From www.bloodjournal.org by guest on June 18, 2017. For personal use only. Granulocyte-Macrophage Colony-Stimulating Factor mRNA Stabilization Enhances Transgenic Expression in Normal Cells and Tissues By Lakshman E. Rajagopalan, Joseph K. Burkholder, Joel Turner, Jerilyn Culp, Ning-Sun Yang, and James S. Malter To increasetransgenicproductionofgranulocyte-macrophage colony-stimulating factor (GM-CSF),we mutated the mRNAs 3'-untranslated region, AUUUA instability elements. Expression vectors containing human or murine GMCSF cDNAs coding for wild-type (GM-AUUUA) or mutant versions with reiterated AUGUA repeats (GM-AUGUA) were transfected into cells in culture or animals using particlemediated gene-transfer technology. Normal peripheral blood mononuclear cells accumulated20-fold greater levels of GM-CSF mRNA and secreted comparably greater amounts of cytokine after transfection with hGM-AUGUA expression vectors versus hGM-AUUUA. hGM-AUGUA mRNA was fivefold more stable (tl12 = 95 minutes) than hGM-AUUUA mRNA (tl12= 20 minutes). accounting for elevated steady-state levels. Transfection site extracts and serum samples obtained 24 hours after gene transfer ofhGMAUGUA cDNA into mouse skin contained greater than 32 ng/mL and 650 pg/mL of GM-CSF protein, respectively, compared with 0.33 ng/mL and tess than 8 pglmL for hGM-AUUUA cDNA. GM-CSF produced from mGM-AUGUA cDNA transfected into rat abdominalepidermisinducedaprofound neutrophilinfiltrate. These data suggest a novel strategy for enhanced production of biologically active cytokines by normal cells after in vivo gene transfer. 0 1995 by The AmericanSociety of Hematology. I (UTR) of most cytokine mRNAs including granulocyte-macrophage colony-stimulating factor (GM-CSF), IL-2, IFN-a, TNF-a and IFN-y contain adenosine-uridine (AU)-rich elements (ARES)that target the mRNAs for rapid degradationlg and inhibit translation?' The highly structured 5' UTR and suboptimal start codon context of cytokine mRNAs are poor initiators of translation, further impeding cytokine productiom21 We hypothesized that targeted mutations within the 3' UTR regulatory elements could stabilize cytokine mRNAs derived from transgenes thereby increasing the availability of templates and enhancing protein production and secretion. We have tested this by mutating the ARES of GM-CSF mRNA. The data show that after gene transfer of mutant cDNAs, the steady-state level of GM-CSF mRNA was substantially higher and the production of cytokine proportionately greater than seen with wild-type cDNAs. We further show that transgenic GM-CSF derived from mutant constructs was biologically active and able to elicit a profound inflammatory response. These observations suggest alternative strategies to increase cytokine production after gene transfer for the treatment of human disease. N RECENT YEARS cytokines have shown considerable therapeutic potential. Single clinical grade recombinant cytokines or combinations have been systemically administered to patients with a variety of neopla~ms."~ For example, interferon-a (IFN-a) therapy has improved the long-term survival of patients with hairy cell leukemia2 and may be synergistic with conventional chemotherapy for the treatment ofmultiple r n y e l ~ m anon-Hodgkin's ,~ lymphoma: and colorectal cancer^.^ Mechanistically, exogenous cytokines, particularly interleukin-2 (IL-2), augment the proliferation and antitumor activity of cytotoxic T lymphocytes, natural killer (NK) cells, lymphokine-activated killer (LAK) cells, and tumor-infiltrating lymphocytes.6 Adoptive immunotherapy with IL-2 and LAK cells has been effective against malignant melanoma and renal cell carcinoma.' However, this approach is time consuming and expensive and, thus, not yet in routine clinical use. Typically, cytokines have been administered systemically by either bolus injection or continuous i n f u s i ~ n .However, ~.