Naturally enveloped AAV vectors for shielding neutralizing antibodies and robust gene delivery in vivo.

Naturally enveloped AAV vectors for shielding neutralizing antibodies and robust gene delivery in vivo.
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DOI:
10.1016/j.biomaterials.2014.05.032
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发表时间:
2014-08
期刊:
影响因子:
14
通讯作者:
Maguire, Casey A.
Maguire, Casey A.
中科院分区:
工程技术1区
文献类型:
--
作者:
Gyoergy, Bence;Fitzpatrick, Zachary;Crommentuijn, Matheus H. W.;Mu, Dakai;Maguire, Casey A.

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腺相关病毒(adeno-associated virus,AAV)是西方世界第一个获得临床批准的基因治疗产品。为了开发AAV用于广泛的患者基础中的未来临床应用,特别是在需要静脉内(i. v.)在施用载体的情况下,病毒必须能够逃避针对野生型病毒的预先存在的抗体。在这里,我们证明了在小鼠中,与细胞外囊泡(EV)相关的AAV载体可以逃避人抗AAV中和抗体。我们观察到不同的抗体逃避和基因转移能力与不同的离心力分离的EV群体。EV相关的AAV载体(ev-AAV)在体外相对于标准AAV载体在一定范围的中和抗体浓度上的抗性高达136倍。重要的是,在小鼠中,在使静脉内施用的脑的标准AAV转导降低80%的被动转移的人抗体的浓度下,ev-AAV转导的转导没有降低并且高4,000倍。最后,我们表明,在EV表面上表达脑靶向肽允许与非靶向ev-AAV相比显著增强转导。使用ev-AAV代表了一种有效的、临床相关的方法,以在载体的全身施用后逃避人中和抗AAV抗体。
Recently adeno-associated virus (AAV) became the first clinically approved gene therapy product in the western world. To develop AAV for future clinical application in a widespread patient base, particularly in therapies which require intravenous (i.v.) administration of vector, the virus must be able to evade pre-existing antibodies to the wild type virus. Here we demonstrate that in mice, AAV vectors associated with extracellular vesicles (EVs) can evade human anti-AAV neutralizing antibodies. We observed different antibody evasion and gene transfer abilities with populations of EVs isolated by different centrifugal forces. EV-associated AAV vector (ev-AAV) was up to 136-fold more resistant over a range of neutralizing antibody concentrations relative to standard AAV vector in vitro. Importantly in mice, at a concentration of passively transferred human antibodies which decreased i.v. administered standard AAV transduction of brain by 80%, transduction of ev-AAV transduction was not reduced and was 4,000-fold higher. Finally, we show that expressing a brain targeting peptide on the EV surface allowed significant enhancement of transduction compared to untargeted ev-AAV. Using ev-AAV represents an effective, clinically relevant approach to evade human neutralizing anti-AAV antibodies after systemic administration of vector.
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