Sustained AAV9-mediated expression of a non-self protein in the CNS of non-human primates after immunomodulation

Autor: Robert D. Murnane, Yuhui Hu, Deborah H. Fuller, Michael Koday, Andrew A. Reilly, Jeremy Smedley, Merika Treants Koday, Steven J. Gray, Anne Messer, Debbie Bratt, Arlene I. Ramsingh
Rok vydání: 2018
Předmět:
Zdroj: PLoS ONE, Vol 13, Iss 6, p e0198154 (2018)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0198154
Popis: A critical issue in transgene delivery studies is immune reactivity to the transgene- encoded protein and its impact on sustained gene expression. Here, we test the hypothesis that immunomodulation by rapamycin can decrease immune reactivity after intrathecal AAV9 delivery of a transgene (GFP) in non-human primates, resulting in sustained GFP expression in the CNS. We show that rapamycin treatment clearly reduced the overall immunogenicity of the AAV9/GFP vector by lowering GFP- and AAV9-specific antibody responses, and decreasing T cell responses including cytokine and cytolytic effector responses. Spinal cord GFP protein expression was sustained for twelve weeks, with no toxicity. Immune correlates of robust transgene expression include negligible GFP-specific CD4 and CD8 T cell responses, absence of GFP-specific IFN-γ producing T cells, and absence of GFP-specific cytotoxic T cells, which support the hypothesis that decreased T cell reactivity results in sustained transgene expression. These data strongly support the use of modest doses of rapamycin to modulate immune responses for intrathecal gene therapies, and potentially a much wider range of viral vector-based therapeutics.
Databáze: OpenAIRE