~ the inability to specifically target cytokines to tumor cells requires the delivery of massive systemic doses. As such, many patients experience significant side effects that often prevent adequate dosage."' This has impeded the widespread use of tumor necrosis factor-a (TNF-a)." Daily, peritumor injection of low to moderate doses of IL-2I2.l3or TNF-aI4 was associated with significant tumor shrinkage without debilitating systemic side effects. However, the short serum half-life of cytokines (t1,2, 15 to 30 minutes) has encouraged alternative delivery systems including ex vivo transfer of cytokine cDNAs into tumor cells. In such models, cytokine genes have induced impressive, local and systemic antitumor immune activity without incapacitating side The success of periturnor administration has critically depended on the local cytokine concentrations obtained after direct injection" or gene transfer.I6 Irrespective of gene delivery system, cytokine cDNAs tend to be verypoorly expressed after gene transfer. The use of powerful viral or endogenous gene promoters's has not circumvented this problem, suggesting posttranscriptional regulatory mechanisms may be limiting cytokine mRNA accumulation and translation. The 3' untranslated region Blood, Vol 86, No 7 (October l ) , 1995: pp 2551-2558 MATERIALS AND METHODS cDNA constructs. cDNA coding for a human GM-CSF was obtained from the American Type Culture Collection, Rockville, MD. From the Department of Pathology and Laboratory Medicine and Comprehensive Cancer Center, University of Wisconsin Medical School; and the Department of Cancer Gene Therapy, Agracetus lnc, Madison, Wl. Submitted March 9, 1995; accepted May 31, 1995. Supported by National Institutes of Health Grant No. DK4.5213 (tu J.S.M.) Address reprint requests to James S. Malter, MD, A4fZI"SC, Department of Pathology and Laboratory Medicine, University of Wisconsin, Hospitals and Clinics, 600 Highiand Ave, Madison, W1 53792-2472. The publication costs of this article were defrayed in parr by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. section 1734 solely to indicate this fact. 0 1995 by The American Society of Hematology. 0006-4971/95/8607-0023$3.00/0 2551 From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 2552 RAJAGOPALAN ET AL Human OY-CSIf 636 wild type : AATATTTATATATTTATATTTTTAAAATATTTATTTATTTATTTATTTA mutant AAT-"- : wild type: mutant : - _ _--_- - - _ _ _ _ - _ _ATOTATOTATmATQTA---_____ 685 AGTTCATATTCCATATTTATTCA TTCA ""_""" " Hurino OY-CSP 7 85 wild type: GATATTTTCTACTGATAGGGACCATTATATTTATTTATATATTTATATTTTT mutant GATA : Fig 1. Targeted mutagenesis of wild-type human and murine GM-CSF ARES. Using overlap extension PCR (mMaterials and Methods), the of wild- _ _ _ - _--_ -_____--_______---_----___-----_______ type human (nt 639 to 703) and murine (nt 789 to 880) GM-CSF (GM-AUUUAI werereplaced with four 831 wild type: mutant : TAAATATTTATTTATTTATTTA~TAATTTTGcAAcTcTATTTATTGA - - - - - ATQTATQTATaTATQTA- - _ _ _ _ - - - _ _ - --- __--- - -TTGA Mutagenesis of the construct (Fig 1) was performed by overlap extension polymerase chain reaction (PCR)." Briefly, oligonucleotides complimentary to opposite strands of the most 5' and 3' regions of GM-CSF were constructed. GM-l (nt 1 to 19) and GM-4 (nt 748 to 734) contained ~ 5 0 %GC residues (melting temperature [T,] = 45°Cto 55°C). Mutagenic primers were constructed containing complimentary sequences to GM-CSF immediately 5' or immediately 3' to the flanking 3' UTR AUUUA pentamers [designated GM2 (nt 620 to638) and GM-3 (nt 721 to 704)]. Atthe 5' endof the mutagenic oligomers were 17 bases containing four ATGTA or TACAT reiterations, respectively. PCR was performed on a GMCSF cDNA template using primer pairs of GM-UGM-2 and GM-3/ GM-4. Products were visualized by agarose gel electrophoresis and the appropriate bands were excised and purified with a Qiagen kit as described by the manufacturer (Qiagen, Chatsworth, CA). Amplified fragments (20 ng) from the GM-1/GM-2 and GM-3/GM4 PCR products were mixed together and extended for five cycles with