Molecular and macromolecular alterations of recombinant adenoviral vectors do not resolve changes in hepatic drug metabolism during infection
© Callahan et al; licensee BioMed Central Ltd. 2008
Received: 08 August 2008
Accepted: 30 September 2008
Published: 30 September 2008
In this report we test the hypothesis that long-term virus-induced alterations in CYP occur from changes initiated by the virus that may not be related to the immune response. Enzyme activity, protein expression and mRNA of CYP3A2, a correlate of human CYP3A4, and CYP2C11, responsive to inflammatory mediators, were assessed 0.25, 1, 4, and 14 days after administration of several different recombinant adenoviruses at a dose of 5.7 × 1012 virus particles (vp)/kg to male Sprague Dawley rats. Wild type adenovirus, containing all viral genes, suppressed CYP3A2 and 2C11 activity by 37% and 39%, respectively within six hours. Levels fell to 67% (CYP3A2) and 79% (CYP2C11) of control by 14 days (p ≤ 0.01). Helper-dependent adenovirus, with all viral genes removed, suppressed CYP3A2 (43%) and CYP2C11 (55%) within six hours. CYP3A2 remained significantly suppressed (47%, 14 days, p ≤ 0.01) while CYP2C11 returned to baseline at this time. CYP3A2 and 2C11 were reduced by 45 and 42% respectively 6 hours after treatment with PEGylated adenovirus, which has a low immunological profile (p ≤ 0.05). CYP3A2 remained suppressed (34%, p ≤ 0.05) for 14 days while CYP2C11 recovered. Inactivated virus suppressed CYP3A2 activity by 25–50% for 14 days (p ≤ 0.05). CYP2C11 was affected similar manner but recovered by day 14. Microarray and in vitro studies suggest that changes in cellular signaling pathways initiated early in virus infection contribute to changes in CYP.
Hepatic cytochrome P450 (CYP) enzymes play a central role in the metabolism and clearance of many naturally occurring biological substances, drugs and environmental toxins [1, 2]. In turn, their diversity, expression and function may also be modified by these substrates [3, 4]. Numerous clinical reports have also described altered pharmacokinetic and toxicity profiles of drugs during infection or inflammation [5, 6]. In these instances, the activity and expression of CYP is downregulated, leading to ineffective treatment regimens, unexpected adverse reactions and in, some cases, drug-drug interactions [7, 8]. Similar effects have been reported with respect to the expression and function of CYP isforms 3A2 and 2C11 after a single dose of recombinant adenovirus serotype 5 for a period of 14 days in the male Sprague Dawley rat [9, 10]. The expression and function of these isoforms, selected for their predominance in drug metabolism (CYP3A2) and their responsiveness to inflammatory stimuli (CYP2C11), are largely influenced by the dose (5.7 × 106 – 5.7 × 1012 viral particles/kilogram (vp/kg)) and the nature of the transgene cassette. Although much is known about the regulatory processes associated with CYP3A2 and 2C11 expression, the exact mechanism by which virus infection alters these metabolic enzymes is currently unknown.
Recombinant adenoviruses were chosen as model pathogens to further define processes by which viral infection alters expression of CYP3A2 and 2C11 for several reasons. Although wild type adenovirus infections are common in the general population and often cause self-limited respiratory infections, they also induce significant illness and high mortality in specialized patient populations such as those receiving allogenic stem cell and solid organ transplants and those with acute respiratory illnesses [11–14]. Within the last decade, extensive use of adenovirus serotype 5 as a vector for gene therapy and vaccine development has increased understanding of the biology and the genetic features of the virus. This information has fostered the production of a series of recombinant viruses with minimal viral elements to reduce the host immune response and extend the length of gene expression achieved by this otherwise highly efficient vector. In this report, a panel of recombinant adenoviruses were studied in a Sprague Dawley rat model to test the hypothesis that changes in hepatic CYP expression and function after a single systemic dose of virus may not be solely due to the immune response against viral gene products and capsid proteins. Wild type adenovirus serotype 5, capable of causing mild illness in the general public and more severe complications in the immunosuppressed and those with asthma and COPD, was used as a positive control. It contained all virus expression elements. A first generation adenoviral vector, expressing the E. coli beta-galactosidase transgene (AdlacZ) was included as an important control for direct comparison of results previously reported to those obtained from animals treated with the other modified vectors [9, 10]. The early region 1 (E1, involved in virus replication) and early region 3 (E3, involved in evasion of the host immune response) parts of the virus genome were removed in this vector to accommodate the beta-galactosidase transgene cassette. A PEGylated version of this virus, which has a significantly lower immunological profile [15, 16], and an inactive control, AdlacZ inactivated by exposure to riboflavin and UV light, were included to study the effect of the immune response against virus capsid proteins and virus receptor interactions on expression and function of CYP. A helper-dependent adenoviral vector (HDAd), devoid of all viral genes and containing the E. coli beta-galactosidase transgene, was also included to fully study the effect of viral gene expression on CYP. CYP protein expression, activity, and mRNA were evaluated at 0.25, 1, 4 and 14 days, a time course highlighting key points during adenoviral gene expression and the host immune response . Serum alanine amintotransferase levels and histological evaluation of liver tissue were used to evaluate the toxicity associated with administration of each vector. Expression patterns of the pregnane × receptor (PXR) and the retinoid × receptor alpha (RXR∝), involved in transcriptional regulation of CYP [18, 19], and those associated with several signal transduction pathways in the liver are also discussed.
