Why the study?
High AAV vector doses required for efficient in vivo transduction and subsequent immune responses pose roadblocks to gene therapy, prompting investigation into whether macrophage depletion improves transgene expression.
Does macrophage depletion via clodronate pretreatment improve transgene expression from AAV vectors in vivo?
Does macrophage depletion via clodronate pretreatment improve transgene expression from AAV vectors in vivo?
Macrophage depletion with clodronate prior to AAV administration unexpectedly reduces transgene expression in the liver and heart while altering its distribution in lymphoid organs, highlighting the immune system's role in AAV-mediated gene delivery.
Macrophage depletion before AAV may enhance transduction; hypothesis-generating for clinical gene therapy dosing.
Adeno-associated virus is a popular gene delivery vehicle for gene therapy studies. A potential roadblock to widespread clinical adoption is the high vector doses required for efficient transduction in vivo, and the potential for subsequent immune responses that may limit prolonged transgene expression. We hypothesized that the depletion of macrophages via systemic delivery of liposome-encapsulated clodronate would improve transgene expression if given prior to systemic AAV vector administration, as has been shown to be the case with adenoviral vectors. Contrary to our expectations, clodronate liposome pretreatment resulted in significantly reduced transgene expression in the liver and heart, but permitted moderate transduction of the white pulp of the spleen. There was a remarkable localization of transgene expression from the red pulp to the center of the white pulp in clodronate-treated mice compared to untreated mice. Similarly, a greater proportion of transgene expression could be observed in the medulla located in the center of the lymph node in mice treated with clodronate-containing liposomes as compared to untreated mice where transgene expression was localized primarily to the cortex. These results underscore the highly significant role that the immune system plays in influencing the distribution and relative numbers of transduced cells in the context of AAV-mediated gene delivery.
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Yu et al. (2021) studied this question.
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