Taq polymerase using an annealing temperature of 36°C for 2 minutes before denaturation at 92°C for 1 minute. Terminal primer pairs GM-l and GM-4 were added and 35 cycles performed with denaturation at 92°C for 1 minute, annealing at 44°C for 1 minute and extension at 72°C for I minute. Products were visualized on an ethidium bromide-stained agarose gel, the appropriate-sized band of =700 bp corresponding to full-length mutant GM-AUGUA cDNA was excised, purified by the Qiagen kit and ligated into an EcoRV cut, T-tailed, cytomegalovirus (CMV)-driven expression vector with a downstream SV40 poly A ~ignaI.*'~'~ Wild-type GMAUUUA cDNA was subcloned at the same site in the same vector. After electrotransformation of competent Escherichiacoli strain DHSa, recombinants were identified by PCR using the GM-UGM4 primer set. After the identification of appropriate recombinants, plasmids were produced in large scale by standard methods and purified by cesium chloride centrifugation. Murine wild-type GMAUUUA (obtained from Nicholas Gough, Walter and Elisa Hall Institute, Melbourne, Australia) was mutagenized inan identical manner (Fig 1). The primers used were GM-l (nt 145 to 164), GM2 (nt 769 to 788), GM-3 (nt 899 to 881), and GM-4 (nt 919 to 895). Mutated cDNAs were sequenced by the dideoxy method2' to ensure that no unwanted mutations were introduced. Cells and cellculture. Normal peripheral blood mononuclear cells (PBMCs) were obtained after Institutional Review Board (IRB) approval from healthy volunteer blood donors. Whole blood (200 to 500 mL) was diluted 1:l with phosphate-buffered saline (PBS) and layered over Ficoll-Hypaque before centrifiguation at 200g for 30 minutes atroom temperature. The PBMCs were carefully re- tandem AUGUA sequences (GM-AUGUA). Dashed lines dmote deleted sequences in the cDNAs. moved, transferred to 50-mL conical tubes and washed twice with PBS. Cells were greater than 95% viable by trypan blue exclusion with yields in the range of 1 X lo9 cells per 500 mL of whole blood starting material. Before transfection, cells were cultured overnight at 37°C and 5% CO2 at a density of 5 X IO6 cells/mL in RPMI 1640 containing 10% fetal calf serum (FCS). DNA transfections and cytokine assay. Particle-mediated gene transfer of cDNA constructs into intact rodent skin and cultured PBMCs was performed as previously d e ~ c r i b e d . ~Animal ~ , ' ~ use was conducted under protocols approved by the institutional animal use and care committee. Twenty-four hours after in vivo transfection of rodent skin, bloodwas collected under anesthesia for analysis of serum cytokine levels. Transfected skin was collected from animals after death and homogenized in Dulbecco's PBS containing 1% Triton X-l00 and 1 m m o K Pefabloc (Boehringer Mannheim, Indianapolis, IN). Transgenic cytokine levels were measured using species-specific GM-CSF enzyme-linked immunosorbent assay (ELISA) kits (Biosource, Camarillo, CA). Standard curves were simultaneously run for the calculation of cytokine concentrations. Northernblotting. After transfection of PBMCs, 5 X lo6 cells were resuspended in 1 mL of complete media (RPMI 1640 with 10% FCS) and returned to culture at 37°C ina 5% CO, environment. Where indicated, actinomycin D (final concentration, 5 pg/mL) was added to the transfected cells to block transcription. At various times, cells were lysed in 1 mL of TRI reagent (Molecular Research Center Inc, Cincinnati, OH) and snap-frozen in an ethanol bath at -80°C. After all time points for an individual experiment were taken, total RNA was quantitatively isolated and separated by size on denaturing formaldehyde-agarose gels as previously described.26RNA was then transferred to nylon membranes (Micron Separations Inc, Westborough, MA) by vaccum transfer and membranes were baked at 65°C for 30 minutes before hybridization using random-primed cDNA probes." All probes were labeled to a specific activity of greater than 1 X IO9 cpm/pg of DNA. Blots were washed