Effect of administration of recombinant adenoviruses on hepatic CYP3A2 expression and function
Effect of a single dose of virus on hepatic CYP2C11 expression and function
Assessment of serum ALT after a single dose of adenovirus
Evaluation of transgene expression
Mechanistic evaluation of changes in CYP during viral infection
Upsurges in Westerinization, urbanization and world travel have sparked similar trends in the exposure rate of the general public to infectious agents. Microbial infection can significantly compromise the expression and function of hepatic cytochrome P450 enzymes, responsible for catalyzing biochemical processes necessary to maintain physiological homeostasis and conversion of medicinal agents to pharmacologically or toxicologically active metabolites [5, 6]. In vitro and in vivo studies suggest that cytokines and other immunoresponsive molecules associated with the acute phase of the immune response are largely responsible for this effect. We have found that a single dose of recombinant adenovirus significantly suppresses CYP3A2 and 2C11 expression and function in the male Sprague-Dawley rat for 14 days, long after the innate immune response against the virus resolves . In an effort to prevent corresponding increases in drug-drug interactions, potential therapeutic failures of vital medications and secondary health problems due to interruption of natural biochemical processes during microbial infection, the experiments described in this manuscript were designed to determine how recombinant adenovirus alters CYP expression and function.
None of the modifications commonly made to reduce the immunogenicity and toxicity associated with adenoviral vectors completely resolved aberrations in hepatic CYP. Administration of helper-dependent adenovirus (HDAd), devoid of all viral genes and significantly less immunogenic than wild type or first generation adenoviruses [17, 23], suppressed CYP3A2 protein, activity, and gene expression for 14 days (Figures 1, 2, 3, p ≤ 0.01). Samples obtained from animals given the PEGylated virus, which is also significantly less immunogenic than the other viruses tested [15, 16, 24, 25], followed a similar trend, suggesting that the immune response may not be the cause of suppression of this key hepatic isoform. At later timepoints, CYP mRNA levels were suppressed in animals given HDAd in a manner similar not only to the first generation virus, but to that of wild type virus, containing all viral genetic elements, suggesting that transcription and expression of viral genes cannot fully account for the observed reduction of CYP3A2. Administration of the helper-dependent and PEGylated viruses did, however, minimize changes in the expression and function of CYP2C11 with expression, activity, with mRNA beginning to recover four days after administration and resolving to baseline by day 14 (Figures 4, 5, 6, p ≤ 0.05). This and data reported previously in which an E1/E3 deleted first generation adenovirus containing some viral gene expression elements but not a transgene cassette and another containing murine erythropoietin , further support the hypothesis that changes in the expression and function of CYP2C11 correlates with the immunogenicity of the vector and the trasngene constructs while changes in CYP3A2 may be due to shifts in cellular processes to support transgene production.
Many of the vectors employed in these studies had a mild toxicity profile with respect to serum alanine amintotransferase (ALT) levels. Only samples obtained from animals treated with the AdlacZ and WT vectors contained significant amounts of ALT (Figure 7). The PEGylated virus transduced hepatocytes in a similar manner to AdlacZ without affecting ALT, but still altered CYP expression and function (Figures 7 and 8). Treatment with the HDAd vector also did not affect ALT, but changes in CYP were still observed. Taken together, these results suggest that CYP alterations are not merely the result of hepatotoxicity arising from transgene product accumulation or overwhelming viral gene expression.
