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IgG 切割蛋白允许在被动免疫的 MPS IIIA 小鼠中进行治疗性 AAV 基因传递。

IgG-cleavage protein allows therapeutic AAV gene delivery in passively immunized MPS IIIA mice.

机构信息

Gene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Division of Genetics and Metabolism, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

Gene Ther. 2023 Apr;30(3-4):377-385. doi: 10.1038/s41434-022-00368-9. Epub 2022 Oct 17.


DOI:10.1038/s41434-022-00368-9
PMID:36253453
Abstract

The widespread pre-existing αAAV-Abs in humans pose a critical challenge in translation of AAV gene therapy. The IgG degrading enzyme of Streptococci (IdeS) is demonstrated to specifically cleave IgG of humans and other species (not mouse). This study developed a modified new modified IdeS protein product (IdeS). When incubated in vitro, IdeS was shown to completely cleave human and rabbit IgGs within 6 h. To test IdeS in a disease setting, we established a rabbitized αAAV9-Ab mouse by an IV infusion of purified acute αAAV9-Ab rabbit IgG into MPS IIIA mice, resulting in serum αAAV9-IgG at 1:6,400 and αAAV9-nAbs at 1:800. IdeS-Ab-cleavage was shown to be dose-dependent. An IV IdeS infusion at the effective doses resulted in rapid IgG depletion and clearance of pre-existing αAAV9-IgG and αAAV9-nAbs in rabbitized αAAV9-Abs MPS IIIA mice. Importantly, an IV injection of a high dose AAV9-hSGSH vector (5 × 10vg/kg) at 24 h post IdeS treatment led to transduction as effective in αAAV9-Abs MPS IIIA mice, as in αAAV9-Abs-negative controls. We believe that transient IdeS administration may offer a great tool to address the pre-existing-αAAV-Abs for the translation of rAAV gene therapy to treat diseases in humans, making effective rAAV gene therapy available to all patients in need.

摘要

在人类中广泛存在的预先存在的αAAV-Abs 给 AAV 基因治疗的转化带来了巨大挑战。链球菌 IgG 降解酶(IdeS)已被证明能够特异性地切割人类和其他物种(非小鼠)的 IgG。本研究开发了一种改良的新型 IdeS 蛋白产物(IdeS)。体外孵育时,IdeS 在 6 小时内即可完全切割人源和兔源 IgG。为了在疾病模型中测试 IdeS,我们通过静脉输注纯化的急性αAAV9-Ab 兔 IgG 建立了兔源αAAV9-Ab 小鼠模型,导致血清中αAAV9-IgG 效价达到 1:6,400,αAAV9-中和抗体效价达到 1:800。结果表明 IdeS 的切割具有剂量依赖性。静脉输注有效剂量的 IdeS 可迅速耗尽预先存在的αAAV9-IgG 和αAAV9-中和抗体,并清除兔源αAAV9-Ab 小鼠中的αAAV9-Ab。重要的是,在 IdeS 处理后 24 小时静脉注射高剂量 AAV9-hSGSH 载体(5×10vg/kg),可在兔源αAAV9-Ab 小鼠中实现与αAAV9-Ab 阴性对照一样有效的转导。我们认为,短暂的 IdeS 给药可能为解决预先存在的αAAV-Abs 提供了一种重要工具,有助于将 rAAV 基因治疗转化为治疗人类疾病,使所有有需要的患者都能获得有效的 rAAV 基因治疗。

相似文献

[1]
IgG-cleavage protein allows therapeutic AAV gene delivery in passively immunized MPS IIIA mice.

Gene Ther. 2023-4

[2]
Threshold for Pre-existing Antibody Levels Limiting Transduction Efficiency of Systemic rAAV9 Gene Delivery: Relevance for Translation.

Mol Ther Methods Clin Dev. 2019-4-19

[3]
Differential Prevalence of Antibodies Against Adeno-Associated Virus in Healthy Children and Patients with Mucopolysaccharidosis III: Perspective for AAV-Mediated Gene Therapy.