twice in 2 X SSC/O.l% sodium dodecyl sulfate (SDS) at room temperature for 15 minutes each and once at 60°C to 65°C for 5 to 15 minutes in 0. I x SSC/O.l% SDS before autoradiography or phosphorimaging. GM-CSF-specific, phosphor image-derived signals were normalized to signals for glyceraldehyde-3-phosphatedehydrogenase (GAPDH) to accomodate differences in loading and transfer of RNA. RESULTS Steady-state accumulation of wild-type and mutant GMCSF mRNAs in resting PBMCs. Particle-mediated gene de- From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 2553 GM-CSF mRNA STABILIZATION hGM-AUGUA 28 412 GM-CSF (0.9 kb) - hGM-AUUUA 2 4 8 12 (h) I L Fig 2. Steady-state accumulation of wild-type and mutant GMCSF mRNAs in resting PBMCs. Resting PBMCs were transfected with either pCMV-hGM-AUUUA or pCMV-hGM-AUGUA. At the indicated times after transfection, equal numbers of cells were procured for Northern blotting of total RNA. The top panel shows ethidium bromide-stained 28s and 18s ribosomal RNA bands, and the middle and lower panels show autotadiograms after hybridization with radiolabeled GAPDH or GM-CSF cDNA probes, respectively. livery has been shown to successfully transfect normal cells under various in vivo, ex vivo, and in vitro experimental condition^^'.^^ providing an alternative gene transfer method to retroviruses or liposomes. Therefore, we observed whether ficoll purified, normal human PBMCs could be transfected in vitro. Typically, 4% to 6% of normal PBMCs were successfully transfected by a single discharge of gold particles loaded with 0.8 pg of a cDNA construct.24PBMCs were transfected with either wild-type hGM-AUUUA or the modifiedhGM-AUGUA cDNAs subcloned in identical CMVdriven expression vectors. RNA was isolated at 2, 4, 8, and 12 hours posttransfection, Northern blotted, and probed using random-primed, human GM-CSF cDNA. This experiment alloweddirect comparison of the accumulation of wildtype hGM-AUUUA or mutant hGM-AUGUA mRNAs in normalPBMCs. Examination of the ethidium bromidestained gels showed that the 28s and 18s rRNAs remained intact and stable over the duration of the experiment (Fig 2). hGM-AUGUA mRNA increased steadily over 12 hours posttransfection (Fig 2). whereas the steady-state level of hGM-AUUUAmRNApeaked at 2 hours and decreased steadily thereafter (Fig 2). At 12 hours posttransfection, the steady-state level of hGM-AUGUA mRNA was greater than 20-fold more abundant than that of hGM-AUUUA mRNA (based on phosphor-imager analysis). GM-CSF-specific signals were detected only in PBMC transfected with the wildtype or mutant construct, but not with the vector control or nakedgold beads (data not shown). Therefore, GM-CSF signals must have originated from the transgene. ELISAs for GM-CSF were performed on conditioned culture medium and cell lysates from identical numbers of cells at 24 hours after transfection. The hGM-AUGUA transfectants secreted 520 ? 12 pg of GM-CSF proteidmU1 X lo6 cells compared with 26 2 2 pg/mUI X 10" cells for hGM-AUUUA transfectants and18 2 6 pglmLJ1 X 10" cells for vector control transfectants. In addition, cell extracts from the hGM-AUGUA transfected cells contained an additional 220 2 16 pg of GM-CSF proteid1 X IO6 cells. GM-CSF was not detectable in cell pellets from wild-type or vector transfected cells. The Biosource GM-CSF ELISA used for these determinations has a lower limit of detection of = 10 pg/mL. Half-lives of hGM-CSF mRNAs in resting PBMCs. Because transcription of wild-type andmutanthGM-CSF mRNAs were both under the control of identical CMV promoters, it was unlikely that the higher steady-state mRNA levels and increased protein production inhGM-AUGUA transfected PBMCs was caused by differences in the transcription rates. Because we had specifically mutated the AUUUA instability elements, we expected hGM-AUGUA mRNA to show enhanced stability. Therefore, we determined the turnover rates of these two mRNAs after blocking transcription with actinomycin D. For