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      Experimental Variables that Affect Human Hepatocyte AAV Transduction in Liver Chimeric Mice

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          Abstract

          Adeno-associated virus (AAV) vector serotypes vary in their ability to transduce hepatocytes from different species. Chimeric mouse models harboring human hepatocytes have shown translational promise for liver-directed gene therapies. However, many variables that influence human hepatocyte transduction and transgene expression in such models remain poorly defined. Here, we aimed to test whether three experimental conditions influence AAV transgene expression in immunodeficient, fumaryl-acetoactetate-hydrolase-deficient ( Fah −/−) chimeric mice repopulated with primary human hepatocytes. We examined the effects of the murine liver injury cycle, human donor variability, and vector doses on hepatocyte transduction with various AAV serotypes expressing a green fluorescent protein (GFP). We determined that the timing of AAV vector challenge in the liver injury cycle resulted in up to 7-fold differences in the percentage of GFP expressing human hepatocytes. The GFP+ hepatocyte frequency varied 7-fold between human donors without, however, changing the relative transduction efficiency between serotypes for an individual donor. There was also a clear relationship between AAV vector doses and human hepatocyte transduction and transgene expression. We conclude that several experimental variables substantially affect human hepatocyte transduction in the Fah −/− chimera model, attention to which may improve reproducibility between findings from different laboratories.

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          Abstract

          Liver chimeric mice are widely used to model human hepatocyte susceptibility to adeno-associated virus (AAV) gene vector transduction with inconsistent finding between laboratories. Zou et al. quantify to what extent three experimental conditions—namely, mouse liver injury, human donor variability, and AAV doses—affect human hepatocyte transduction in chimeric mice.

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          Most cited references28

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          Hepatitis C virus replication in mice with chimeric human livers.

          Lack of a small animal model of the human hepatitis C virus (HCV) has impeded development of antiviral therapies against this epidemic infection. By transplanting normal human hepatocytes into SCID mice carrying a plasminogen activator transgene (Alb-uPA), we generated mice with chimeric human livers. Homozygosity of Alb-uPA was associated with significantly higher levels of human hepatocyte engraftment, and these mice developed prolonged HCV infections with high viral titers after inoculation with infected human serum. Initial increases in total viral load were up to 1950-fold, with replication confirmed by detection of negative-strand viral RNA in transplanted livers. HCV viral proteins were localized to human hepatocyte nodules, and infection was serially passaged through three generations of mice confirming both synthesis and release of infectious viral particles. These chimeric mice represent the first murine model suitable for studying the human hepatitis C virus in vivo.
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            High AAV vector purity results in serotype- and tissue-independent enhancement of transduction efficiency.

            The purity of adeno-associated virus (AAV) vector preparations has important implications for both safety and efficacy of clinical gene transfer. Early-stage screening of candidates for AAV-based therapeutics ideally requires a purification method that is flexible and also provides vectors comparable in purity and potency to the prospective investigational product manufactured for clinical studies. The use of cesium chloride (CsCl) gradient-based protocols provides the flexibility for purification of different serotypes; however, a commonly used first-generation CsCl-based protocol was found to result in AAV vectors containing large amounts of protein and DNA impurities and low transduction efficiency in vitro and in vivo. Here, we describe and characterize an optimized, second-generation CsCl protocol that incorporates differential precipitation of AAV particles by polyethylene glycol, resulting in higher yield and markedly higher vector purity that correlated with better transduction efficiency observed with several AAV serotypes in multiple tissues and species. Vectors purified by the optimized CsCl protocol were found to be comparable in purity and functional activity to those prepared by more scalable, but less flexible serotype-specific purification processes developed for manufacture of clinical vectors, and are therefore ideally suited for pre-clinical studies supporting translational research.
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              Adeno-associated virus vectors can be efficiently produced without helper virus.

              The purpose of this work was to develop an efficient method for the production of adeno-associated virus (AAV) vectors in the absence of helper virus. The adenovirus regions that mediate AAV vector replication were identified and assembled into a helper plasmid. These included the VA, E2A and E4 regions. When this helper plasmid was cotransfected into 293 cells, along with plasmids encoding the AAV vector, and rep and cap genes, AAV vector was produced as efficiently as when using adenovirus infection as a source of help. CMV-driven constructs expressing the E4orf6 and the 72-M(r), E2A proteins were able to functionally replace the E4 and E2A regions, respectively. Therefore the minimum set of genes required to produce AAV helper activity equivalent to that provided by adenovirus infection consists of, or is a subset of, the following genes: the E4orf6 gene, the 72-M(r), E2A protein gene, the VA RNA genes and the E1 region. AAV vector preparations made with adenovirus and by the helper virus-free method were essentially indistinguishable with respect to particle density, particle to infectivity ratio, capsimer ratio and efficiency of muscle transduction in vivo. Only AAV vector preparations made by the helper virus-free method were not reactive with anti-adenovirus sera.
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                Author and article information

                Contributors
                Journal
                Mol Ther Methods Clin Dev
                Mol Ther Methods Clin Dev
                Molecular Therapy. Methods & Clinical Development
                American Society of Gene & Cell Therapy
                2329-0501
                02 June 2020
                11 September 2020
                02 June 2020
                : 18
                : 189-198
                Affiliations
                [1 ]Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY 10065, USA
                [2 ]Laboratory of Virology and Infectious Disease, Rockefeller University, New York, NY 10065, USA
                [3 ]Laboratory of Liver Infectious Diseases, Ghent University, 9000 Ghent, Belgium
                [4 ]Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL 32603, USA
                [5 ]Department of Pathology, NYU Langone Health, New York, NY 10016, USA
                [6 ]Spark Therapeutics, Philadelphia, PA 19104, USA
                [7 ]Department of Pediatrics, Indiana University, Indianapolis, IN 46202, USA
                [8 ]Herman B Wells Center for Pediatric Research, IUPUI, Indianapolis, IN 46202, USA
                Author notes
                []Corresponding author: Ype P. de Jong, Division of Gastroenterology and Hepatology, Weill Cornell Medicine, 1305 York Ave., New York, NY 10065, USA. ydj2001@ 123456med.cornell.edu
                [9]

                These authors contributed equally to this work.

                [10]

                Present address: Institute of Tropical Medicine, 2000 Antwerp, Belgium.

                Article
                S2329-0501(20)30120-0
                10.1016/j.omtm.2020.05.033
                7326722
                32637450
                042e3e6e-3ae8-49fe-bf05-201adf8bcc58
                © 2020 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 24 January 2020
                : 27 May 2020
                Categories
                Article

                humanized mice,aav,gene therapy,liver,human hepatocytes,donor variability,hemophilia

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