An Adeno-Associated Viral Vector Capable of Penetrating the Mucus Barrier to Inhaled Gene Therapy

Diffusion of the viral vectors evaluated in inhaled gene therapy clinical trials to date are largely hindered within airway mucus, which limits their access to, and transduction of, the underlying airway epithelium prior to clearance from the lung. Here, we discovered that adeno-associated virus (AA...

Full description

Bibliographic Details
Main Authors: Gregg A. Duncan, Namho Kim, Yanerys Colon-Cortes, Jason Rodriguez, Marina Mazur, Susan E. Birket, Steven M. Rowe, Natalie E. West, Alessandra Livraghi-Butrico, Richard C. Boucher, Justin Hanes, George Aslanidi, Jung Soo Suk
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:Molecular Therapy: Methods & Clinical Development
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050118300354
_version_ 1819012587259428864
author Gregg A. Duncan
Namho Kim
Yanerys Colon-Cortes
Jason Rodriguez
Marina Mazur
Susan E. Birket
Steven M. Rowe
Natalie E. West
Alessandra Livraghi-Butrico
Richard C. Boucher
Justin Hanes
George Aslanidi
Jung Soo Suk
author_facet Gregg A. Duncan
Namho Kim
Yanerys Colon-Cortes
Jason Rodriguez
Marina Mazur
Susan E. Birket
Steven M. Rowe
Natalie E. West
Alessandra Livraghi-Butrico
Richard C. Boucher
Justin Hanes
George Aslanidi
Jung Soo Suk
author_sort Gregg A. Duncan
collection DOAJ
description Diffusion of the viral vectors evaluated in inhaled gene therapy clinical trials to date are largely hindered within airway mucus, which limits their access to, and transduction of, the underlying airway epithelium prior to clearance from the lung. Here, we discovered that adeno-associated virus (AAV) serotype 6 was able to rapidly diffuse through mucus collected from cystic fibrosis (CF) patients, unlike previously tested AAV serotypes. A point mutation of the AAV6 capsid suggests a potential mechanism by which AAV6 avoids adhesion to the mucus mesh. Significantly greater transgene expression was achieved with AAV6 compared to a mucoadhesive serotype, AAV1, in air-liquid interface cultures of human CF bronchial epithelium with naturally secreted mucus or induced mucus hypersecretion. In addition, AAV6 achieved superior distribution and overall level of transgene expression compared to AAV1 in the airways and whole lungs, respectively, of transgenic mice with airway mucus obstruction. Our findings motivate further evaluation and clinical development of AAV6 for inhaled gene therapy. Keywords: inhaled gene therapy, muco-obstructive lung disease, adeno-associated virus, airway mucus
first_indexed 2024-12-21T01:46:25Z
format Article
id doaj.art-5332708677764322aae6c72388bddfc5
institution Directory Open Access Journal
issn 2329-0501
language English
last_indexed 2024-12-21T01:46:25Z
publishDate 2018-06-01
publisher Elsevier
record_format Article
series Molecular Therapy: Methods & Clinical Development
spelling doaj.art-5332708677764322aae6c72388bddfc52022-12-21T19:20:00ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012018-06-019296304An Adeno-Associated Viral Vector Capable of Penetrating the Mucus Barrier to Inhaled Gene TherapyGregg A. Duncan0Namho Kim1Yanerys Colon-Cortes2Jason Rodriguez3Marina Mazur4Susan E. Birket5Steven M. Rowe6Natalie E. West7Alessandra Livraghi-Butrico8Richard C. Boucher9Justin Hanes10George Aslanidi11Jung Soo Suk12Center for Nanomedicine, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA; Fischell Department of Bioengineering, University of Maryland, College Park, MD 20742, USACenter for Nanomedicine, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA; Department of Chemical and Biomolecular Engineering, Johns Hopkins University, Baltimore, MD 21218, USADepartment of Pediatrics, University of Florida, Gainesville, FL 32610, USACenter for Nanomedicine, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USADepartment of Medicine, Cystic Fibrosis Research Center, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Medicine, Cystic Fibrosis Research Center, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Medicine, Cystic Fibrosis Research Center, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USAMarsico Lung Institute/Cystic Fibrosis Research Center, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599, USAMarsico Lung Institute/Cystic Fibrosis Research Center, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599, USACenter for Nanomedicine, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA; Department of Chemical and Biomolecular Engineering, Johns Hopkins University, Baltimore, MD 21218, USA; Departments of Biomedical Engineering, Environmental and Health Sciences, Oncology, Neurosurgery, and Pharmacology and Molecular Sciences, Johns Hopkins