2003
DOI: 10.1038/sj.gt.3302036
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Molecular basis of the inflammatory response to adenovirus vectors

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Cited by 391 publications
(291 citation statements)
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“…10 A large body of evidence suggests that virus capsid proteins alone are responsible for induction of the acute phase of the immune response. 11 The second phase of the immune response begins 5-7 days after administration of vector and is directed against newly transduced cells. Adenovirusspecific major histocompatibility complex (MHC) class I-restricted CD8 + T cells directed against cells expressing viral genes and transgene products are generated.…”
Section: Introductionmentioning
confidence: 99%
“…10 A large body of evidence suggests that virus capsid proteins alone are responsible for induction of the acute phase of the immune response. 11 The second phase of the immune response begins 5-7 days after administration of vector and is directed against newly transduced cells. Adenovirusspecific major histocompatibility complex (MHC) class I-restricted CD8 + T cells directed against cells expressing viral genes and transgene products are generated.…”
Section: Introductionmentioning
confidence: 99%
“…The underlying reasons for this will require further investigation, but it is possible that the ability of adenovirus type-5 vectors to elicit potent innate immune responses and local inflammatory reactions, which are essential in initiating primary immune responses, plays a role in this process [64][65][66].…”
Section: Discussionmentioning
confidence: 99%
“…This finding may have important implications for in vivo applications of adenoviral vectors, given that antivector immune response has been a major obstacle for adenoviral gene therapy. 6,7 Furthermore, the enhanced gene expression will only take place in tissue exposed to light, and thus the light treatment increases the specificity of the virus improving the therapeutic index. The PCI technology has already been implemented in animal models, and promising results have been obtained combining photochemical treatment with gelonin, a type I ribosomal-inactivating protein, 43 implying that the combination of adenoviral vectors and photochemical treatment has the potential to be successful in vivo.…”
Section: Discussionmentioning
confidence: 99%
“…However, clinical studies have revealed that limiting factors are immune response in humans and the large number of viral particles needed to obtain therapeutic effect. 6,7 A major concern is therefore that the adenovirus dose necessary to achieve therapeutic effectiveness, may be difficult to obtain with acceptable systemic toxicity. A multimodality treatment combining adenoviral gene therapy with other therapeutic approaches such as radiation, 8 immunotherapy or photochemical treatment, as described in this paper, may be critical in achieving clinical success.…”
mentioning
confidence: 99%