1. Humoral and cellular capsid-specific immune responses to adeno-associated virus type 1 in randomized healthy donors
- Author
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Carole Masurier, Philippe Veron, Christian Leborgne, Samia Martin, Virginie Monteilhet, Philippe Moullier, Sylvie Boutin, Immunologie moléculaire et biothérapies innovantes (IMBI), École Pratique des Hautes Études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université d'Évry-Val-d'Essonne (UEVE)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Généthon, and École pratique des hautes études (EPHE)
- Subjects
Immunologic Memory/*immunology ,Genetic enhancement ,T cell ,viruses ,Genetic Vectors/immunology ,[SDV]Life Sciences [q-bio] ,T-Lymphocytes ,Immunology ,Genetic Vectors ,Cellular Immunology ,Enzyme-Linked Immunosorbent Assay ,Biology ,Gene delivery ,medicine.disease_cause ,Virus ,03 medical and health sciences ,Random Allocation ,0302 clinical medicine ,Immune system ,medicine ,Immunology and Allergy ,Humans ,Genetic Therapy/methods ,Adeno-associated virus ,030304 developmental biology ,0303 health sciences ,Immunity, Cellular ,Dependovirus/*immunology ,Immunity ,Genetic Therapy ,T-Lymphocytes/immunology ,Dependovirus ,Flow Cytometry ,Virology ,3. Good health ,Immunity, Humoral ,Humoral/*immunology ,medicine.anatomical_structure ,Capsid Proteins/*immunology ,Cellular/*immunology ,030220 oncology & carcinogenesis ,Capsid Proteins ,Immunologic Memory ,CD8 - Abstract
A major impediment to the use of adeno-associated virus (AAV)-mediated gene delivery to muscle in clinical applications is the pre-existing immune responses against the vector. Pre-existing humoral response to different AAV serotypes is now well documented. In contrast, cellular responses to AAV capsid have not been analyzed in a systematic manner, despite the risk of T cell reactivation upon gene transfer. AAV1 has been widely used in humans to target muscle. In this study, we analyzed PBMCs and sera of healthy donors for the presence of AAV1 capsid-specific T cell responses and AAV1 neutralizing factors. Approximately 30% of donors presented AAV1 capsid-specific T cells, mainly effector memory CD8+ cells. IFN-γ–producing cells were also observed among effector memory CD4+ cells for two of these donors. Moreover, to our knowledge, this study shows for the first time on a large cohort that there was no correlation between AAV1-specific T cell and humoral responses. Indeed, most donors presenting specific Ig and neutralizing factors were negative for cellular response (and vice versa). These new data raise the question of prescreening patients not only for the humoral response, but also for the cellular response. Clearly, a better understanding of the natural immunology of AAV serotypes will allow us to improve AAV gene therapy and make it an efficient treatment for genetic disease.
- Published
- 2012
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