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Blood, 1 July 2006, Vol. 108, No. 1, pp. 107-115.
Prepublished online as a Blood First Edition Paper on March 7, 2006; DOI 10.1182/blood-2005-12-5115.
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GENE THERAPY
Multiyear therapeutic benefit of AAV serotypes 2, 6, and 8 delivering factor VIII to hemophilia A mice and dogs
Haiyan Jiang,
David Lillicrap,
Susannah Patarroyo-White,
Tongyao Liu,
Xiaobing Qian,
Ciaran D. Scallan,
Sandra Powell,
Tracey Keller,
Morag McMurray,
Andrea Labelle,
Dea Nagy,
Joseph A. Vargas,
Shangzhen Zhou,
Linda B. Couto, and
Glenn F. Pierce
From Avigen, Alameda, CA; and the Department of Pathology and Molecular Medicine, Queen's University, Kingston, ON.
Hemophilia A, a deficiency of functional coagulation factor VIII (FVIII), is treated via protein replacement therapy. Restoring 1% to 5% of normal blood FVIII activity prevents spontaneous bleeding, making the disease an attractive gene therapy target. Previously, we have demonstrated short-term activity of a liver-specific AAV2 vector expressing canine B-domain-deleted FVIII (cFVIII) in a hemophilia canine model. Here, we report the long-term efficacy and safety of AAV-cFVIII vectors of serotypes 2, 5, 6, and 8 in both hemophilia A mice and dogs. AAV6-cFVIII and AAV8-cFVIII restored physiologic levels of plasma FVIII activity in hemophilia A mice. The improved efficacy is attributed to more efficient gene transfer in liver compared with AAV2 and AAV5. However, supraphysiologic cFVIII levels correlated with the formation of cFVIII-neutralizing antibodies in these mice. Of importance, hemophilia A dogs that received AAV2-cFVIII, AAV6-cFVIII, and AAV8-cFVIII have persistently expressed therapeutic levels of FVIII, without antibody formation or other toxicities, for more than 3 years. However, liver transduction efficiencies are similar between AAV2, AAV6, and AAV8 serotypes in hemophilia A dogs, in contrast to mice. In summary, this is the first report demonstrating multiyear therapeutic efficacy and safety of multiple AAV-cFVIII vectors in hemophilia A dogs and provides the basis for human clinical studies. (Blood. 2006;108:107-115)

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