印度健康个体和B型血友病患者中腺相关病毒3衣壳结合抗体和中和抗体的流行情况

Prevalence of Adeno-Associated Virus 3 Capsid Binding and Neutralizing Antibodies in Healthy and Hemophilia B Individuals from India.

作者信息

Daniel Hubert D-J, Kumar Sanjay, Kannangai Rajesh, Lakshmi Kavitha M, Agbandje-Mckenna Mavis, Coleman Kirsten, Srivastava Arun, Srivastava Alok, Abraham Asha Mary

机构信息

Center for Stem Cell Research, Christian Medical College, Vellore, India; Departments of.

Clinical Virology.

出版信息

Hum Gene Ther. 2021 May;32(9-10):451-457. doi: 10.1089/hum.2020.258. Epub 2021 Apr 23.

Abstract

Adeno-associated virus (AAV) vector-based gene therapy offers a new treatment option for individuals with hemophilia. Pre-existing anti-AAV antibodies significantly impact the use of AAV vectors. Even relatively low titers of AAV neutralizing antibodies (NAb) from natural AAV infections against the capsid have been shown to inhibit the transduction of intravenously administered AAV in animal models and were associated with limited efficacy in human trials. This is important for determining the primary eligibility of patients for AAV vector-based gene therapy clinical trials. Current techniques to screen AAV antibodies include AAV capsid enzyme-linked immunosorbent assay (ELISA) for total antibodies and a transduction inhibition assay (TIA) for NAb. This study developed and screened total capsid binding anti-AAV3 antibodies by using ELISA and determined NAb levels by TIA using mCherry flow cytometry in healthy individuals with hemophilia B in India. One hundred and forty-three apparently healthy controls and 92 individuals with hemophilia B were screened. The prevalence of total and NAb in healthy controls was 79.7% and 65%, respectively; the prevalence of total and NAb in patients with hemophilia B for AAV3 was 92.4% and 91.3%, respectively.

摘要

基于腺相关病毒(AAV)载体的基因疗法为血友病患者提供了一种新的治疗选择。预先存在的抗AAV抗体对AAV载体的使用有显著影响。在动物模型中,即使是天然AAV感染产生的针对衣壳的相对低滴度的AAV中和抗体(NAb),也已被证明会抑制静脉注射AAV的转导,并且在人体试验中疗效有限。这对于确定患者是否适合基于AAV载体的基因治疗临床试验至关重要。目前筛选AAV抗体的技术包括用于检测总抗体的AAV衣壳酶联免疫吸附测定(ELISA)和用于检测NAb的转导抑制测定(TIA)。本研究通过ELISA开发并筛选了针对AAV3的总衣壳结合抗体,并在印度患有B型血友病的健康个体中使用mCherry流式细胞术通过TIA测定了NAb水平。对143名表面健康的对照者和92名B型血友病患者进行了筛查。健康对照者中总抗体和NAb的患病率分别为79.7%和65%;B型血友病患者中针对AAV3的总抗体和NAb的患病率分别为92.4%和91.3%。

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