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Journal of Virology, December 1998, p. 9795-9805, Vol. 72, No. 12
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Successful Readministration of Adeno-Associated
Virus Vectors to the Mouse Lung Requires Transient Immunosuppression
during the Initial Exposure
Christine L.
Halbert,1
Thomas A.
Standaert,2
Christopher
B.
Wilson,3 and
A.
Dusty
Miller1,4,*
Fred Hutchinson Cancer Research Center,
Seattle, Washington 98109,1 and
Departments of Pediatrics,2
Medicine,3 and
Pathology,4 University of Washington,
Seattle, Washington 98195
Received 26 March 1998/Accepted 8 September 1998
The airway is an important target for gene transfer to treat cystic
fibrosis and other diseases that affect the lung. We previously found
that marker gene expression did not persist in the bronchial epithelium
following adeno-associated virus (AAV) vector administration to the
rabbit lung. In an attempt to promote continued expression, we tested
repeat vector administration, but no additional transduction was
observed, and the block to transduction correlated with the appearance
of neutralizing antibodies to the viral capsid. Here we show that mice
exhibit a similar response but that treatment with anti-CD40 ligand
antibody (MR1) and a soluble CTLA4-immunoglobulin fusion protein
(CTLA4Ig) at the time of primary AAV vector exposure allowed successful
repeat transduction and prevented production of neutralizing
antibodies. We also tested the possibility that an immune response
caused the loss of marker-positive cells in the epithelial population
in rabbits by evaluating AAV vector expression in immunocompetent and
immunodeficient mice. In contrast to results in rabbits, marker protein
expression persisted in the lung in both groups of mice. AAV vector
transduction occurred in alveolar cells, airway epithelial cells, and
smooth muscle cells, and vector expression persisted for at least 8 months. Although data on persistence of AAV vector expression in the
human lung are not available, it is likely that repeat transduction will be necessary either due to loss of expression or to the need for
repeat administration to deliver effective amounts of AAV vectors.
Results presented here indicate that transient immunosuppression will
allow such repeat vector treatment of the lung.
*
Corresponding author. Mailing address: Fred Hutchinson
Cancer Research Center, 1100 Fairview Ave. North, Room C2-023, Seattle, WA 98109-1024. Phone: (206) 667-2890. Fax: (206) 667-6523. E-mail: dmiller{at}fhcrc.org.
Journal of Virology, December 1998, p. 9795-9805, Vol. 72, No. 12
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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