In an effort to identify a potential mechanism by which Ad infection alters CYP expression and function, we first chose to examine changes in expression of the pregnane × receptor (PXR). Transcription of CYP3A2 is thought to occur by heterodimerization of two orphan nuclear receptors, PXR and the retinoid × receptor alpha (RXRα) . RXRα is a nuclear receptor that forms complexes with many other molecules to regulate gene transcription, whereas PXR has been often referred to as the "master" regulator of CYP3A [18, 26–28]. PXR levels were significantly suppressed 24 hours after administration of all active recombinant viruses but recovered to baseline levels in all groups except those given wild type virus (Figure 9, p ≤ 0.05). Given that CYP3A2 continued to be suppressed in all groups given active virus beyond 24 hours, we believe that changes in CYP3A2 expression and function may not be mediated by changes in PXR during adenovirus infection. This is further supported by another study in which it was reported that CYP was significantly suppressed in PXR knockout mice after treatment with bacterial endotoxin .
Microarray analysis of hepatic tissue samples (oligo GEArray Rat Signal Transduction Pathway Finder microarrays; SuperArray, Frederick, MD) revealed that administration of each of the viruses significantly altered gene expression patterns associated with several key signal transduction pathways (data not shown). Expression of genes associated with the PI3K, PKC and nuclear factor kappa B (NFKB) pathways were induced with respect to those found in saline treated animals on average by a factor of 3.8, 4 and 4.6 respectively by each of the viruses included in this study. These pathways are of particular interest in the context of explaining our findings with respect to PXR and RXR expression. Ding and Staudinger described an increase in PXR activity in the presence of compounds that induced protein kinase A in vitro . They subsequently found via a reporter gene assay that PXR activity was significantly suppressed after treatment with compounds that induced protein kinase C . If this is the case in vivo, we believe that adenovirus infection did not significantly affect PXR levels because both PKA and PKC are upregulated during adenovirus infection [33, 34], keeping the expression of this protein in check except at the 24 hour time point when the balance between the expression of each enzyme might be disrupted since they are each uniquely involved at different stages of virus internalization and trafficking to the nucleus which occur during this timeframe . It has also been shown that activation of c-Jun N-terminal kinase (JNK), a kinase downstream of PKC , induces phosphorylation of RXRα [41, 42], which causes it to redistribute from the nucleus to the cytoplasm, preventing it from forming the heterodimer complex with PXR and suppressing CYP expression and function . Microarray data also suggests that changes in CYP after adenovirus infection may be in response to products associated with the NFKB pathway. The small heterodimer partner (SHP), an orphan nuclear receptor specifically expressed in the liver and a limited number of other tissues, is a transcriptional co-activator of NFKB and is also activated by JNK [44, 45]. SHP can bind to both PXR and RXRα preventing heterodimer formation necessary for CYP expression [43, 46–48]. To date an increase in SHP expression during adenovirus expression has not been described. Additional studies assessing the level of SHP in the liver during adenovirus infection, distribution patterns and phosphorylation status of PXR and RXRα in vitro and in vivo will further support these hypotheses and are currently underway in our laboratory.
Materials and methods
The following were purchased from Sigma-Aldrich (St. Louis, MO): phosphate-buffered saline (PBS), L-lysine, riboflavin, polyoxyethylene-sorbitan monolaurate (Tween 20), dimethylsulfoxide (DMSO), ethylenediaminetetraacetic acid (EDTA), formaldehyde, isopropanol, glucose-6-phosphate, β-nicotinamide adenine dinucleotide phosphate sodium salt (NADP+) and 11α-hydroxyprogesterone. Protogel® acrylamide was purchased from National Diagnostics (Atlanta, GA). 5-bromo-4-chloro-3-indolyl-β-D-galactoside (X-gal) was purchased from Gold Biotechnology (St. Louis, MO). Polyclonal rat CYP3A2 and CYP2C11 primary antibodies were from BD Gentest (Woburn, MA). Corresponding horseradish peroxidase-conjugated secondary antibodies were from ICN Pharmaceuticals, Inc. (Aurora, OH). Isoform-specific CYP protein standards were from XenoTech, LLC (Lenexa, KS). PCR primers were purchased from Sigma-Genosys (The Woodlands, TX). Unless noted otherwise, all other materials were purchased in the highest purity from EMD Chemicals (Gibbstown, NJ).
