[HTML][HTML] Capsid antigen presentation flags human hepatocytes for destruction after transduction by adeno-associated viral vectors

GC Pien, E Basner-Tschakarjan, DJ Hui… - The Journal of …, 2009 - Am Soc Clin Investig
GC Pien, E Basner-Tschakarjan, DJ Hui, AN Mentlik, JD Finn, NC Hasbrouck, S Zhou…
The Journal of clinical investigation, 2009Am Soc Clin Investig
Adeno-associated virus (AAV) vectors are effective gene delivery vehicles mediating long-
lasting transgene expression. Data from a clinical trial of AAV2-mediated hepatic transfer of
the Factor IX gene (F9) into hemophilia B subjects suggests that CTL responses against
AAV capsid can eliminate transduced hepatocytes and prevent long-term F9 expression.
However, the capacity of hepatocytes to present AAV capsid–derived antigens has not been
formally demonstrated, nor whether transduction by AAV sensitizes hepatocytes for CTL …
Adeno-associated virus (AAV) vectors are effective gene delivery vehicles mediating long-lasting transgene expression. Data from a clinical trial of AAV2-mediated hepatic transfer of the Factor IX gene (F9) into hemophilia B subjects suggests that CTL responses against AAV capsid can eliminate transduced hepatocytes and prevent long-term F9 expression. However, the capacity of hepatocytes to present AAV capsid–derived antigens has not been formally demonstrated, nor whether transduction by AAV sensitizes hepatocytes for CTL-mediated destruction. To investigate the fate of capsids after transduction, we engineered a soluble TCR for the detection of capsid-derived peptide:MHC I (pMHC) complexes. TCR multimers exhibited antigen and HLA specificity and possessed high binding affinity for cognate pMHC complexes. With this reagent, capsid pMHC complexes were detectable by confocal microscopy following AAV-mediated transduction of human hepatocytes. Although antigen presentation was modest, it was sufficient to flag transduced cells for CTL-mediated lysis in an in vitro killing assay. Destruction of hepatocytes was inhibited by soluble TCR, demonstrating a possible application for this reagent in blocking undesirable CTL responses. Together, these studies provide a mechanism for the loss of transgene expression and transient elevations in aminotransferases following AAV-mediated hepatic gene transfer in humans and a potential therapeutic intervention to abrogate these limitations imposed by the host T cell response.
The Journal of Clinical Investigation