Multiple vitamin K-dependent coagulation zymogens promote adenovirus-mediated gene delivery to hepatocytes

Alan L Parker, Simon N Waddington, Campbell G Nicol, Dmitry M Shayakhmetov, Suzanne M Buckley, Laura Denby, Geoffrey Kemball-Cook, Shaoheng Ni, Andre Lieber, John H McVey, Stuart A Nicklin, Andrew H Baker

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Upon local delivery, adenovirus (Ad) serotype 5 viruses use the coxsackie and Ad receptor (CAR) for cell binding and alpha(v) integrins for internalization. When administered systemically, however, their role in liver tropism is limited because CAR-permissive and mutated viruses show similar biodistribution, a finding recently attributed to blood coagulation factor (F) IX or complement protein C4BP binding to the adenovirus fiber and "bridging" to either low-density lipoprotein receptor-related protein or heparan sulfate proteoglycans. Here, we show that hepatocyte transduction in vitro can be enhanced by the vitamin K-dependent factors FX, protein C, and FVII in addition to FIX but not by prothrombin (FII), FXI, and FXII. This phenomenon was not dependent on proteolytic activation or cell signaling activity and for FX was mediated by direct virus-factor binding. Human FX substantially enhanced hepatocyte transduction by CAR-permissive and mutated viruses in an ex vivo liver perfusion model. In vivo, global down-regulation of vitamin K-dependent zymogens by warfarin significantly diminished liver uptake of CAR-deleted Ads; however, this phenomenon was fully rescued by acute infusion of human FX. Our results indicate a common and pivotal role for distinct vitamin K-dependent coagulation factors in mediating hepatocyte transduction by adenoviruses in vitro and in vivo.

Original languageEnglish
Pages (from-to)2554-61
Number of pages8
Issue number8
Publication statusPublished - 15 Oct 2006

Keywords / Materials (for Non-textual outputs)

  • Adenoviruses, Human
  • Animals
  • Blood Coagulation Factors
  • Cell Line
  • Coxsackie and Adenovirus Receptor-Like Membrane Protein
  • Enzyme Precursors
  • Factor IX
  • Factor X
  • Gene Transfer Techniques
  • Hepatocytes
  • Humans
  • In Vitro Techniques
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Receptors, Virus
  • Signal Transduction
  • Transduction, Genetic
  • Vitamin K
  • Warfarin


Dive into the research topics of 'Multiple vitamin K-dependent coagulation zymogens promote adenovirus-mediated gene delivery to hepatocytes'. Together they form a unique fingerprint.

Cite this