Cross-species evolution of a highly potent AAV variant for therapeutic gene transfer and genome editing
Open accessAbstract
Recombinant adeno-associated viral (AAV) vectors are a promising gene delivery platform, but ongoing clinical trials continue to highlight a relatively narrow therapeutic window. Effective clinical translation is confounded, at least in part, by differences in AAV biology across animal species. Here, we tackle this challenge by sequentially evolving AAV capsid libraries in mice, pigs and macaques. We discover a highly potent, cross-species compatible variant (AAV.cc47) that shows improved attributes benchmarked against AAV serotype 9 as evidenced by robust reporter and therapeutic gene expression, Cre recombination and CRISPR genome editing in normal and diseased mouse models. Enhanced transduction efficiency of AAV.cc47 vectors is further corroborated in macaques and pigs, providing a strong rationale for potential clinical translation into human gene therapies. We envision that ccAAV vectors may not only improve predictive modeling in preclinical studies, but also clinical translatability by broadening the therapeutic window of AAV based gene therapies.
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Bioengineering of novel AAV variants for BBB-crossing and CNS targeting has achieved some successes, yielding AAV.CPP.16, AAV.CAP-B10, and AAV.cc47 with variable enhancements over AAV9 from mice to NHPs.
“The bioengineering of novel AAV variants in terms of BBB-crossing and CNS targeting has achieved some successes in recent years, yielding AAV.CPP.16 [57], AAV.CAP-B10 [68] and AAV.cc47 [111] with variable enhancements over AAV9 from mice to NHPs.”
From Designing and optimizing AAV-mediated gene therapy for neurodegenerative diseases: from bench to bedside (2024) · cites this paper as [111]
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References 44 · Cited by 85
Research works printed but not linked: 35
- [1]Kuzmin DA The clinical landscape for AAV gene therapies Nat. Rev. Drug Disco. 2021 20 173 174 10.1038/d41573-021-00017-7 33495615 · DOI · Paper page
- [4]Mullard A Gene therapy community grapples with toxicity issues, as pipeline matures Nat. Rev. Drug Disco. 2021 20 804 805 10.1038/d41573-021-00164-x 34599291 · DOI · Paper page
- [6]High-dose AAV gene therapy deaths. Nat Biotechnol38, 910 (2020). 32760031
- [7]Hinderer C Severe toxicity in nonhuman primates and piglets following high-dose intravenous administration of an adeno-associated virus vector expressing human SMN Hum. Gene Ther. 2018 29 285 298 10.1089/hum.2018.015 29378426 PMC5865262 · DOI · Paper page
- [8]Hordeaux J Adeno-associated virus-induced dorsal root ganglion pathology Hum. Gene Ther. 2020 31 808 818 10.1089/hum.2020.167 32845779 · DOI · Paper page
- [9]Potter RA Dose-escalation study of systemically delivered rAAVrh74.MHCK7.micro-dystrophin in the mdx Mouse Model of Duchenne Muscular Dystrophy Hum. Gene Ther. 2021 32 375 389 10.1089/hum.2019.255 33397205 PMC8063270 · DOI
- [10]Le Guiner C Long-term microdystrophin gene therapy is effective in a canine model of Duchenne muscular dystrophy Nat. Commun. 2017 8 16105 10.1038/ncomms16105 28742067 PMC5537486 · DOI · Paper page
- [13]Zolotukhin S Vandenberghe LH AAV capsid design: a Goldilocks challenge Trends Mol. Med 2022 28 183 193 10.1016/j.molmed.2022.01.003 35093287 · DOI · Paper page
- [14]Asokan A Reengineering a receptor footprint of adeno-associated virus enables selective and systemic gene transfer to muscle Nat. Biotechnol. 2010 28 79 82 10.1038/nbt.1599 20037580 PMC2912150 · DOI
- [15]Shen S Engraftment of a galactose receptor footprint onto adeno-associated viral capsids improves transduction efficiency J. Biol. Chem. 2013 288 28814 28823 10.1074/jbc.M113.482380 23940044 PMC3789977 · DOI
- [16]Choudhury SR In vivo selection yields AAV-B1 capsid for central nervous system and muscle gene therapy Mol. Ther. 2016 24 1247 1257 10.1038/mt.2016.84 27117222 PMC5088762 · DOI
- [18]Deverman BE Cre-dependent selection yields AAV variants for widespread gene transfer to the adult brain Nat. Biotechnol. 2016 34 204 209 10.1038/nbt.3440 26829320 PMC5088052 · DOI · Paper page
- [19]Goertsen D AAV capsid variants with brain-wide transgene expression and decreased liver targeting after intravenous delivery in mouse and marmoset Nat. Neurosci. 2022 25 106 115 10.1038/s41593-021-00969-4 34887588 · DOI · Paper page
- [20]Weinmann J Identification of a myotropic AAV by massively parallel in vivo evaluation of barcoded capsid variants Nat. Commun. 2020 11 5432 10.1038/s41467-020-19230-w 33116134 PMC7595228 · DOI · Paper page
- [21]Tabebordbar M Directed evolution of a family of AAV capsid variants enabling potent muscle-directed gene delivery across species Cell 2021 184 4919 4938.e4922 10.1016/j.cell.2021.08.028 34506722 PMC9344975 · DOI
- [25]Adachi K Enoki T Kawano Y Veraz M Nakai H Drawing a high-resolution functional map of adeno-associated virus capsid by massively parallel sequencing Nat. Commun. 2014 5 3075 10.1038/ncomms4075 24435020 PMC3941020 · DOI
