Grieger Joshua C, Soltys Stephen M, Samulski Richard Jude
Gene Therapy Center, University of North Carolina, Chapel Hill, North Carolina, USA; Department of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina, USA; Present address: Bamboo Therapeutics, Inc, Chapel Hill, North Carolina, USA.
Gene Therapy Center, University of North Carolina, Chapel Hill, North Carolina, USA.
Mol Ther. 2016 Feb;24(2):287-297. doi: 10.1038/mt.2015.187. Epub 2015 Oct 6.
Adeno-associated virus (AAV) has shown great promise as a gene therapy vector in multiple aspects of preclinical and clinical applications. Many developments including new serotypes as well as self-complementary vectors are now entering the clinic. With these ongoing vector developments, continued effort has been focused on scalable manufacturing processes that can efficiently generate high-titer, highly pure, and potent quantities of rAAV vectors. Utilizing the relatively simple and efficient transfection system of HEK293 cells as a starting point, we have successfully adapted an adherent HEK293 cell line from a qualified clinical master cell bank to grow in animal component-free suspension conditions in shaker flasks and WAVE bioreactors that allows for rapid and scalable rAAV production. Using the triple transfection method, the suspension HEK293 cell line generates greater than 1 × 10(5) vector genome containing particles (vg)/cell or greater than 1 × 10(14) vg/l of cell culture when harvested 48 hours post-transfection. To achieve these yields, a number of variables were optimized such as selection of a compatible serum-free suspension media that supports both growth and transfection, selection of a transfection reagent, transfection conditions and cell density. A universal purification strategy, based on ion exchange chromatography methods, was also developed that results in high-purity vector preps of AAV serotypes 1-6, 8, 9 and various chimeric capsids tested. This user-friendly process can be completed within 1 week, results in high full to empty particle ratios (>90% full particles), provides postpurification yields (>1 × 10(13) vg/l) and purity suitable for clinical applications and is universal with respect to all serotypes and chimeric particles. To date, this scalable manufacturing technology has been utilized to manufacture GMP phase 1 clinical AAV vectors for retinal neovascularization (AAV2), Hemophilia B (scAAV8), giant axonal neuropathy (scAAV9), and retinitis pigmentosa (AAV2), which have been administered into patients. In addition, we report a minimum of a fivefold increase in overall vector production by implementing a perfusion method that entails harvesting rAAV from the culture media at numerous time-points post-transfection.
腺相关病毒(AAV)在临床前和临床应用的多个方面作为基因治疗载体已显示出巨大潜力。包括新血清型以及自我互补载体在内的许多进展目前正在进入临床阶段。随着这些载体的不断发展,持续的努力一直集中在可扩展的生产工艺上,该工艺能够高效地产生高滴度、高纯度且有效的重组腺相关病毒(rAAV)载体。以HEK293细胞相对简单且高效的转染系统为起点,我们已成功将一株来自合格临床主细胞库的贴壁HEK293细胞系适应于在摇瓶和WAVE生物反应器中无动物成分的悬浮条件下生长,这使得能够快速且可扩展地生产rAAV。使用三重转染方法,该悬浮HEK293细胞系在转染后48小时收获时,每细胞产生大于1×10⁵个含载体基因组的颗粒(vg),或细胞培养物中大于1×10¹⁴vg/L。为了达到这些产量,对许多变量进行了优化,例如选择既支持生长又支持转染的兼容无血清悬浮培养基、选择转染试剂、转染条件和细胞密度。还开发了一种基于离子交换色谱法的通用纯化策略,该策略可得到经测试的AAV血清型1 - 6、8、9以及各种嵌合衣壳的高纯度载体制剂。这个用户友好的过程可在1周内完成,产生高的全病毒颗粒与空病毒颗粒比率(>90%全病毒颗粒),提供纯化后产量(>1×10¹³vg/L)以及适合临床应用的纯度,并且对所有血清型和嵌合颗粒具有通用性。迄今为止,这种可扩展的生产技术已被用于生产用于视网膜新生血管(AAV2)、血友病B(scAAV8)、巨大轴索神经病(scAAV9)和色素性视网膜炎(AAV2)的GMP 1期临床AAV载体,这些载体已被施用于患者。此外,我们报告通过实施一种灌注方法,即在转染后的多个时间点从培养基中收获rAAV,总体载体产量至少增加了五倍。