this purpose, PBMCs were isolated from single donors and cultured overnight in RPM1 1640 with 10% FCS. Equal quantities (2.5 pg DNA/ mg gold) of each plasmid were precipitated onto gold beads and delivered into resting PBMCs ( 1 X IO' cells/transfection) using particle-mediated gene transfer. Replicate cultures were pooled immediately after transfection to normalize differences between individual transfections. After 4 hours in culture, actinomycin D was added (5 pglmL final) to block transcription. Equal numbers of transfected cells were removed at the indicated times for RNA isolation and Northern blotting. Based on absorbance at 260 nm, 2 pg of total RNA/time point was loaded in each lane to determine the half-life (ttn) of hGM-AUGUAmRNA (Fig 3A).Because of its lower abundance, five times as much RNA (IO pg/time point) was Northern blotted to measure the tln of wild-type hGM-AUUUAmRNA (Fig 3A). Ethidium bromide-stained 28s and 18s ribosomal bands were intact and stable over the duration of the experiment. GM-CSF mRNA signals normalized to GAPDH signals at each time point (based upon phosphor-imager analysis) were plotted versus time to provide a calculated half-life of 20 minutes for wildtype hGM-CSF (Fig 3B). To our knowledge, this is the first report of the decay rate of GM-CSF mRNA in primary cell cultures of normal PBMCs. In contrast, hGM-AUGUA mRNA decayed with a calculated half life of 95 minutes (Fig 3B). Therefore, the enhanced stability of mutant GMCSF mRNAs in normal cells accounts for their accumulation. In vivo synthesis of GM-CSF protein. Although the in vitro studies are suggestive, they do not show if our constructs will be differentially active in vivo. To address this question, we introduced cDNAs coding for hGM-AUWA or hGM-AUGUA mRNAs into mouse skin by particle-mediated gene transfer. Human cDNA constructs were used so that we could employ a human GM-CSF-specific ELISA to measure proteinmadeonlyfrom the transgene. Basedon control studies, murine and human GM-CSFs show no crossreactivity (data not shown). Mouse (BalblC) abdominal skin was shaved, treated with a depilatory, washed, and transfected with gold particles coated with identical amounts of CMV-driven hGM-AUUUA, hGM-AUGUA, or control vector containing a luciferase reporter cDNA. Three mice From www.bloodjournal.org by guest on June 18, 2017. For personal use only. RAJAGOPALAN ET AL 2554 were used per treatment to evaluate reproducibility. No untoward effects were observed in treated animals other than a slight rash at the target site. After 24 hours serum samples were taken from animals, and transfected skin was obtained and homogenized to obtain a total volume of 1 mL tissue extract. Both serum and skin samples were assayed by human GM-CSF-specific ELISA to determine expression levels from the various gene constructs. Skin extracts and serum samples obtained at 24 hours after hGM-AUGUA gene transfer contained a 100-fold excess of human GM-CSF immunoreactive material compared with identically prepared samples of skin and serum from hGM-AUUUA cDNA transfected mice (Table 1). Animals that received luciferase cDNA did not produce any detectable human GM-CSF. hGM-AUGUA 0 20 40 60 !M A LGM-AUUUA 0 2040 70 (min) hGM-AUGUA + hGM-AUUUA I I” 0 20 . . 40 . , 60 . , 80 . 100 Time (minutes) Fig 3. Half-life measurements of wild-type and mutant GM-CSF mRNAs in resting PBMCs. Resting PBMCswere transfected with either pCMV-hGM-AUUUA or pCMV-hGM-AUGUA. Transcriptionwas blocked at 4 hours posltransfection with actinomycin D (5pglmL, final). At the indicatedtimes after actinomycin D addition, equal numbers of cells were procured for the isolation of total RNA and Northern blotted. (A) The top panel shows ethidium-bromide stained 28s and 18s ribosomal RNAbands, and the middle and lower panels show autotadiograms after hybridization with radiolabeled GAPDH or GM-CSF cDNA probes, respectively. (B1 GM-CSF mRNA signals were normalized to GAPDH mRNA signals and plotted