WT (VR-5, ATCC, Manassas, VA) and first generation recombinant adenovirus 5 expressing the E. coli beta-galactosidase transgene under the control of a CMV promoter (AdlacZ) were amplified in 293 cells. Helper-dependent adenovirus 5 (HDAd) was prepared using the HD-Ad-SRα-β GEO vector containing a fusion gene of the E. coli beta-galactosidase transgene and the neomycin resistance gene under the control of the SRα promoter in 293Cre cells as described . Amplification and rescue of the vector was achieved with the use of the AdLC8cLuc helper virus. Both vectors were purified from cell lysates by banding twice on cesium chloride gradients. AdlacZ was desalted on an Econo-Pac 10DG disposable chromatography column (BioRad, Hercules, CA) equilibrated with phosphate buffered saline, pH 7.4. HDAd was desalted by dialysis overnight in the same buffer. Contamination of helper virus was determined in the laboratory of Dr. Lucio Pastore, Federico II University, according to established techniques . Positive fractions were collected and the number of virus particles (active and inactive) determined using the method of Maizel et al. with the following formula :
Virus particles/ml = (absorbance at 260 nm) × (dilution factor) × 1.1 × 1012
All animals were treated with freshly purified virus.
PEGylation of Adenovirus
Adenovirus expressing beta-galactosidase was prepared as described above. Protein content of the preparation was determined using BioRad DC Protein Assay reagents and bovine serum albumin as a standard in a microplate format. Ten micrograms of monomethoxypoly(ethylene) glycol, activated by tresyl chloride (Sigma Aldrich), was added for each microgram of protein present . The coupling reaction was performed at 25°C with gentle agitation. The reaction was stopped by the addition of L-lysine, in a 10-fold excess with respect to the amount of PEG added. Unreacted PEG, excess L-lysine, and reaction byproducts were removed by buffer exchange over an Econo-Pac 10DG disposable chromatography column equilibrated with 100 mM potassium phosphate-buffered saline (pH 7.4).
Riboflavin-Mediated Inactivation of Recombinant Adenovirus
Recombinant adenovirus 5 expressing beta-galactosidase was inactivated by a method unique to our laboratory as described . A sufficient amount of riboflavin stock solution (1665 μM in DMSO) was added to purified virus to yield a final concentration of 50 μM. The virus/riboflavin mixture was placed in a 100 mm polystyrene dish (Fisher Scientific, Pittsburgh, PA) surrounded by ice and "sandwiched" between two UV light sources (Ultra-Lum, Claremont, CA and UVP, Upland, CA) each emitting UV light (365 nm, 1000 μW/cm2) for 45 minutes. Virus inactivation was confirmed by serial dilution of samples and infection of HeLa cells as described .
Administration of Recombinant Adenovirus
All procedures were approved by the Institutional Animal Care and Use Committee of The University of Texas at Austin and are in accordance with the guidelines established by the National Institutes of Health for the humane treatment of animals. Male Sprague-Dawley rats (9–10 weeks old, Harlan Sprague Dawley, Inc. (Indianapolis, IN) were housed in individual cages and allowed unrestrained access to standard rodent chow (Harlan Teklad, Indianapolis, IN) and tap water. A single intra-muscular injection of a 1:1:1 (v/v/v) ratio of ketamine (100 mg/ml, Wyeth, Fort Dodge, Animal Health, Overland Park, KS), xylazine (20 mg/ml, Sigma Aldrich), and acetopromazine (10 mg/ml, Sigma Aldrich) achieved deep plane anesthesia for placement of catheters into the right jugular vein. Twenty-four hours after surgery, rats were given a single intravenous dose of 5.7 × 1012 viral particles per kilogram (vp/kg) in a 0.5 ml volume of either: WT, AdlacZ, PEGAd, UVAd, or vehicle, phosphate buffered saline. A separate group was given 1.3 × 1012 vp/kg of the HDAd vector in the same volume of saline. This dose was based upon the typical yield for this virus in our laboratory. Upon sacrifice, serum was collected for assessment of alanine aminotransferase (ALT). A small section of liver was immediately excised and stored in RNAlater™ (Qiagen, Valencia, CA) at 4°C for microarray analysis. Additional tissue was placed in Tissue-tek® embedding medium (Fisher Scientific, Pittsburgh, PA) for X-gal histochemistry. Remaining tissue was excised, rinsed in saline, snap frozen in liquid nitrogen, and stored at -80°C for microsome preparation, and PCR.
