Key result
An ELISA-based screening method demonstrated high concordance (Pearson r > 0.8, p < 0.0001) with a neutralization assay for detecting antibodies against AAV1, AAV8, and AAV9 in rhesus macaque and human sera.
Why the study?
Preexisting neutralizing antibodies limit AAV gene therapy efficacy, requiring trial prescreening typically done by neutralization assay, prompting evaluation of an ELISA-based method to streamline screening.
Observational (n=70)
An easy-to-use ELISA assay is highly concordant with neutralization assays for detecting preexisting anti-AAV antibodies, streamlining prescreening for AAV gene therapies.
May simplify anti-AAV prescreening for gene therapy; leaves open prospective validation before replacing neutralization assays.
Prescreening of participants in clinical trials that use adeno-associated virus (AAV) vectors is required to identify naive participants, as preexisting neutralizing antibodies can limit the efficacy of AAV gene therapies. The presence of antibodies to individual AAV serotypes is typically detected by neutralization assay. To streamline the screening process, we compared an ELISA-based screening method with a neutralization assay for the detection of antibodies against AAV1, AAV8, and AAV9 in a collection of 50 rhesus macaque sera and 20 human sera. We observed a high level of concordance between the two assays (Pearson r > 0.8) for all three serotypes in both sample sets. We thus investigated pre- vs post-vector inoculation sera samples from rhesus macaques that received AAV1 or AAV8 vector inoculations for cross-reactive anti-AAV antibodies. All 12 macaques seroconverted to the vector they received, but many also reacted to the other serotypes. Our results validate an easy-to-use ELISA for reliable detection of antibodies to individual serotypes of AAV. Our results also demonstrate that an antibody response post-AAV inoculation may partially cross-react with other AAV serotypes. Overall, these results suggest that either assay can be used by academic labs for prescreening samples for preexisting anti-AAV antibodies.
No takes yet. Share an insight, caveat, or question.
Gardner et al. (2022) conducted an observational in Preexisting anti-AAV antibodies (n=70). ELISA-based screening method vs. Neutralization assay was evaluated on Concordance between ELISA and neutralization assays for detection of antibodies against AAV1, AAV8, and AAV9 (Pearson r > 0.8, p=<0.0001). An ELISA-based screening method demonstrated high concordance (Pearson r > 0.8, p < 0.0001) with a neutralization assay for detecting antibodies against AAV1, AAV8, and AAV9 in rhesus macaque and human sera.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: