Attenuation of Heparan Sulfate Proteoglycan Binding Enhances In Vivo Transduction of Human Primary Hepatocytes with AAV2

Use of the prototypical adeno-associated virus type 2 (AAV2) capsid delivered unexpectedly modest efficacy in an early liver-targeted gene therapy trial for hemophilia B. This result is consistent with subsequent data generated in chimeric mouse-human livers showing that the AAV2 capsid transduces p...

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Main Authors: Marti Cabanes-Creus, Adrian Westhaus, Renina Gale Navarro, Grober Baltazar, Erhua Zhu, Anais K. Amaya, Sophia H.Y. Liao, Suzanne Scott, Erwan Sallard, Kimberley L. Dilworth, Arkadiusz Rybicki, Matthieu Drouyer, Claus V. Hallwirth, Antonette Bennett, Giorgia Santilli, Adrian J. Thrasher, Mavis Agbandje-McKenna, Ian E. Alexander, Leszek Lisowski
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Molecular Therapy: Methods & Clinical Development
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050120300917
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language English
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author Marti Cabanes-Creus
Adrian Westhaus
Renina Gale Navarro
Grober Baltazar
Erhua Zhu
Anais K. Amaya
Sophia H.Y. Liao
Suzanne Scott
Erwan Sallard
Kimberley L. Dilworth
Arkadiusz Rybicki
Matthieu Drouyer
Claus V. Hallwirth
Antonette Bennett
Giorgia Santilli
Adrian J. Thrasher
Mavis Agbandje-McKenna
Ian E. Alexander
Leszek Lisowski
spellingShingle Marti Cabanes-Creus
Adrian Westhaus
Renina Gale Navarro
Grober Baltazar
Erhua Zhu
Anais K. Amaya
Sophia H.Y. Liao
Suzanne Scott
Erwan Sallard
Kimberley L. Dilworth
Arkadiusz Rybicki
Matthieu Drouyer
Claus V. Hallwirth
Antonette Bennett
Giorgia Santilli
Adrian J. Thrasher
Mavis Agbandje-McKenna
Ian E. Alexander
Leszek Lisowski
Attenuation of Heparan Sulfate Proteoglycan Binding Enhances In Vivo Transduction of Human Primary Hepatocytes with AAV2
Molecular Therapy: Methods & Clinical Development
author_facet Marti Cabanes-Creus
Adrian Westhaus
Renina Gale Navarro
Grober Baltazar
Erhua Zhu
Anais K. Amaya
Sophia H.Y. Liao
Suzanne Scott
Erwan Sallard
Kimberley L. Dilworth
Arkadiusz Rybicki
Matthieu Drouyer
Claus V. Hallwirth
Antonette Bennett
Giorgia Santilli
Adrian J. Thrasher
Mavis Agbandje-McKenna
Ian E. Alexander
Leszek Lisowski
author_sort Marti Cabanes-Creus
title Attenuation of Heparan Sulfate Proteoglycan Binding Enhances In Vivo Transduction of Human Primary Hepatocytes with AAV2
title_short Attenuation of Heparan Sulfate Proteoglycan Binding Enhances In Vivo Transduction of Human Primary Hepatocytes with AAV2
title_full Attenuation of Heparan Sulfate Proteoglycan Binding Enhances In Vivo Transduction of Human Primary Hepatocytes with AAV2
title_fullStr Attenuation of Heparan Sulfate Proteoglycan Binding Enhances In Vivo Transduction of Human Primary Hepatocytes with AAV2
title_full_unstemmed Attenuation of Heparan Sulfate Proteoglycan Binding Enhances In Vivo Transduction of Human Primary Hepatocytes with AAV2
title_sort attenuation of heparan sulfate proteoglycan binding enhances in vivo transduction of human primary hepatocytes with aav2
publisher Elsevier
series Molecular Therapy: Methods & Clinical Development
issn 2329-0501
publishDate 2020-06-01
description Use of the prototypical adeno-associated virus type 2 (AAV2) capsid delivered unexpectedly modest efficacy in an early liver-targeted gene therapy trial for hemophilia B. This result is consistent with subsequent data generated in chimeric mouse-human livers showing that the AAV2 capsid transduces primary human hepatocytes in vivo with low efficiency. In contrast, novel variants generated by directed evolution in the same model, such as AAV-NP59, transduce primary human hepatocytes with high efficiency. While these empirical data have immense translational implications, the mechanisms underpinning this enhanced AAV capsid transduction performance in primary human hepatocytes are yet to be fully elucidated. Remarkably, AAV-NP59 differs from the prototypical AAV2 capsid by only 11 aa and can serve as a tool to study the correlation between capsid sequence/structure and vector function. Using two orthogonal vectorological approaches, we have determined that just 2 of the 11 changes present in AAV-NP59 (T503A and N596D) account for the enhanced transduction performance of this capsid variant in primary human hepatocytes in vivo, an effect that we have associated with attenuation of heparan sulfate proteoglycan (HSPG) binding affinity. In support of this hypothesis, we have identified, using directed evolution, two additional single amino acid substitution AAV2 variants, N496D and N582S, which are highly functional in vivo. Both substitution mutations reduce AAV2’s affinity for HSPG. Finally, we have modulated the ability of AAV8, a highly murine-hepatotropic serotype, to interact with HSPG. The results support our hypothesis that enhanced HSPG binding can negatively affect the in vivo function of otherwise strongly hepatotropic variants and that modulation of the interaction with HSPG is critical to ensure maximum efficiency in vivo. The insights gained through this study can have powerful implications for studies into AAV biology and capsid development for preclinical and clinical applications targeting liver and other organs.