versus time. Table 1. Transgenic GM-CSF Production in Skin Extracts and Serum Samples of Mice Transfected cDNA Skin GM-CSF’ (ng/mL) Serum GM-CSF. IpglmL) hGM-AUUUA hGM-AUGUA 0.33 -+ 0.074 >32 <E 650 2 37 A human GM-CSF-specific ELSA was used to measure protein made only from the transgene. These data show that the GM-CSF protein detected in these experiments originated from the transgene. Second, they show that mutant hGM-AUGUA cDNAs are extremely active in vivo at expression levels at least 100-fold greater than wild-type hGM-AUUUA cDNAs. GM-CSF produced from mutant constructs is biologically active. To verifythattransgenicGM-CSFproteinproduced from the mutant constructs was equivalent in biologic activity to that produced from unmodified cDNA, we introduced both gene constructs into adjacent regions of rat epidermis. Because of interspecies specificity, human GM-CSF does notinvoke a biologicresponsein rats?’ However,murineGM-CSFis rats, permittingvisualizationbylocal biologicallyactivein redness and immune cell recruitment.In addition, there is adeon ratabdomenstoperform quatecontiguoussurfacearea multiple, discrete transfections. The abdomens of several animalswereshavedandtreatedwith a depilatorybeforethe introduction by particle-mediated gene transfer ofgold particlesloadedwith CMVdriven expression vectors containing mGM-AUUUA, mGM-AUGUA, or P-galactosidase (control) cDNAs. These experiments were performed in several similarly sized animals. Twenty-four hours after gene delivery, the abdominal skins were examined grossly and punch biopsy samples were obtained from each target site. Formalin-fixed paraffin sectionswerestainedwithhematoxylinandeosinand examined microscopically (Fig 4). Skin regions that received P-galactosidase cDNA showed minimal redness and were not raised (data not shown). Identical levels of redness occurred in control, shaved animals. The sites that received wild-type mGM-AUUUA cDNA were grossly indistinguishable from the control that received &galactosidase cDNA. However, the sites wheremutant mGM-AUGUA cDNA was delivered were markedly red and raised. These differences were consistently observed at all transfection sites and in the different experimental animals. The suggestion that substantial inflammation was present where mutant mGM-AUGUA wasintroduced was confirmed by histologic examination. As shown in Fig 4, inflammation was absent in tissues where control cDNA was introduced. A single small focus of inflammation was observed in the central region where wild-type mGM-AUUUA cDNA was delivered. Polymorphonuclear cells (PMNs) were the dominant inflammatory cell type present, but the bulk of the epithelium or dermis was devoid of immune cells. However, the total tissue site underlying the mGM-AUGUA cDNA transfection was infiltrated with PMNs that formed a layer of 20 to 40 cells deep, effectively separating the epidermis From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 2555 GM-CSF mRNASTABILIZATION Fig 4. Transgenic GM-CSF recruits neutrophils to transfection site. Contiguous 3.2-cmZ regions of rat abdomen wem transfected with pCMVpgal (top), pCMVmGMAUUUA (middle) or pCMVmGMAUGUA (bottom) by particle-mediated gene transfer. After 24 houm, punch biopsy samples from each site were collected and futed in 10% formalin, embedded in paraffin, sectioned, and stained with hematoxylin and eosin (original magnifications x 40 [left1 and 200 [right]). from the underlying dermis. Infiltration into the dermis could also be appreciated. A substantial percentage of the PMNs had released their granules suggesting that the PMNs were activated. These data clearly show that GM-CSF produced from mutant transgenic constructs is indeed biologically active. Furthermore, they showed that enhanced cytokine production can profoundly increase local, immune cell recruitment. DISCUSSION Cytokines such as IL-4,I5 GM-CSF,I6 IFN-Y?