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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 6

Local inflammation and correlated expressions between MHC II molecules and Cybb are found in the retina after injection of AAV8-GFP-HY.

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Local inflammation and correlated expressions between MHC II molecules a...
(A) Gene expression of H2-Eb1 and H2-Ab1 measured by ddPCR in the mouse retina 21 days after injection. (B) Correlation between H2-Eb1 and H2-Ab1 expression levels. (C) Gene expression of Cybb measured by ddPCR in the mouse retina 21 days after injection. (D and E) Correlation between Cybb and H2-Eb1 expression (D) and between Cybb and H2-Ab1 expression (E). Results obtained from 2 independent experiments (n = 8 per group). Bars correspond to mean + SEM. ***P < 0.0001 with unpaired Mann-Whitney test. R2 was calculated via linear regression.

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