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


ABSTRACT: 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.

SUBMITTER: Pien GC 

PROVIDER: S-EPMC2689109 | biostudies-other | 2009 Jun

REPOSITORIES: biostudies-other

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

Pien Gary C GC   Basner-Tschakarjan Etiena E   Hui Daniel J DJ   Mentlik Ashley N AN   Finn Jonathan D JD   Hasbrouck Nicole C NC   Zhou Shangzhen S   Murphy Samuel L SL   Maus Marcela V MV   Mingozzi Federico F   Orange Jordan S JS   High Katherine A KA  

The Journal of clinical investigation 20090511 6


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 s  ...[more]

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