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Blood, 15 April 2001, Vol. 97, No. 8, pp. 2221-2229
GENE THERAPY
Systemic circulation of poly(L-lysine)/DNA vectors is
influenced by polycation molecular weight and type of DNA: differential
circulation in mice and rats and the implications for human gene
therapy
Christopher M. Ward,
Martin
L. Read, and
Leonard W. Seymour
From the CRC Institute for Cancer Studies, University
of Birmingham, United Kingdom.
Effective gene therapy for diseases of the circulation
requires vectors capable of systemic delivery. The molecular weight of
poly(L-lysine) (pLL) has a significant effect on the
circulation of pLL/DNA complexes in mice, with pLL211/DNA
complexes displaying up to 20 times greater levels in the blood after
30 minutes compared with pLL20/DNA. It is shown
that pLL20/DNA complexes fix mouse complement C3 in vitro,
independent of immunoglobulin binding; are less soluble in the blood in
vivo; bind erythrocytes; are rapidly removed by the liver, where they
associate predominantly with Kupffer cells; and result in a rapid
increase in hepatic leukocytes expressing high levels of complement
receptor 3 (CR3). The circulation properties of these complexes are
also dependent on the type of DNA used, with circular plasmid DNA
complexes exhibiting increased circulation compared with linear DNA.
PLL211/DNA complexes bind erythrocytes and associate with
Kupffer cells but, in contrast, do not fix mouse complement in vitro
and are unaffected by the type of DNA used. In rats, both types of
complexes produce hematuria and are rapidly removed from the
circulation. Correlation of in vivo and in vitro results suggests that
the solubility of complexes in physiological saline and species-matched
complement fixation and erythrocyte lysis may correlate with systemic
circulation. Analysis using human blood in vitro shows no hemolysis,
but both types of complexes fix complement and bind IgG, suggesting
that pLL/DNA complexes may be rapidly cleared from the human circulation.

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