studies demonstrate the utility of replication-defective HSV vectors in the treatment of numerous neurodegenerative disorders of the PNS through the expression of trophic factors, such as nerve growth factor (NGF), neurotrophin 3 (NT-3) and GDNF, [37][38][39][40][41][42][43][44][45] and support their use as therapeutic agents in treating neurological complications of ED. In addition, we have recently demonstrated that replication-defective HSV vectors expressing NT-3 are effective in improving erectile function in rats with chemically induced diabetes mellitus (DM) when the vectors were injected around the cavernous nerve 4 weeks after the induction of DM, 39 although it is not known whether similar gene transfer techniques would be effective for the treatment of ED induced by nerve injury.…”
Section: Introductionmentioning
confidence: 99%
“…Although data regarding bladder function are lacking for DM patients, experimental evidence suggests that NGF improves diabetic bladder dysfunction in the decompensated phase. NGF gene therapy by herpes-virus-mediated NGF gene delivery into the bladder results in long-term elevation of NGF bladder levels, preventing excessive increases in bladder capacity and reducing postvoid residual volume in diabetic rats (541). These data provide interventional evidence for a causal role of NGF in the development of diabetic cystopathy.…”
Section: Diabetes Mellitus and Detrusor Underactivitymentioning
confidence: 64%