pXR1 is prep2 cap1). elicited by a telomeric sequence within the AAV origin of replication. == D-Glucose-6-phosphate disodium salt Introduction == It is becoming increasingly appreciated that human embryonic stem cells (hESCs) have an altered DNA damage response compared to multipotent and differentiated cells: i) hESCs display high rates of spontaneous apoptosis and induce rapid apoptosis in response to, generally, sub-lethal forms of DNA stress (1), ii) apoptotic induction in hESCs is often elicited via a p53-transcription independent mitochondrial pathway[1],[2], iii) hESCs are deficient in p21 abundance despite significant p53 transactivation of the p21 promoter upon DNA stress[3]and iv) hESCs may display unique cell-cycle checkpoint kinetics in response to D-Glucose-6-phosphate disodium salt ionizing radiation[3]. These characteristics help to define/maintain the pluripotent versus differentiation status of hESCs, maintained in part and also characterized by micro RNA profiles[4]. Furthermore, such intolerance to genotoxic D-Glucose-6-phosphate disodium salt stress is likely a mechanism to purge genetic TPO abnormalities[3]. Natural insults that induce cellular DNA damage responses include single-strand DNA viruses, such as theParvoviridaemembers B19, minute virus of mice and adeno-associated virus (AAV) in manners both dependent and independent of viral gene expression[5],[6];[ reviewed in 7]. In particular, AAV is a small (25 nm) non-enveloped virus of the familyParvoviridaegenusDependovirus. The protein capsid is packaged with a 4.7 kb single-strand DNA genome flanked at both ends by 145 nucleotide (nt) inverted terminal repeats (ITRs) that are necessary for the initiation of replication and packaging, among other processes (reviewed in[8]). An 80 nt sequence within the AAV ITR containing the replication protein (Rep) binding site and the terminal resolution site is sufficient for these aspects of the viral life cycle[9]. This viral telomere sequence shares characteristics of human telomeres including existing as ssDNA and having G-rich repeated elements. For transducing vector applications, we developed recombinant AAV (rAAV) D-Glucose-6-phosphate disodium salt in which all viral genes are replaced by a sequence of choice such that only the AAV ITRs remain[10]. Such vectors have demonstrated success for gene delivery applications in cell culture, in animal models, as well as for human disease therapy. In such instances, the majority of transgenic DNA is converted to double-strand monomer circles and concatemers for episomal persistence, processes stimulated by the ITRs[11],[12]. It is well documented that AAV infection of dividing cells in culture results in a DNA damage response including cell cycle checkpoint activation[13],[14],[15]. This response was found independent of the expression of viral proteins and, instead, is attributed to the ITR sequence[5]. Transduction of normal dividing cultured cells results in G2 arrest, followed by normal cycling thereafter[5]. This cell cycle perturbation is dependent upon the activity of p53 and its downstream regulatory cascades. In fact, in the absence of a functional p53-p21-pRb signaling cascade, a deficiency associated with many cancers, cells do not maintain the G2/M checkpoint, and undergo AAV-induced apoptosis upon transduction[3],[5]. This work investigated the ability of 9 AAV serotypes to transduce hESCs of different origins. However, a previously undescribed apoptotic phenotype was observed that directly correlated with the level of transduction. The rAAV-induced apoptosis was mediated at the level of a lethal DNA damage response as demonstrated by p53ser-15 phosphorylation, increased gamma-H2AX and p53-dependent trans-activation of the p21 promoter. Consistently, AAV protein capsids without DNA were well tolerated by hESCs. Further investigation into this lethal DNA damage response implicated a 39 nucleotide G-rich telomere-like tetrad repeated sequence within the ITR as the apoptotic result in. An oligonucleotide with the sequence, but not the reverse complement sequence, formed.
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