Isolation of Primary Hepatocytes
Hepatocytes were isolated from adult male Sprague Dawley rats (200–300 g) by a modified two step in situ collagenase perfusion protocol . Cell isolates were further purified on Percoll gradients and seeded at a density of 1.5 × 105 cells/cm2 onto rat tail collagen treated culture dishes (BD Biosciences, Bedford, MA). Cells were maintained in HepatoZYME-SFM (Invitrogen, Carlsbad, CA), supplemented with 1% L-glutamine (Hyclone, Logan, UT), gentamycin (0.5 μg/ml, Cambrex Biosciences, Walkersville, MD) and penicillin (100 U/ml)/streptomycin (100 μg/ml) (Mediatech, Herndon, VA).
Hepatic microsomal proteins were isolated by differential centrifugation as described previously . Microsomes were stored at -80°C prior to analysis.
Gel Electrophoresis and Immunoblot Analysis
Microsomal proteins (20 μg) were separated by size by sodium dodecylsulfate polyacrylamide gel electrophoresis (SDS-PAGE) as described . Detection of putative proteins was achieved with a 1:3000 dilution of the specific primary CYP antibody in 3% NFDM followed by a second incubation with a corresponding horseradish peroxidase conjugated secondary antibody (1:3000). Immune complexes for CYP3A1/2 and CYP2C11 were detected by chemiluminescence (Western Lightning detection kit, PerkinElmer, Boston, MA). Protein band densities were analyzed using Kodak 1D image analysis software (Eastman Kodak, Rochester, NY). CYP3A1 and CYP3A2 co-migrate during electrophoresis. The antibody used to detect CYP3A2 was polyclonal with cross reactivity to CYP3A1, therefore all protein levels for CYP3A2 are reported as CYP3A1/2.
In vitroTestosterone Hydroxylation Assay
Metabolic activity for CYP3A2 and 2C11 was determined by in vitro analysis of testosterone hydroxylation as described . Samples were incubated with testosterone (Sigma Aldrich) for 18 minutes at 37°C with gentle agitation after addition of glucose-6-phosphate dehydrogenase (1 unit/μl, Sigma) and then quenched with dichloromethane (5 ml). 11α-hydroxyprogesterone (1.2 μg, Sigma) was added as an internal standard. The organic phase was evaporated under a constant stream of air, dissolved in 200 μl of methanol and stored in a sealed tube at 4°C until analysis. Testosterone metabolites were separated and quantified by HPLC according to a previously described method . Peak areas of corresponding hydroxylation metabolites were measured and compared to peak areas of the internal standard within the same run.
Oligonucleotide primer sequences and amplification conditions for RT-PCR analysis of hepatic CYP and related nuclear receptorsa
PCR product (bp)
Annealing temperature (°C)
Sense: TTG ATC CGT TGT TCT TGT CA
Antisense: GGC CAG GAA ATA CAA GAC AA
Sense: CTG CTG CTG CTG AAA CAC GTC
Antisense: GGA TGA CAG CGA TAC TAT CAC
Sense: GAG CTC TGG GCA GAA ACA TC
Antisense: ACA CGG CAG ATT TGA AGA CC
Sense: CTC TAC CCA GGT GAA CTC TT
Antisense: TGC TGC TCA CAG GGT TCA TG
Liver function analysis
Serum ALT levels were measured with Vitros ALT slides on a Vitros DT60 autoanalyzer (Ortho-Clinical Diagnostics, Rochester, NY).
Frozen liver sections (6 μm) were fixed in 0.5% glutaraldehyde and stained for beta-galactosidase activity as previously described .
One-way analysis of variance with a Bonferroni/Dunn post-hoc analysis was used to determine statistical differences between individual groups (SuperANOVA, Abacus Concepts, Berkley, CA). Differences were determined to be significant when the probability of chance explaining the results was reduced to less than 5% (p < 0.05).
This work was supported by research grant R21GM69870 from the National Institutes of Health (MAC). SMC was the recipient of a University of Texas at Austin Continuing Fellowship. The authors would like to thank Courtney Clemens for expert technical assistance with the experiments outlined in this manuscript. We also thank Dahlia Astone and Dr. Lucio Pastore of The University of Naples, Federico II for assistance with the assay to determine helper virus contamination in helper-dependent adenovirus preparations.
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