University, Baltimore, MD 21287, USADepartment of Pediatrics, University of Florida, Gainesville, FL 32610, USA; The Hormel Institute, University of Minnesota, Austin, MN 55912, USACenter for Nanomedicine, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA; Corresponding author: Jung Soo Suk, PhD, Center for Nanomedicine at the Wilmer Eye Institute, Johns Hopkins University School of Medicine, 400 N. Broadway, Robert H. and Clarice Smith Building, 6029, Baltimore, MD 21231, USA.Diffusion of the viral vectors evaluated in inhaled gene therapy clinical trials to date are largely hindered within airway mucus, which limits their access to, and transduction of, the underlying airway epithelium prior to clearance from the lung. Here, we discovered that adeno-associated virus (AAV) serotype 6 was able to rapidly diffuse through mucus collected from cystic fibrosis (CF) patients, unlike previously tested AAV serotypes. A point mutation of the AAV6 capsid suggests a potential mechanism by which AAV6 avoids adhesion to the mucus mesh. Significantly greater transgene expression was achieved with AAV6 compared to a mucoadhesive serotype, AAV1, in air-liquid interface cultures of human CF bronchial epithelium with naturally secreted mucus or induced mucus hypersecretion. In addition, AAV6 achieved superior distribution and overall level of transgene expression compared to AAV1 in the airways and whole lungs, respectively, of transgenic mice with airway mucus obstruction. Our findings motivate further evaluation and clinical development of AAV6 for inhaled gene therapy. Keywords: inhaled gene therapy, muco-obstructive lung disease, adeno-associated virus, airway mucushttp://www.sciencedirect.com/science/article/pii/S2329050118300354
spellingShingle Gregg A. Duncan
Namho Kim
Yanerys Colon-Cortes
Jason Rodriguez
Marina Mazur
Susan E. Birket
Steven M. Rowe
Natalie E. West
Alessandra Livraghi-Butrico
Richard C. Boucher
Justin Hanes
George Aslanidi
Jung Soo Suk
An Adeno-Associated Viral Vector Capable of Penetrating the Mucus Barrier to Inhaled Gene Therapy
Molecular Therapy: Methods & Clinical Development
title An Adeno-Associated Viral Vector Capable of Penetrating the Mucus Barrier to Inhaled Gene Therapy
title_full An Adeno-Associated Viral Vector Capable of Penetrating the Mucus Barrier to Inhaled Gene Therapy
title_fullStr An Adeno-Associated Viral Vector Capable of Penetrating the Mucus Barrier to Inhaled Gene Therapy
title_full_unstemmed An Adeno-Associated Viral Vector Capable of Penetrating the Mucus Barrier to Inhaled Gene Therapy
title_short An Adeno-Associated Viral Vector Capable of Penetrating the Mucus Barrier to Inhaled Gene Therapy
title_sort adeno associated viral vector capable of penetrating the mucus barrier to inhaled gene therapy
url http://www.sciencedirect.com/science/article/pii/S2329050118300354
work_keys_str_mv AT greggaduncan anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT namhokim anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT yaneryscoloncortes anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT jasonrodriguez anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT marinamazur anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT susanebirket anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT stevenmrowe anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT natalieewest anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT alessandralivraghibutrico anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT richardcboucher anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT justinhanes anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT georgeaslanidi anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT jungsoosuk anadenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT greggaduncan adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT namhokim adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT yaneryscoloncortes adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT jasonrodriguez adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT marinamazur adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT susanebirket adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT stevenmrowe adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT natalieewest adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT alessandralivraghibutrico adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT richardcboucher adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT justinhanes adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT georgeaslanidi adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy
AT jungsoosuk adenoassociatedviralvectorcapableofpenetratingthemucusbarriertoinhaledgenetherapy