摘要目的 观察超声微泡造影剂提高重组腺相关病毒(rAAV2)介导增强型绿色荧光蛋白(EGFP)基因在体内转染视网膜神经节细胞(RGC)的效率.方法 Sprague-Dawley大鼠40只,随机分为A、B、C、D 4组,每组各10只大鼠.A组玻璃体腔注射磷酸盐缓冲液(PBS)5μl;B组玻璃体腔注射rAAV2-EGFP 5 μl;C组玻璃体腔注射rAAV2-EGFP 5 μl后立即用超声波辐照眼球;D组玻璃体腔注射rAAV2-EGFP和微泡造影剂的混悬液5 μl后立即用超声辐照眼球.玻璃体腔注射21 d后,3%荧光金逆行标记RGC.逆行标记7 d后取出眼球,制作视网膜铺片及视网膜冰冻切片,在激光共聚焦显微镜下观察并计算EGFP基因在RGC的转染率及在RGC表达的平均吸光度[A,旧称光密度(OD)]值;用RGC计数判断损伤情况.结果 荧光金标记RGC后,B、C、D 3组均可观察到RGC中有EGFP表达.其中,D组平均A值为95.02±7.25,RGC转染率为(20.10±0.74)%、均明显高于B、C组,差异有统计学意义(F平均A值=25.970,F转染率=25.799;P<0.01);A、B、C、D组RGC计数差异无统计学意义(F=0.877,P>0.05).结论 在低频和一定能量的超声和微泡造影剂作用下,rAAV2介导EGFP基因转染体内RGC的效率能够安全、有效地提高.

abstractsObjective To investigate the enhancing effect of ultrasound microbubbles on transfection of recombinant adeno-associated virus (rAAV) mediated green fluorecent protein (EGFP) gene into retinal ganglion cells (RGC) in vivo. Methods A total of 40 adult Sprague-Dawley (SD) rats were divided into four groups randomly (group A, B, C, D) with 10 rats in each. Group A was the normal control, in which the rats underwent intravitreal injection with 5 μl phosphate buffered solution. The rats in group B underwent intravitreal injection with 5 μl recombinant adeno-associated virus encoding EGFP gene (rAAV2-EGFP). The rats in group C underwent ultrasound irradiation on eyes right after intravitreal injection with 5μl rAAV2-EGFP; The ultrasound irradiation was performed on the rats in group D right after intravitreal injection with the mixture solution of microbubbles and rAAV2-EGFP ultrasound. After 21 days, RGC were labeled retogradely with fluogold. Seven days after labeling, the retinal flatmounts and frozen sections were made from five rats in each group. Expression of EGFP reporter gene was observed by laser scanning confocal microscope and evaluated via average optical intensity (AOD) and RGC transfection rate. Labeled RGC were counted to evaluate the adverse effects. Results Green fluorescence can be observed exactly in labeled RGC in B,C, and D groups. The AOD and transfection rate in group D was (95.02 ± 7. 25)% and (20. 10±0. 74)% , respectively; which were higher than those in group B and C (F=25. 970,25. 799;P<0.01). The difference of the number of RGC among the four groups was not significant(F= 0. 877, P>0. 05). Conclusion Under the condition of low frequency and with certain energy, ultrasound-mediated microbubble destruction can effectively and safely enhance rAAV delivery to RGC in rats.