Adeno-Associated Virus (AAV) for Gene Therapy

A special issue of Viruses (ISSN 1999-4915). This special issue belongs to the section "Human Virology and Viral Diseases".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 2576

Special Issue Editor


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Guest Editor
Spark Therapeutics Inc., Philadelphia, PA, USA
Interests: AAV capsid engineering; AAV biology; clinical use of AAV gene therapy

Special Issue Information

Dear Colleagues,

Adeno-associated virus (AAV) based vector have arguably emerged as the leading gene therapy modality. But, despite the fact that currently five AAV gene therapy treatments are approved by the FDA and/or the EMA and a plethora of early and late-stage clinical trials are underway, formidable hurdles to the broadest application to treat inherited and acquired diseases with AAV gene therapy remain.

Among those hurdles are pre-existing, innate and acquired immunity. Innate and acquired immunity are strongly correlated with the vector dose administered. Unfortunately, since a significant number of cell types are difficult to transduce with currently available AAV serotypes/variants, high vector amounts need often to be administered. This is a particularly acute limitation when the vector must be administered systemically. The production of the large amounts of virus required is often challenging and inevitably expensive. Below is a (non-inclusive) list of areas that are of special interest for the current special guest issue of Viruses.

  • Approaches to reduce the vector dose without negatively influencing transduction efficiencies (e.g., the development of viruses with a more favorable transduction profile, more efficient routes of administration, understanding the basic biology of AAVs – particular in vivo models etc.);
  • Developing methods to determine the human tropism of AAV serotypes/variants;
  • Identifying the best model(s) to study AAV tropism, based on knowledge gained by the ability to determine the human tropism;
  • Reduction of an innate immune response upon vector administration;
  • Reduction of an adaptive immune response due to treatment with AAV vectors;
  • Approaches to mitigate the deleterious effect of pre-existing immunity against the AAV serotype/variant used;
  • The development of methods that allow vector re-administration;
  • AAV vector manufacturing platforms;
  • AAV vector quality control.

Dr. Thomas Weber
Guest Editor

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Keywords

  • AAV gene therapy
  • immune responses triggered by AAV vector administration
  • AAV-Biology
  • novel AAV variants
  • AAV vector manufacturing and quality control

Published Papers (2 papers)

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Research

15 pages, 3672 KiB  
Article
Higher-Order Structure of Adeno-Associated Virus Serotype 8 by Hydrogen/Deuterium Exchange Mass Spectrometry
by Tomohiko Ikeda, Yuki Yamaguchi, Hiroaki Oyama, Aoba Matsushita, Yasuo Tsunaka, Mitsuko Fukuhara, Tetsuo Torisu and Susumu Uchiyama
Viruses 2024, 16(4), 585; https://doi.org/10.3390/v16040585 - 10 Apr 2024
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Abstract
The higher-order structure (HOS) is a critical quality attribute of recombinant adeno-associated viruses (rAAVs). Evaluating the HOS of the entire rAAV capsid is challenging because of the flexibility and/or less folded nature of the VP1 unique (VP1u) and VP1/VP2 common regions, which are [...] Read more.
The higher-order structure (HOS) is a critical quality attribute of recombinant adeno-associated viruses (rAAVs). Evaluating the HOS of the entire rAAV capsid is challenging because of the flexibility and/or less folded nature of the VP1 unique (VP1u) and VP1/VP2 common regions, which are structural features essential for these regions to exert their functions following viral infection. In this study, hydrogen/deuterium exchange mass spectrometry (HDX-MS) was used for the structural analysis of full and empty rAAV8 capsids. We obtained 486 peptides representing 85% sequence coverage. Surprisingly, the VP1u region showed rapid deuterium uptake even though this region contains the phospholipase A2 domain composed primarily of α-helices. The comparison of deuterium uptake between full and empty capsids showed significant protection from hydrogen/deuterium exchange in the full capsid at the channel structure of the 5-fold symmetry axis. This corresponds to cryo-electron microscopy studies in which the extended densities were observed only in the full capsid. In addition, deuterium uptake was reduced in the VP1u region of the full capsid, suggesting the folding and/or interaction of this region with the encapsidated genome. This study demonstrated HDX-MS as a powerful method for probing the structure of the entire rAAV capsid. Full article
(This article belongs to the Special Issue Adeno-Associated Virus (AAV) for Gene Therapy)
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12 pages, 1498 KiB  
Article
Using an In Vivo Mouse Model to Determine the Exclusion Criteria of Preexisting Anti-AAV9 Neutralizing Antibody Titer of Pompe Disease Patients in Clinical Trials
by Hanqing Wang, Cengceng Zhang, Zheyue Dong, Xueyang Zhu, Xuchu Zheng, Ziyang Liu, Jianfang Zhou, Shuangqing Yu, Xiaobing Wu and Xiaoyan Dong
Viruses 2024, 16(3), 400; https://doi.org/10.3390/v16030400 - 5 Mar 2024
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Abstract
The efficacy of adeno-associated virus (AAV)-based gene therapy is dependent on effective viral transduction, which might be inhibited by preexisting immunity to AAV acquired from infection or maternal delivery. Anti-AAV neutralizing Abs (NAbs) titer is usually measured by in vitro assay and used [...] Read more.
The efficacy of adeno-associated virus (AAV)-based gene therapy is dependent on effective viral transduction, which might be inhibited by preexisting immunity to AAV acquired from infection or maternal delivery. Anti-AAV neutralizing Abs (NAbs) titer is usually measured by in vitro assay and used for patient enroll; however, this assay could not evaluate NAbs’ impacts on AAV pharmacology and potential harm in vivo. Here, we infused a mouse anti-AAV9 monoclonal antibody into Balb/C mice 2 h before receiving 1.2 × 1014 or 3 × 1013 vg/kg of rAAV9-coGAA by tail vein, a drug for our ongoing clinical trials for Pompe disease. The pharmacokinetics, pharmacodynamics, and cellular responses combined with in vitro NAb assay validated the different impacts of preexisting NAbs at different levels in vivo. Sustained GAA expression in the heart, liver, diaphragm, and quadriceps were observed. The presence of high-level NAb, a titer about 1:1000, accelerated vector clearance in blood and completely blocked transduction. The AAV-specific T cell responses tended to increase when the titer of NAb exceeded 1:200. A low-level NAbs, near 1:100, had no effect on transduction in the heart and liver as well as cellular responses, but decreased transduction in muscles slightly. Therefore, we propose to preclude patients with NAb titers > 1:100 from rAAV9-coGAA clinical trials. Full article
(This article belongs to the Special Issue Adeno-Associated Virus (AAV) for Gene Therapy)
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