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Interindividual variability in immune response to AAV ocular gene delivery across species impedes immunomonitoring
Duohao Ren, Gaelle A. Chauveau, Julie Vendomele, Emilie Cabon, Audrey Pineiro, Catherine Vignal-Clermont, Hanadi Saliba, Giuseppe Ronzitti, Anne Galy, Deniz Dalkara, Juliette Pulman, Divya Ail, Sylvain Fisson
Duohao Ren, Gaelle A. Chauveau, Julie Vendomele, Emilie Cabon, Audrey Pineiro, Catherine Vignal-Clermont, Hanadi Saliba, Giuseppe Ronzitti, Anne Galy, Deniz Dalkara, Juliette Pulman, Divya Ail, Sylvain Fisson
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Research Article Immunology Inflammation Ophthalmology

Interindividual variability in immune response to AAV ocular gene delivery across species impedes immunomonitoring

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Abstract

Adeno-associated viruses (AAVs) have been used in gene therapy, especially for inherited retinal diseases. Despite their effectiveness in gene transduction, immune responses to the AAV capsid and transgene products have been reported, which can compromise both the efficacy and the safety of AAV-mediated therapies. The eye is regarded as an immune-privileged organ where immune activity is constitutively suppressed. Here, we highlight that immunomonitoring in an ocular gene transfer reveals variable immune responses, whatever the species (human clinical trial, nonhuman primates, mice), the site of injection, the cassette, and the dose. We further explored factors contributing to this variability, investigating the potential correlation among immune parameters in a controlled experimental setting. In a syngeneic murine model after a subretinal injection of AAV, our results highlight an interindividual variability of immune parameters, emphasizing the importance of considering inherent variability among individuals when designing personalized therapies.

Authors

Duohao Ren, Gaelle A. Chauveau, Julie Vendomele, Emilie Cabon, Audrey Pineiro, Catherine Vignal-Clermont, Hanadi Saliba, Giuseppe Ronzitti, Anne Galy, Deniz Dalkara, Juliette Pulman, Divya Ail, Sylvain Fisson

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Figure 2

Interindividual variability of immune response is observed in the NHP model after intravitreal AAV2.7m8 gene transfer.

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Interindividual variability of immune response is observed in the NHP mo...
(A) Schematic of ocular gene injections in NHPs. (B and C) Total antibody (TAb) (B) and neutralizing antibody (NAb) (C) levels measured by ELISA and NAb assay against AAV2 in NHPs that received intravitreal AAV injections with dose 1 (5 × 1011 vg) before injection (BI) and 2–3 months post-injection (PI). IC50, half-maximal inhibitory concentration. (D) Immune profiles of individual NHPs showing fold change (FC) of anti-AAV2 TAb and NAb, grading score at month 1 for anterior chamber cells (ACC), anterior chamber flare (ACF), vitreous haze (VH), and vitreous cells (VC). Each slice of the pie corresponds to one immune parameter, which is normalized against the highest value for the parameter. The code of each NHP is shown above each chart.

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ISSN 2379-3708

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