Burr Alexandra, Erickson Patrick, Bento Raphaela, Shama Kariman, Roth Charles, Parekkadan Biju
Department of Biomedical Engineering, Rutgers University, Piscataway, NJ, USA.
Department of Chemical and Biochemical Engineering, Rutgers University, Piscataway, NJ, USA.
Mol Ther Methods Clin Dev. 2022 Oct 21;27:368-379. doi: 10.1016/j.omtm.2022.10.011. eCollection 2022 Dec 8.
The use of adeno-associated virus (AAV) as a gene delivery vehicle for secreted peptide therapeutics can enable a new approach to durably manage chronic protein insufficiencies in patients. Yet, dosing of AAVs have been largely empirical to date. In this report, we explore the dose-response relationship of AAVs encoding a secreted luciferase reporter to establish a mathematical model that can be used to predict steady-state protein concentrations in mice based on steady-state secretion rates . Upon intravenous administration of AAV doses that scaled multiple logs, steady-state plasma concentrations of a secreted reporter protein were fit with a hyperbolic dose-response equation. Parameters for the hyperbolic model were extracted from the data and compared with create scaling factors that related protein secretion rates to steady-state plasma concentrations. Parathyroid hormone expressed by AAV was then used as a bioactive candidate and validated that the model, with scaling factors, could predict the plasma hormone concentrations in mice. In total, this model system confirmed that plasma steady-state concentrations of secreted proteins expressed by AAVs can be guided by kinetic secretion data laying groundwork for future customization and model-informed dose justification for AAV candidates.
将腺相关病毒(AAV)用作分泌型肽治疗药物的基因传递载体,可为持久治疗患者慢性蛋白质缺乏症提供一种新方法。然而,迄今为止,AAV的给药剂量在很大程度上一直是凭经验确定的。在本报告中,我们探索了编码分泌型荧光素酶报告基因的AAV的剂量反应关系,以建立一个数学模型,该模型可用于根据稳态分泌率预测小鼠体内的稳态蛋白质浓度。静脉注射多个对数级的AAV剂量后,分泌型报告蛋白的稳态血浆浓度与双曲线剂量反应方程拟合。从数据中提取双曲线模型的参数,并与创建的将蛋白质分泌率与稳态血浆浓度相关联的比例因子进行比较。然后将AAV表达的甲状旁腺激素用作生物活性候选物,并验证该模型及其比例因子能够预测小鼠血浆中的激素浓度。总体而言,该模型系统证实,AAV表达的分泌蛋白的血浆稳态浓度可由动力学分泌数据指导,为未来AAV候选物的定制和基于模型的剂量论证奠定了基础。