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Journal of Virology, March 2005, p. 3606-3614, Vol. 79, No. 6
0022-538X/05/$08.00+0     doi:10.1128/JVI.79.6.3606-3614.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

Large-Scale Molecular Characterization of Adeno-Associated Virus Vector Integration in Mouse Liver

Hiroyuki Nakai,1* Xiaolin Wu,2 Sally Fuess,1 Theresa A. Storm,1,3 David Munroe,2 Eugenio Montini,4,{dagger} Shawn M. Burgess,5 Markus Grompe,4,6 and Mark A. Kay1,3

Departments of Pediatrics,1 Genetics, Stanford University School of Medicine, Stanford, California,3 Laboratory of Molecular Technology, SAIC-Frederick, National Cancer Institute-Frederick, Frederick,2 Genome Technology Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland,5 Departments of Molecular and Medical Genetics,4 Pediatrics, Oregon Health & Science University, Portland, Oregon6

Received 24 June 2004/ Accepted 29 October 2004

Recombinant adeno-associated virus (rAAV) vector holds promise for gene therapy. Despite a low frequency of chromosomal integration of vector genomes, recent studies have raised concerns about the risk of rAAV integration because integration occurs preferentially in genes and accompanies chromosomal deletions, which may lead to loss-of-function insertional mutagenesis. Here, by analyzing 347 rAAV integrations in mice, we elucidate novel features of rAAV integration: the presence of hot spots for integration and a strong preference for integrating near gene regulatory sequences. The most prominent hot spot was a harmless chromosomal niche in the rRNA gene repeats, whereas nearly half of the integrations landed near transcription start sites or CpG islands, suggesting the possibility of activating flanking cellular disease genes by vector integration, similar to retroviral gain-of-function insertional mutagenesis. Possible cancer-related genes were hit by rAAV integration at a frequency of 3.5%. In addition, the information about chromosomal changes at 218 integration sites and 602 breakpoints of vector genomes have provided a clue to how vector terminal repeats and host chromosomal DNA are joined in the integration process. Thus, the present study provides new insights into the risk of rAAV-mediated insertional mutagenesis and the mechanisms of rAAV integration.


* Corresponding author. Mailing address: Department of Pediatrics, 300 Pasteur Dr., Grant Bldg., Rm. S374, Stanford University School of Medicine, Stanford, CA 94305. Phone: (650) 725-7487. Fax: (650) 736-2068. E-mail: nakaih{at}stanford.edu.

{dagger} Present address: Istituto per la Ricerca e la Cura del Cancro, Candiolo, Turin, Italy.


Journal of Virology, March 2005, p. 3606-3614, Vol. 79, No. 6
0022-538X/05/$08.00+0     doi:10.1128/JVI.79.6.3606-3614.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.




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