Abstract:This study evaluated six adeno-associated viral (AAV) vectors expressing green fluorescent protein (GFP) from the liver-specific thyroid hormone-binding globulin (TBG) promoter made with novel capsids in canine liverdirected gene transfer. Studies in 1.5-month-old dogs, which were administered vector through a peripheral vein, showed that AAV8 capsid vectors had the most favorable performance profiles. Interestingly, the absolute levels of hepatocyte transduction achieved with AAV8 were lower in dogs compared … Show more
“…The scAAV8-TBG-dnMSTAT construct was designed to express the secreted canine myostatin Belgian Blue inhibitory peptide (Kambadur et al, 1997) containing a D76A mutation that confers protease resistance (Wolfman et al, 2003) under control of the liver-specific thryroid-hormone binding globulin (TBG) promoter (Bell et al, 2011).…”
Section: Methodsmentioning
confidence: 99%
“…The scAAV8-TBG-dnMSTAT vector was tested in two normal canines prior to its use in GRMD canines. One normal canine received 10 12 genome copies (gc)/kg vector via hepatic artery infusion as previously described (Bell et al, 2011), and one normal canine received 10 12 gc/kg vector via peripheral intravenous (IV) infusion (cephalic vein). The remaining dogs used in the study were GRMD canines, which received either 1.7 · 10 12 gc/kg vector (n = 4) via IV infusion or no treatment (n = 3).…”
Section: Animal Use and Vector Delivery Protocolmentioning
confidence: 99%
“…The scAAV8-dnMSTAT vector was tested in two normal canines prior to its use in GRMD canines. One normal canine received 10 12 gc/kg vector via hepatic artery infusion as previously described (Bell et al, 2011), and one normal canine received 10 12 gc/kg vector via peripheral IV infusion (cephalic vein). Expression levels of dnMSTAT in canine serum are demonstrated up to 20 weeks post injection (Fig.…”
Section: Study Design and Transgene Expressionmentioning
Duchenne muscular dystrophy (DMD) is a lethal, X-linked recessive disease affecting 1 in 3,500 newborn boys for which there is no effective treatment or cure. One novel strategy that has therapeutic potential for DMD is inhibition of myostatin, a negative regulator of skeletal muscle mass that may also promote fibrosis. Therefore, our goal in this study was to evaluate systemic myostatin inhibition in the golden retriever model of DMD (GRMD). GRMD canines underwent liver-directed gene transfer of a self-complementary adeno-associated virus type 8 vector designed to express a secreted dominant-negative myostatin peptide (n = 4) and were compared with age-matched, untreated GRMD controls (n = 3). Dogs were followed with serial magnetic resonance imaging (MRI) for 13 months to assess cross-sectional area and volume of skeletal muscle, then euthanized so that tissue could be harvested for morphological and histological analysis. We found that systemic myostatin inhibition resulted in increased muscle mass in GRMD dogs as assessed by MRI and confirmed at tissue harvest. We also found that hypertrophy of type IIA fibers was largely responsible for the increased muscle mass and that reductions in serum creatine kinase and muscle fibrosis were associated with long-term myostatin inhibition in GRMD. This is the first report describing the effects of long-term, systemic myostatin inhibition in a large-animal model of DMD, and we believe that the simple and effective nature of our liver-directed gene-transfer strategy makes it an ideal candidate for evaluation as a novel therapeutic approach for DMD patients.