~ and TNFa*' effectively retard tumor growth in animal models when expressed by tumor cells after retroviral-mediated gene transfer. Typically, cytokine gene transfer has been performed ex vivo followed by the subsequent reimplantation of the modified malignant cells into the host. Retroviral vectormediated gene transfer has been successfully used to achieve From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 2556 constitutive expression of cytokines in explanted human mela n o m a and ~~~ renal carcinoma^.^' These experiments showed that peritumor cytokine production recruited a range of host immune effector cells with antitumor activity. As the growth rate of cytokine-producing tumor cells was normal in severe combined immunodeficient mice, antitumor effects likely require an intact immune system.32Occasionally, the local eradication of cytokine-modified tumor cells was accompanied by a systemic antitumor response capable of destroying unmodified parental cells at distant sites.15 Thus, local gene therapy with cytokines may be able to induce systemic antitumor immunity. Unfortunately, ex vivo retroviral-mediated gene therapies are often costly and time consuming, requiring weeks for the selection of stably transduced tumor cells.“03’In addition, not all tumors canbe surgically explanted, cultured, and transduced ex vivo. Retroviral vectors are unable to infect nondividing cells or targets lacking specific cell-surface viral Insertional mutagenesis with activation of proto-oncogenes has been described.18,” Cytokine production cannot be modulated and continues until all stably transduced tumor cells are destroyed or expression stops for generally unknown reasons. The sequential delivery of cytokines, whichmay be therapeutically advantageous, is technically very difficult. The inadequacies of retroviral delivery systems have fueled attempts to develop alternative means of delivering cytokine genes in vivo to the vicinity of tumors. In this report, we have used a promising new technology that utilizes a high voltage discharge to deliver microscopic gold particles loaded with nucleic acids into normal, nondividing cells in culture or into animals in vivo, eliminating the need for ex vivo manipulations. Significant advantages of the gene gun include the ability (1) to physically target gene expression to the site of particle delivery; (2) to transfect nondividing cells irrespective of cell lineage; (3) to allow sequential delivery of different cytokines; and (4) to transiently produce transgenic proteins for short duration (days) rather than permanently. Previously we have shown that reiterative cycles of gene delivery can readily and safelybe performed on animals, permitting modulation or long-term maintenance of transgene dosage.34Therefore, the gene gun technology can potentially overcome many of the deficiencies of retroviralmediated gene transfer and could be used to deliver genetic material with therapeutic impact in vivo into normal cells surrounding the tumor as well as into the tumor itself. The success of gene therapy depends on the critical combination of appropriate temporal and quantitative expression of the transfected genes. Unfortunately, cellular regulatory mechanisms often downregulate the expression of transfected cytokine genes.” A common feature of a number of unstable mFtNAs is the presence of multiple reiterations of the pentamer adenosine-uridine-uridine-uridine-adenosine (AUUUA, ARE), in their 3’ UTRs.19 AUUUA motifs have been identified in mostcytokine and proto-oncogene mRNAs including GM-CSF, interleukins, interferons, TNF-a, c-fos, c-myc, c-myb, c-sis, and c-jun. mRNAs with tandemrepeats of this pentamer are rapidly degraded (tlR = 20 to 30 min- RAJAGOPALAN ET AL utes) in human or murine cells.”5.3hOur data confirms that the presence of 3’ UTR AREs causes GM-CSF mRNA to be rapidly degraded in the cytosol. In this report, we observed that in normal PBMCs, transgenic wild-type hGMCSF mRNA decayed with a half-life of 20 minutes. This is more rapid than previous estimates based on data