[HTML][HTML] CD8+ T Cell Recognition of Epitopes Within the Capsid of Adeno-associated Virus 8–Based Gene Transfer Vectors Depends on Vectors' Genome

TL Wu, H Li, SM Faust, E Chi, S Zhou, F Wright… - Molecular Therapy, 2014 - cell.com
TL Wu, H Li, SM Faust, E Chi, S Zhou, F Wright, KA High, HCJ Ertl
Molecular Therapy, 2014cell.com
Self-complementary adeno-associated viral (AAV) vectors expressing human factor IX (hF.
IX) have achieved transient or sustained correction of hemophilia B in human volunteers.
High doses of AAV2 or AAV8 vectors delivered to the liver caused in several patients an
increase in transaminases accompanied by a rise in AAV capsid-specific T cells and a
decrease in circulating hF. IX levels suggesting immune-mediated destruction of vector-
transduced cells. Kinetics of these adverse events differed in patients receiving AAV2 or …
Self-complementary adeno-associated viral (AAV) vectors expressing human factor IX (hF.IX) have achieved transient or sustained correction of hemophilia B in human volunteers. High doses of AAV2 or AAV8 vectors delivered to the liver caused in several patients an increase in transaminases accompanied by a rise in AAV capsid-specific T cells and a decrease in circulating hF.IX levels suggesting immune-mediated destruction of vector-transduced cells. Kinetics of these adverse events differed in patients receiving AAV2 or AAV8 vectors causing rise in transaminases at 3 versus 8 weeks after vector injection, respectively. To test if CD8+ T cells to AAV8 vectors, which are similar to AAV2 vectors are fully-gutted vectors and thereby fail to encode structural viral proteins, could cause damage at this late time point, we tested in a series of mouse studies how long major histocompatibility (MHC) class I epitopes within AAV8 capsid can be presented to CD8+ T cells. Our results clearly show that depending on the vectors' genome, CD8+ T cells can detect such epitopes on AAV8's capsid for up to 6 months indicating that the capsid of AAV8 degrades slowly in mice.
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