Key result
Novel AAV capsid RhAAV4282 reveals a hypervariable epitope partially determining its neutralization phenotype.
Why the study?
Preexisting and post-administration neutralizing antibodies limit the clinical utility of AAV gene therapy vectors, making the development of novel AAVs necessary to understand AAV immunity.
Identification of the HRNE in rhesus AAVs suggests that modifying this region can alter neutralization profiles, potentially improving AAV-based gene therapy delivery.
May guide AAV capsid engineering to evade neutralization; leaves open translation to human gene therapy.
Adeno-associated viruses (AAVs) are popular gene therapy delivery vectors, but their application can be limited by anti-vector immunity. Both preexisting neutralizing antibodies (NAbs) and post-administration NAbs can limit transgene expression and reduce the clinical utility of AAVs. The development of novel AAVs will advance our understanding of AAV immunity and may also have practical applications. In this study, we identified five novel AAV capsids from rhesus macaques. RhAAV4282 exhibited 91.4% capsid sequence similarity with AAV7 and showed similar tissue tropism with slightly diminished overall signal. Despite this sequence homology, RhAAV4282 and AAV7 showed limited cross-neutralization. We determined a cryo-EM structure of the RhAAV4282 capsid at 2.57 Å resolution and identified a small segment within the hypervariable region IV, involving seven amino acids that formed a shortened external loop in RhAAV4282 compared with AAV7. We generated RhAAV4282 and AAV7 mutants that involved swaps of this region and showed that this region partially determined neutralization phenotype. We termed this region the hypervariable region IV neutralizing epitope (HRNE). Our data suggests that modification of the HRNE can lead to AAVs with altered neutralization profiles.
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Dagotto et al. (2024) studied AAV immunity. RhAAV4282 and AAV7 mutants vs. AAV7 was evaluated on Neutralization phenotype and capsid structure. Identification of a novel AAV capsid (RhAAV4282) from rhesus macaques revealed a hypervariable region IV neutralizing epitope (HRNE) that partially determines the neutralization phenotype.
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