PET imaging of AAV9 and AAVBR1 trafficking in normal mice

Adeno-associated virus (AAV) mediated gene therapy is advancing and needs a noninvasive imaging tool to evaluate its effective targeting, biodistribution and clearance for precise use in humans. In this study, two serotypes of AAVs, AAV9-CMV-fLuc, and a brain targeting variant, AAVBR1-CMV-fLuc, are directly radiolabeled with the positron emission tomography (PET) radioisotope, 89 Zr. A radiolabeling synthon, [ 89 Zr]Zr-DFO-Bn-NCS or [ 89 Zr]Zr-DBN, was employed for the direct radiolabeling of AAVs, which enables tracking of AAVs by PET imaging for up to 18 days post-injection. The 89 Zr radiolabeled AAVs were administered to BALB/c mice via tail vein and assessed for their biodistribution at various time points up to day 18 post-injection. Imaging of AAVs was followed by ex-vivo biodistribution at day 18, or luciferase imaging at 3rd week or > 30 days post-injection. The two serotypes showed differences in their biodistribution and trafficking in mice as early as 10 min post-injection. The brain targeting serotype, [ 89 Zr]Zr-AAVBR1-CMV-fLuc, showed significantly higher uptake in the brain as compared to [ 89 Zr]Zr-AAV9-CMV-fLuc. The luciferase expression-based infection profile correlated with both PET imaging and ex-vivo biodistribution data. The developed methodology provides a noninvasive approach to image the pharmacokinetics of AAVs in a longitudinal manner and renders a selection of specific AAV serotypes for tissue/organ specific targeting.