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Prepublished online as a Blood First Edition Paper on June 5, 2003; DOI 10.1182/blood-2003-02-0495.

Submitted February 14, 2003
Accepted May 19, 2003
Pre-clinical in vivo evaluation of pseudotyped adeno-associated virus (AAV) vectors for liver gene therapy
Dirk Grimm, Shangzhen Zhou, Hiroyuki Nakai, Clare E Thomas, Theresa A Storm, Sally Fuess, Takashi Matsushita, James Allen, Richard Surosky, Michael Lochrie, Leonard Meuse, Alan McClelland, Peter Colosi, and Mark A Kay*
Pediatrics and Genetics, Stanford University, Stanford, CA, USA
NA, Avigen Inc, Alameda, CA, USA
* Corresponding author; email: markay{at}stanford.edu.
We report the generation and use of pseudotyped adeno-associated viral (AAV) vectors for the liver-specific expression of human blood coagulation Factor IX (hFIX). Therefore, an AAV-2 genome encoding the hfIX gene was cross-packaged into capsids of AAV types 1 to 6, using efficient large-scale technology for particle production and purification. In immunocompetent mice, the resulting vector particles expressed high hFIX levels ranging from 36% (AAV-4) to over 2000% of normal (AAV-1, -2 and -6), which would exceed curative levels in hemophilic humans. Expression was dose- and time-dependent, with AAV-6 directing the fastest and strongest onset of hFIX expression at all doses. Interestingly, systemic administration of 2x1012 vector particles of AAV-1, -4 or -6 resulted in hFIX levels similar to those achieved by portal vein delivery. For all other serotypes and particle doses, hepatic vector administration yielded up to 84-fold more hFIX protein than tail vein delivery, corroborated by similarly increased vector DNA copy numbers in the liver, and elicited a reduced immune response against the viral capsids. Finally, neutralization assays showed variable immunologic cross-reactions between most of the AAV serotypes. Our technology and findings should facilitate the development of AAV pseudotype-based gene therapies for hemophilia B and other liver-related diseases.

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