Display options
Share it on

Front Microbiol. 2011 Sep 26;2:201. doi: 10.3389/fmicb.2011.00201. eCollection 2011.

Immunity and AAV-Mediated Gene Therapy for Muscular Dystrophies in Large Animal Models and Human Trials.

Frontiers in microbiology

Zejing Wang, Stephen J Tapscott, Jeffrey S Chamberlain, Rainer Storb

Affiliations

  1. Division of Clinical Research, Fred Hutchinson Cancer Research Center Seattle, WA, USA.

PMID: 21980317 PMCID: PMC3180173 DOI: 10.3389/fmicb.2011.00201

Abstract

Adeno-associated viral (AAV) vector-mediated gene replacement for the treatment of muscular dystrophy represents a promising therapeutic strategy in modern medicine. One major obstacle in using AAV vectors for in vivo gene delivery is the development of host immune responses to the viral capsid protein and transgene products as evidenced in animal models and human trials for a range of genetic diseases. Here, we review immunity against AAV vector and transgene in the context of gene delivery specific to muscles for treating muscular dystrophies and non-muscle diseases in large animal models and human trials, factors that influence the intensity of the immune responses, and immune modulatory strategies to prevent unwanted immune responses and induce tolerance to the vector and therapeutic gene for a successful gene therapy.

Keywords: AAV; immune modulation; immunity; muscular dystrophy; review

References

  1. Nat Med. 2007 Apr;13(4):419-22 - PubMed
  2. Nat Med. 1999 Jan;5(1):56-63 - PubMed
  3. Mol Ther. 2009 Aug;17(8):1427-33 - PubMed
  4. Proc Natl Acad Sci U S A. 2009 Sep 22;106(38):16363-8 - PubMed
  5. Hum Gene Ther. 2002 Jul 20;13(11):1281-91 - PubMed
  6. Mol Ther. 2010 Jul;18(7):1318-29 - PubMed
  7. Nat Med. 2006 Aug;12(8):967-71 - PubMed
  8. Gene Ther. 2007 Sep;14(17):1249-60 - PubMed
  9. J Virol. 1998 Dec;72(12):9795-805 - PubMed
  10. Hum Gene Ther. 2004 Feb;15(2):145-56 - PubMed
  11. Mol Ther. 2010 Aug;18(8):1501-8 - PubMed
  12. Lancet. 2002 Feb 23;359(9307):687-95 - PubMed
  13. Mol Ther. 2009 Jan;17(1):73-80 - PubMed
  14. J Virol. 1996 Nov;70(11):8098-108 - PubMed
  15. Ann Neurol. 2009 Sep;66(3):290-7 - PubMed
  16. Proc Natl Acad Sci U S A. 1996 Nov 26;93(24):14082-7 - PubMed
  17. Blood. 2009 Sep 3;114(10):2077-86 - PubMed
  18. N Engl J Med. 2010 Oct 7;363(15):1429-37 - PubMed
  19. Gene Ther. 2005 Jul;12(14):1099-108 - PubMed
  20. Mol Ther. 2010 Jan;18(1):109-17 - PubMed
  21. Mol Ther. 2008 Dec;16(12):1944-52 - PubMed
  22. Ann Neurol. 2010 Nov;68(5):629-38 - PubMed
  23. Blood. 2005 Apr 15;105(8):3079-86 - PubMed
  24. Blood. 2005 May 1;105(9):3458-64 - PubMed
  25. J Virol. 1997 Aug;71(8):5932-41 - PubMed
  26. Blood. 2010 Jun 10;115(23):4678-88 - PubMed
  27. Blood. 2003 Apr 15;101(8):2963-72 - PubMed
  28. Mol Ther. 2008 Jul;16(7):1291-9 - PubMed
  29. Hum Gene Ther. 2007 Jan;18(1):18-26 - PubMed
  30. Mol Ther. 2005 Feb;11(2):245-56 - PubMed
  31. Hum Gene Ther. 2011 Oct;22(10):1239-47 - PubMed
  32. Mol Ther. 2001 Sep;4(3):192-200 - PubMed
  33. Nat Med. 2004 Aug;10(8):828-34 - PubMed
  34. Expert Opin Biol Ther. 2003 Aug;3(5):803-14 - PubMed
  35. Mol Ther. 2010 Mar;18(3):617-24 - PubMed
  36. Nat Med. 2006 Mar;12(3):342-7 - PubMed
  37. Mol Ther. 2010 Jan;18(1):151-60 - PubMed
  38. Mol Ther. 2007 Jun;15(6):1160-6 - PubMed

Publication Types

Grant support