There is growing interest in gene delivery to the eye in describes a strategy for prolonging gene expression by order to develop gene therapy for the many ocular disblocking the B7-CD28 interactions between antigen orders which may be amenable to this approach. To date, presenting cells (APC) and T cells in order to prevent the recombinant adenoviruses (AV) have been the main vector costimulatory signals required for T cell survival and proused for gene delivery to anterior and posterior segments liferation. This was achieved by the co-injection of AV in animal models. As with delivery to other organs, immune encoding a secreted immunomodulatory molecule (CTLA4-responses to vector and transgene limit the duration of Ig) which consists of the extra-cellular domain of mouse expression in the eye. Using an E1-deleted adenoviral vec-CTLA4 fused to the Fc region of human IgG. Subretinal cotor carrying a lacZ reporter gene, we have previously deminjection of AV encoding  galactosidase with AV encoding onstrated that a T cell-mediated immune response reduces CTLA4-Ig results in prolonged expression in retinal cells the level of intra-ocular transgene expression over time compared with subretinal injection of only adenovirus and limits it to around 3 weeks in mice. This report encoding  galactosidase.
Keywords: gene therapy; immune response; photoreceptor; eyeThere is growing interest in gene transfer into various tissues of the eye since there are many ocular disorders which may be amenable to gene therapy. 1 Of these, there is particular interest in developing gene therapy for inherited retinal degenerations, some of which are due to single gene defects in photoreceptor-specific genes. These disorders may ultimately be treated by gene replacement strategies which require gene transfer to photoreceptors or by strategies which prevent these cells entering the apoptotic pathway. The latter might be achieved, for instance, by the delivery of genes encoding neurotrophic growth factors to the adjacent retinal pigment epithelium (RPE) cells or to cells in the anterior chamber. A number of vectors, including those based on herpes simplex virus (HSV), 2 lentivirus 3 and adeno-associated virus (AAV) [4][5][6][7] have been used for ocular gene transfer but, to date, the most widely reported system is that based on adenoviral (AV) vectors. [8][9][10][11][12][13][14][15][16][17][18][19] Studies in either the rabbit or more often the mouse, using these AV vectors carrying a lacZ reporter gene, have demonstrated that cells in the anterior segment, including the corneal endothelium, iris pigment epithelium, ciliary body, trabecular meshwork and Schlemms canal, may be efficiently transduced by intra-cameral injection. Subretinal injection is required for efficient targeting of the RPE and also results in the transduction of a small proportion of photoreceptors. Host immune responses to vector and transgene currently present a general problem for long-term gene delivery. There has been particular concern about the immunogenicity of A...