url http://www.sciencedirect.com/science/article/pii/S2329050120300917
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spelling doaj-192ac1b2202f420f9e1d2c4d0646e77d2020-11-25T03:22:09ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012020-06-011711391154Attenuation of Heparan Sulfate Proteoglycan Binding Enhances In Vivo Transduction of Human Primary Hepatocytes with AAV2Marti Cabanes-Creus0Adrian Westhaus1Renina Gale Navarro2Grober Baltazar3Erhua Zhu4Anais K. Amaya5Sophia H.Y. Liao6Suzanne Scott7Erwan Sallard8Kimberley L. Dilworth9Arkadiusz Rybicki10Matthieu Drouyer11Claus V. Hallwirth12Antonette Bennett13Giorgia Santilli14Adrian J. Thrasher15Mavis Agbandje-McKenna16Ian E. Alexander17Leszek Lisowski18Translational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, Australia; Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UKTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, Australia; Gene Therapy Research Unit, Children’s Medical Research Institute & The Children’s Hospital at Westmead, University of Sydney, Westmead, NSW 2145, AustraliaGene Therapy Research Unit, Children’s Medical Research Institute & The Children’s Hospital at Westmead, University of Sydney, Westmead, NSW 2145, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, AustraliaGene Therapy Research Unit, Children’s Medical Research Institute & The Children’s Hospital at Westmead, University of Sydney, Westmead, NSW 2145, Australia; Commonwealth Scientific and Industrial Research Organisation (CSIRO), North Ryde, NSW 2113, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, AustraliaGene Therapy Research Unit, Children’s Medical Research Institute & The Children’s Hospital at Westmead, University of Sydney, Westmead, NSW 2145, AustraliaDepartment of Biochemistry and Molecular Biology, Center for Structural Biology, University of Florida, Gainesville, FL 32610, USAGreat Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UKGreat Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UKDepartment of Biochemistry and Molecular Biology, Center for Structural Biology, University of Florida, Gainesville, FL 32610, USAGene Therapy Research Unit, Children’s Medical Research Institute & The Children’s Hospital at Westmead, University of Sydney, Westmead, NSW 2145, Australia; Discipline of Child and Adolescent Health, The University of Sydney, Sydney, NSW 2006, AustraliaTranslational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, Australia; Vector and Genome Engineering Facility, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, Australia; Military Institute of Hygiene and Epidemiology, Biological Threats Identification and Countermeasure Center, 24-100 Puławy, Poland; Corresponding author: Leszek Lisowski, Translational Vectorology Research Unit, Children’s Medical Research Institute, The University of Sydney, Westmead, NSW 2145, Australia.Use of the prototypical adeno-associated virus type 2 (AAV2) capsid delivered unexpectedly modest efficacy in an early liver-targeted gene therapy trial for hemophilia B. This result is consistent with subsequent data generated in chimeric mouse-human livers showing that the AAV2 capsid transduces primary human hepatocytes in vivo with low efficiency. In contrast, novel variants generated by directed evolution in the same model, such as AAV-NP59, transduce primary human hepatocytes with high efficiency. While these empirical data have immense translational implications, the mechanisms underpinning this enhanced AAV capsid transduction performance in primary human hepatocytes are yet to be fully elucidated. Remarkably, AAV-NP59 differs from the prototypical AAV2 capsid by only 11 aa and can serve as a tool to study the correlation between capsid sequence/structure and vector function. Using two orthogonal vectorological approaches, we have determined that just 2 of the 11 changes present in AAV-NP59 (T503A and N596D) account for the enhanced transduction performance of this capsid variant in primary human hepatocytes in vivo, an effect that we have associated with attenuation of heparan sulfate proteoglycan (HSPG) binding affinity. In support of this hypothesis, we have identified, using directed evolution, two additional single amino acid substitution AAV2 variants, N496D and N582S, which are highly functional in vivo. Both substitution mutations reduce AAV2’s affinity for HSPG. Finally, we have modulated the ability of AAV8, a highly murine-hepatotropic serotype, to interact with HSPG. The results support our hypothesis that enhanced HSPG binding can negatively affect the in vivo function of otherwise strongly hepatotropic variants and that modulation of the interaction with HSPG is critical to ensure maximum efficiency in vivo. The insights gained through this study can have powerful implications for studies into AAV biology and capsid development for preclinical and clinical applications targeting liver and other organs.http://www.sciencedirect.com/science/article/pii/S2329050120300917