Guo Yaowei, Chen Junliang, Ji Wenyu, Xu Liang, Xie Yu, He Shu, Lai Chuying, Hou Kaiyu, Li Zeru, Chen Gong, Wu Zheng
Key Laboratory of CNS Regeneration (Ministry of Education), Guangdong Key Laboratory of Non-human Primate Research, GHM Institute of CNS Regeneration, Jinan University, Guangzhou 510632, China.
Mol Ther Methods Clin Dev. 2023 Aug 28;31:101102. doi: 10.1016/j.omtm.2023.08.021. eCollection 2023 Dec 14.
The brain is often described as an "immune-privileged" organ due to the presence of the blood-brain-barrier (BBB), which limits the entry of immune cells. In general, intracranial injection of adeno-associated virus (AAV) is considered a relatively safe procedure. In this study, we discovered that AAV, a popular engineered viral vector for gene therapy, can disrupt the BBB and induce immune cell infiltration in a titer-dependent manner. First, our bulk RNA sequencing data revealed that injection of high-titer AAV significantly upregulated many genes involved in disrupting BBB integrity and antiviral adaptive immune responses. By using histologic analysis, we further demonstrated that the biological structure of the BBB was severely disrupted in the adult mouse brain. Meanwhile, we noticed abnormal leakage of blood components, including immune cells, within the brain parenchyma of high-titer AAV injected areas. Moreover, we identified that the majority of infiltrated immune cells were cytotoxic T lymphocytes (CTLs), which resulted in a massive loss of neurons at the site of AAV injection. In addition, antagonizing CTL function by administering antibodies significantly reduced neuronal toxicity induced by high-titer AAV. Collectively, our findings underscore potential severe side effects of intracranial injection of high-titer AAV, which might compromise proper data interpretation if unaware of.
由于血脑屏障(BBB)的存在,大脑常被描述为一个“免疫豁免”器官,血脑屏障限制了免疫细胞的进入。一般来说,颅内注射腺相关病毒(AAV)被认为是一种相对安全的操作。在本研究中,我们发现AAV,一种用于基因治疗的常用工程病毒载体,能够破坏血脑屏障并以滴度依赖的方式诱导免疫细胞浸润。首先,我们的批量RNA测序数据显示,注射高滴度AAV显著上调了许多参与破坏血脑屏障完整性和抗病毒适应性免疫反应的基因。通过组织学分析,我们进一步证明成年小鼠大脑中的血脑屏障生物结构受到严重破坏。同时,我们注意到在注射高滴度AAV区域的脑实质内,包括免疫细胞在内的血液成分出现异常渗漏。此外,我们确定大多数浸润的免疫细胞是细胞毒性T淋巴细胞(CTLs),这导致AAV注射部位的神经元大量丢失。另外,通过给予抗体拮抗CTL功能可显著降低高滴度AAV诱导的神经元毒性。总的来说,我们的研究结果强调了颅内注射高滴度AAV的潜在严重副作用,如果未意识到这一点,可能会影响正确的数据解读。
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