- [26]Emmanuel SN Structurally mapping antigenic epitopes of adeno-associated virus 9: development of antibody escape variants J. Virol. 2022 96 e0125121 10.1128/JVI.01251-21 34757842 PMC8827038 · DOI
- [27]Tse LV Structure-guided evolution of antigenically distinct adeno-associated virus variants for immune evasion Proc. Natl Acad. Sci. USA 2017 114 E4812 E4821 10.1073/pnas.1704766114 28559317 PMC5474820 · DOI · Paper page
- [28]Havlik, L. P. et al. Coevolution of adeno-associated virus capsid antigenicity and tropism through a structure-guided approach. J Virol94, e00976-20 (2020). PMC7495376 32669336
- [29]Nelson CE Long-term evaluation of AAV-CRISPR genome editing for Duchenne muscular dystrophy Nat. Med 2019 25 427 432 10.1038/s41591-019-0344-3 30778238 PMC6455975 · DOI
- [30]Wang D Tai PWL Gao G Adeno-associated virus vector as a platform for gene therapy delivery Nat. Rev. Drug Disco. 2019 18 358 378 10.1038/s41573-019-0012-9 PMC6927556 30710128 · DOI · Paper page
- [31]Gough V Gersbach CA Immunity to Cas9 as an Obstacle to Persistent Genome Editing Mol. Ther. 2020 28 1389 1391 10.1016/j.ymthe.2020.05.007 32428441 PMC7264432 · DOI
- [32]Wang D Zhang F Gao G CRISPR-based therapeutic genome editing: strategies and in vivo delivery by AAV vectors Cell 2020 181 136 150 10.1016/j.cell.2020.03.023 32243786 PMC7236621 · DOI
- [33]Hakim, C. H. et al. AAV CRISPR editing rescues cardiac and muscle function for 18 months in dystrophic mice. JCI Insight3, e124297 (2018). PMC6328021 30518686
- [34]Min YL CRISPR-Cas9 corrects Duchenne muscular dystrophy exon 44 deletion mutations in mice and human cells Sci. Adv. 2019 5 eaav4324 10.1126/sciadv.aav4324 30854433 PMC6402849 · DOI
- [35]Brooks AR Transcriptional silencing is associated with extensive methylation of the CMV promoter following adenoviral gene delivery to muscle J. Gene Med 2004 6 395 404 10.1002/jgm.516 15079814 · DOI
- [36]Elmore ZC Rescuing AAV gene transfer from neutralizing antibodies with an IgG-degrading enzyme JCI Insight 2020 5 19 e139881 10.1172/jci.insight.139881 PMC7566709 32941184 · DOI · Paper page
- [37]Elmore ZC The membrane associated accessory protein is an adeno-associated viral egress factor Nat. Commun. 2021 12 6239 10.1038/s41467-021-26485-4 34716331 PMC8556243 · DOI
- [38]Madisen L A robust and high-throughput Cre reporting and characterization system for the whole mouse brain Nat. Neurosci. 2010 13 133 140 10.1038/nn.2467 20023653 PMC2840225 · DOI · Paper page
- [39]Sambasivan R Distinct regulatory cascades govern extraocular and pharyngeal arch muscle progenitor cell fates Dev. Cell 2009 16 810 821 10.1016/j.devcel.2009.05.008 19531352 · DOI
- [40]Raben N Targeted disruption of the acid alpha-glucosidase gene in mice causes an illness with critical features of both infantile and adult human glycogen storage disease type II J. Biol. Chem. 1998 273 19086 19092 10.1074/jbc.273.30.19086 9668092 · DOI
- [41]Tabebordbar M In vivo gene editing in dystrophic mouse muscle and muscle stem cells Science 2016 351 407 411 10.1126/science.aad5177 26721686 PMC4924477 · DOI · Paper page
- [42]McCall AL Reduction of autophagic accumulation in pompe disease mouse model following gene therapy Curr. Gene Ther. 2019 19 197 207 10.2174/1566523219666190621113807 31223086 · DOI
- [43]McCall AL Glycogen accumulation in smooth muscle of a Pompe disease mouse model J. Smooth Muscle Res 2021 57 8 18 10.1540/jsmr.57.8 33883348 PMC8053439 · DOI
- [44]Havlik LP Receptor switching in newly evolved adeno-associated Viruses J. Virol. 2021 95 e0058721 10.1128/JVI.00587-21 34232726 PMC8428401 · DOI
- Authors
- Gonzalez, T. J., Simon, K. E., Blondel, L. O., Fanous, M. M., Roger, A. L., Maysonet, M. S., Devlin, G. W., Smith, T. J., Oh, D. K., Havlik, L. P., Castellanos Rivera, R. M., Piedrahita, J. A., ElMallah, M. K., Gersbach, C. A., & Asokan, A.
- Affiliations
- Duke University (US)
- North Carolina State University (US)
- Corresponding author
- Asokan, Aravind
- ORCID
- Venue
- Nature Communications
- Published
- 2022-10-10
- Volume
- 13
- Issue
- 1
- Pages
- 5947-5947
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC9548504
- OpenAlex
- W4303982751
- Cited by
- 85
- References
- 44
- Citations by year
- 2026: 20 · 2025: 31 · 2024: 17 · 2023: 17
- FWCI
- 9.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Department of Health & Human Services | National Institutes of Health (UH3AR075336)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › CRISPR and Genetic Engineering
- Keywords
- adeno-associated virus, therapeutic gene transfer, CRISPR gene editing, Cre recombination, transduction efficiency, clinical translation, gene therapy vectors, pigs, macaque, mice
- MeSH terms
- Gene Editing, Dependovirus, Animals, Genetic Vectors, Humans, Macaca, Swine, Transduction, Genetic, Genetic Therapy, Mice
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