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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.
Previous Article | Next Article 
Submitted December 27, 2005
Accepted February 21, 2006
Multi-year therapeutic benefit of AAV serotypes 2, 6 and 8 delivering factor VIII to hemophilia A mice and dogs
Haiyan Jiang*, David Lillicrap, Susanna Patarroyo-White, Tongyao Liu, Xiaobing Qian, Ciaran D Scallan, Sandra Powell, Tracey Keller, Morag McMurray, Andrea Labelle, Dea Nagy, Joseph A Vargas, Shanghzhen Zhou, Linda B Couto, and Glenn F Pierce
Avigen Inc, Alameda, CA, USA
Department of Pathology and Molecular Medicine, Queen's University, Kingston, ON, Canada
* Corresponding author; email: haiyanjiang{at}comcast.net.
Hemophilia A, a deficiency of functional coagulation factor VIII (FVIII), is treated via protein replacement therapy. Restoring 1-5% 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 2/5/6/8 in both hemophilia A mice and dogs. AAV6- 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 to AAV2 and AAV5. However, supra-physiological cFVIII levels correlated with the formation of cFVIII neutralizing antibodies in these mice. Importantly, hemophilia A dogs that received AAV2-, AAV6- and AAV8-cFVIII have persistently expressed therapeutic levels of FVIII, without antibody formation or other toxicities, for > 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 multi-year therapeutic efficacy and safety of multiple AAV-cFVIII vectors in hemophilia A dogs and provides the basis for human clinical studies.

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