Key result
Comparative structural analysis suggests that adeno-associated virus neutralizing antibodies may primarily interfere with protein receptor binding rather than glycan attachment.
Why the study?
The identification of an adeno-associated virus protein receptor and recent structural characterization compelled reconsideration of the tenet that neutralizing antibodies predominantly inhibit glycan binding or interfere with post-entry steps.
This review proposes that AAV neutralizing antibodies may primarily act by interfering with protein receptor binding rather than glycan attachment, which has implications for designing gene therapy vectors that evade immune neutralization.
Answers are grounded in this paper and cite their sources.
May shift AAV capsid engineering toward protein receptor epitopes; hypothesis-generating pending in vivo and clinical validation.
gene therapy. A number of monoclonal antibodies against several serotypes of AAV have previously been prepared. Many are neutralizing, and the predominant mechanisms have been reported as the inhibition of binding to extracellular glycan receptors or interference with some post-entry step. The identification of a protein receptor and recent structural characterization of its interactions with AAV compel reconsideration of this tenet. AAVs can be divided into two families based on which domain of the receptor is strongly bound. Neighboring domains, unseen in the high-resolution electron microscopy structures have now been located by electron tomography, pointing away from the virus. The epitopes of neutralizing antibodies, previously characterized, are now compared to the distinct protein receptor footprints of the two families of AAV. Comparative structural analysis suggests that antibody interference with protein receptor binding might be the more prevalent mechanism than interference with glycan attachment. Limited competitive binding assays give some support to the hypothesis that inhibition of binding to the protein receptor has been an overlooked mechanism of neutralization. More extensive testing is warranted.
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Large et al. (2023) conducted a review in Adeno-associated virus (AAV) immune neutralization. Comparative structural analysis suggests that adeno-associated virus neutralizing antibodies may primarily interfere with protein receptor binding rather than glycan attachment.
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