“…The scAAV8-TBG-dnMSTAT construct was designed to express the secreted canine myostatin Belgian Blue inhibitory peptide (Kambadur et al, 1997) containing a D76A mutation that confers protease resistance (Wolfman et al, 2003) under control of the liver-specific thryroid-hormone binding globulin (TBG) promoter (Bell et al, 2011).…”
Section: Methodsmentioning
confidence: 99%
“…The scAAV8-TBG-dnMSTAT vector was tested in two normal canines prior to its use in GRMD canines. One normal canine received 10 12 genome copies (gc)/kg vector via hepatic artery infusion as previously described (Bell et al, 2011), and one normal canine received 10 12 gc/kg vector via peripheral intravenous (IV) infusion (cephalic vein). The remaining dogs used in the study were GRMD canines, which received either 1.7 · 10 12 gc/kg vector (n = 4) via IV infusion or no treatment (n = 3).…”
Section: Animal Use and Vector Delivery Protocolmentioning
confidence: 99%
“…The scAAV8-dnMSTAT vector was tested in two normal canines prior to its use in GRMD canines. One normal canine received 10 12 gc/kg vector via hepatic artery infusion as previously described (Bell et al, 2011), and one normal canine received 10 12 gc/kg vector via peripheral IV infusion (cephalic vein). Expression levels of dnMSTAT in canine serum are demonstrated up to 20 weeks post injection (Fig.…”
Section: Study Design and Transgene Expressionmentioning
Duchenne muscular dystrophy (DMD) is a lethal, X-linked recessive disease affecting 1 in 3,500 newborn boys for which there is no effective treatment or cure. One novel strategy that has therapeutic potential for DMD is inhibition of myostatin, a negative regulator of skeletal muscle mass that may also promote fibrosis. Therefore, our goal in this study was to evaluate systemic myostatin inhibition in the golden retriever model of DMD (GRMD). GRMD canines underwent liver-directed gene transfer of a self-complementary adeno-associated virus type 8 vector designed to express a secreted dominant-negative myostatin peptide (n = 4) and were compared with age-matched, untreated GRMD controls (n = 3). Dogs were followed with serial magnetic resonance imaging (MRI) for 13 months to assess cross-sectional area and volume of skeletal muscle, then euthanized so that tissue could be harvested for morphological and histological analysis. We found that systemic myostatin inhibition resulted in increased muscle mass in GRMD dogs as assessed by MRI and confirmed at tissue harvest. We also found that hypertrophy of type IIA fibers was largely responsible for the increased muscle mass and that reductions in serum creatine kinase and muscle fibrosis were associated with long-term myostatin inhibition in GRMD. This is the first report describing the effects of long-term, systemic myostatin inhibition in a large-animal model of DMD, and we believe that the simple and effective nature of our liver-directed gene-transfer strategy makes it an ideal candidate for evaluation as a novel therapeutic approach for DMD patients.
“…The apparent immune evasion of AAV8 to antigenic transgene products in mouse models is not relevant to larger animals such as primates and dogs (23)(24)(25), in which vibrant and destructive CTLs are elicited. In fact, the study of AAVrh32.33 in mice may better reflect the anticipated biology of other AAV capsids in large animals and humans.…”
“…However, such high levels of hepatic cell transduction by AAV8-based vectors observed in mice have yet to be repeated in larger animal models. Levels of gene transfer similar to those found in mice have been demonstrated in studies of infant rhesus macaques (73), and recent data suggest lower efficiency in dog models (7). Despite these results, studies in dogs with hemophilia have demonstrated AAV8-mediated continuous expression of canine factor VIIa at levels above normal values (46).…”
c Adeno-associated viruses (AAVs) are small single-stranded DNA viruses that can package and deliver nongenomic DNA for therapeutic gene delivery. AAV8, a liver-tropic vector, has shown great promise for the treatment of hemophilia A and B. However, as with other AAV vectors, host anti-capsid immune responses are a deterrent to therapeutic success. To characterize the antigenic structure of this vector, cryo-electron microscopy and image reconstruction (cryo-reconstruction) combined with molecular genetics, biochemistry, and in vivo approaches were used to define an antigenic epitope on the AAV8 capsid surface for a neutralizing monoclonal antibody, ADK8. Docking of the crystal structures of AAV8 and a generic Fab into the cryo-reconstruction for the AAV8-ADK8 complex identified a footprint on the prominent protrusions that flank the 3-fold axes of the icosahedrally symmetric capsid. Mutagenesis and cell-binding studies, along with in vitro and in vivo transduction assays, showed that the major ADK8 epitope is formed by an AAV variable region, VRVIII (amino acids 586 to 591 [AAV8 VP1 numbering]), which lies on the surface of the protrusions facing the 3-fold axis. This region plays a role in AAV2 and AAV8 cellular transduction. Coincidently, cell binding and trafficking assays indicate that ADK8 affects a postentry step required for successful virus trafficking to the nucleus, suggesting a probable mechanism of neutralization. This structure-directed strategy for characterizing the antigenic regions of AAVs can thus generate useful information to help re-engineer vectors that escape host neutralization and are hence more efficacious.
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