derived from transformed Therefore particle-mediated gene transfer permits the study of mRNA decay in normal nontransformed cells. However, mRNA instability can be circumvented by at least one set of mutations. We disrupted the AUUUA boxes in the 3‘ UTR of GM-CSF mRNA by inserting guanosines in the third position(Fig 1). This change had previously been shown to prevent mutant GM-CSF mRNAs from binding to theAUUUA sequence-specific AU binding factor.” Recently, fine mutagenesis of the ARE of c-fos mRNA showed that guanosine insertions at a comparable siteas reported here prevented rapid decay.” Therefore, it appears likely that RNAses that normally degrade AUUUA-containing cytokine or proto-oncogene mFWAs are also unable to recognize mutant versions. As shown in Fig 2, mutant GM-CSF mRNA accumulated to 20-fold greater levels than wild-type GM-CSF mRNA. Because both mRNAs were transcribed from the same CMV promoter it was unlikely that the difference in steady-state levels was caused by a difference in the rates of transcription. However, the calculated half-life (t1,2)of hGM-AUUUA mRNAwas 20 minutes (Fig 3B), whereas hGM-AUGUA mRNA was significantly more stable with a half-life of 95 minutes. As decay is exponential, the fivefold greater stability of hGM-AUGUA mRNA accounts for its accumulation in PBMC after gene transfer. ELISA for GM-CSF performed on supernatants from identical numbers of cells at 24 hours after transfection showed that hGM-AUGUA transfectants secreted 20- to25-foldmore immunologically detectable protein (550 pglmLil X IOb cells) than the hGM-AUUUA transfectants. As approximately 5% of PBMCs are typically transfected by the gene gun, a fully transfected population (100%) would generate about I l ng GM-CSF/mL/ l X 10’ cells. The linear correlation between increased steady-state levels of hGM-AUGUA mRNA and synthesis of GM-CSF protein wassomewhat unexpected. Previous work has shown that the 3’ UTR AREs interfere with the translatability of IFN-p mRNA.’” Our data suggest that the U to G mutation altered GM-CSF mRNA stability without changing its translatability. Therefore, additional ARE mutations may be effective in increasing translation as well as enhancing mRNA stability. We have adopted a cautious approach of targeted mutagenesis of the AREs. The substantial homology between the 3’ UTR of human and murine GM-CSFI9 suggests that regions outside of the AREs may also have functional importance. Recent workwith actin:’ bi~oid?’.~’andnanos4’ mRNAs shows that elements within the 3’ UTRs mediate intracellular trafficking or localization. Based on these data and the paucity of information regarding additional 3’ UTR elements within cytokine mRNAs, we preferred targeted ARE mutations rather than 3’ UTR deletions. The possibility From www.bloodjournal.org by guest on June 18, 2017. For personal use only. GM-CSF mRNA STABILIZATION remains that other advantageous mutations can also be identified and tested. Kozak*' has shown that cytokine mRNAs are poorly translated because of the presence of stable stemloop structures in their 5' UTR. Thus, substitution of the 5' UTRs with less structured sequences could fuaher enhance translational efficiencies." As many cytokine mRNAs are under similar posttranscriptional regulation, selective mutagenesis may be beneficially applied to enhance the expression of other transgenic growth factors. REFERENCES 1. Takaku F Clinical application of cytokines for cancer treatment. Oncology 51:119, 1994 2. 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For personal use only. 1995 86: 2551-2558 Granulocyte-macrophage colony-stimulating factor mRNA stabilization enhances transgenic expression in normal cells and tissues LE Rajagopalan, JK Burkholder, J Turner, J Culp, NS Yang and JS Malter Updated information and services can be found at: http://www.bloodjournal.org/content/86/7/2551.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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