Hum Gene Ther Clin Dev. 2017-12

[4]
Optimising the IgG-degrading enzyme treatment regimen for enhanced adeno-associated virus transduction in the presence of neutralising antibodies.

Clin Transl Immunology. 2022-2-24

[5]
IdeS: a bacterial proteolytic enzyme with therapeutic potential.

PLoS One. 2008-2-27

[6]
Therapeutic cleavage of anti-aquaporin-4 autoantibody in neuromyelitis optica by an IgG-selective proteinase.

Mol Pharmacol. 2013-4-9

[7]
IgG-cleaving endopeptidase enables in vivo gene therapy in the presence of anti-AAV neutralizing antibodies.

Nat Med. 2020-6-1

[8]
Successful treatment of experimental glomerulonephritis with IdeS and EndoS, IgG-degrading streptococcal enzymes.

Nephrol Dial Transplant. 2010-3-10

[9]
Blocking of experimental arthritis by cleavage of IgG antibodies in vivo.

Arthritis Rheum. 2007-10

[10]
IgG-degrading enzyme of Streptococcus pyogenes (IdeS) prevents disease progression and facilitates improvement in a rabbit model of Guillain-Barré syndrome.

Exp Neurol. 2017-2-16

引用本文的文献

[1]
Neutralizing Antibodies: Role in Immune Response and Viral Vector Based Gene Therapy.

Int J Mol Sci. 2025-5-29

[2]
Repeated dosing of AAV-mediated liver gene therapy in juvenile rat and mouse models of Crigler-Najjar syndrome type I.

Mol Ther Methods Clin Dev. 2024-10-28

[3]
Natural Adeno-Associated Virus Serotypes and Engineered Adeno-Associated Virus Capsid Variants: Tropism Differences and Mechanistic Insights.

Viruses. 2024-3-12

[4]
Binding and neutralizing anti-AAV antibodies: Detection and implications for rAAV-mediated gene therapy.

Mol Ther. 2023-3-1

本文引用的文献

[1]
Targeting the Root Cause of Mucopolysaccharidosis IIIA with a New scAAV9 Gene Replacement Vector.

Mol Ther Methods Clin Dev. 2020-10-22

[2]
IgG-cleaving endopeptidase enables in vivo gene therapy in the presence of anti-AAV neutralizing antibodies.

Nat Med. 2020-6-1

[3]
Threshold for Pre-existing Antibody Levels Limiting Transduction Efficiency of Systemic rAAV9 Gene Delivery: Relevance for Translation.

Mol Ther Methods Clin Dev. 2019-4-19

[4]
IdeS (Imlifidase): A Novel Agent That Cleaves Human IgG and Permits Successful Kidney Transplantation Across High-strength Donor-specific Antibody.

Ann Surg. 2018-9

[5]
Development of Intrathecal AAV9 Gene Therapy for Giant Axonal Neuropathy.

Mol Ther Methods Clin Dev. 2018-2-15

[6]
Effective Depletion of Pre-existing Anti-AAV Antibodies Requires Broad Immune Targeting.

Mol Ther Methods Clin Dev. 2017-1-25

[7]
Functional correction of neurological and somatic disorders at later stages of disease in MPS IIIA mice by systemic scAAV9-hSGSH gene delivery.

Mol Ther Methods Clin Dev. 2016-6-8

[8]
Production of Recombinant Adeno-associated Virus Vectors Using Suspension HEK293 Cells and Continuous Harvest of Vector From the Culture Media for GMP FIX and FLT1 Clinical Vector.

Mol Ther. 2016-2

[9]
Complete Removal of Extracellular IgG Antibodies in a Randomized Dose-Escalation Phase I Study with the Bacterial Enzyme IdeS--A Novel Therapeutic Opportunity.

PLoS One. 2015-7-15

[10]
Determination of anti-adeno-associated virus vector neutralizing antibody titer with an in vitro reporter system.

Hum Gene Ther Methods. 2015-4

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