Immune-orthogonal orthologues of AAV capsids and of Cas9 circumvent the immune response to the administration of gene therapy

Autor: Andrew Pla, Prashant Mali, Nathan Palmer, Ning Jiang, Mansun Law, Wei Leong Chew, Fernando Alemán, Ana M. Moreno, Genghao Chen
Rok vydání: 2019
Předmět:
0301 basic medicine
Male
viruses
Genetic enhancement
1.1 Normal biological development and functioning
Genetic Vectors
Biomedical Engineering
Medicine (miscellaneous)
Bioengineering
Adaptive Immunity
Major histocompatibility complex
Inbred C57BL
Protein Engineering
Article
03 medical and health sciences
Mice
0302 clinical medicine
Immune system
Capsid
Immunity
Underpinning research
Genetics
CRISPR
Cytotoxic T cell
Animals
Inbred BALB C
Gene Editing
Mice
Inbred BALB C

biology
5.2 Cellular and gene therapies
Inflammatory and immune system
Genetic Therapy
Gene Therapy
biochemical phenomena
metabolism
and nutrition

Dependovirus
Acquired immune system
Computer Science Applications
Cell biology
Mice
Inbred C57BL

030104 developmental biology
biology.protein
Antibody
CRISPR-Cas Systems
Development of treatments and therapeutic interventions
030217 neurology & neurosurgery
Biotechnology
Zdroj: Nature biomedical engineering, vol 3, iss 10
Nature biomedical engineering
Popis: Protein-based therapeutics can activate the adaptive immune system, leading to the production of neutralizing antibodies and the clearance of the treated cells mediated by cytotoxic T cells. Here, we show that the sequential use of immune-orthogonal orthologues of CRISPR-associated protein 9 (Cas9) and adeno-associated viruses (AAVs) evades adaptive immune responses and enables effective gene editing using repeated dosing. We compared total sequence similarities and predicted binding strengths to class-I and class-II major histocompatibility complex (MHC) proteins for 284 DNA-targeting and 84 RNA-targeting CRISPR effectors and 167 AAV VP1-capsid-protein orthologues. We predict the absence of cross-reactive immune responses for 79% of the DNA-targeting Cas orthologues-which we validated for three Cas9 orthologues in mice-yet we anticipate broad immune cross-reactivity among the AAV serotypes. We also show that efficacious in vivo gene editing is uncompromised when using multiple dosing with orthologues of AAVs and Cas9 in mice that were previously immunized against the AAV vector and the Cas9 cargo. Multiple dosing with protein orthologues may allow for sequential regimens of protein therapeutics that circumvent pre-existing immunity or induced immunity.
Databáze: OpenAIRE