Ocular Inflammation and Treatment Emergent Adverse Events in Retinal Gene Therapy
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International Ophthalmology Clinics: Summer 2021 - Volume 61 - Issue 3 - p 151-177 doi: 10.1097/IIO.0000000000000366
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Rituximab could be administered around the time of first-eye treatment to prevent the resulting increase in neutralising antibody titres by temporarily depleting B cell populations.
“For example, rituximab, an anti-CD20 monoclonal anti body, could be administered around the time of first eye treatment to prevent the resulting increase in NAb titres by temporarily depleting B cell populations (Mehta et al., 2021).”
From Gene Therapy-Associated Uveitis (GTAU): Understanding and mitigating the adverse immune response in retinal gene therapy (2025) · cites this paper as Mehta et al., 2021
The Mitigation of Humoral Immune Responses section says that targeting B cells can limit humoral responses and that anti-CD20 treatment was partially effective in reducing AAV neutralising antibodies in some rheumatoid arthritis patients. The Route of Administration & Biodistribution section reports increased antibody titres after first-eye treatment in dogs and nonhuman primates. The paper does not name rituximab or propose giving it around first-eye treatment to prevent that increase; page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredDose-dependent immune responses were true in both subretinal and intravitreal deliveries, although the same viral dose induced lower immune responses when delivered via the subretinal route.
“This was true in both subretinal and intravitreal deliveries, although the same viral dose induced lower immune responses when delivered via the subretinal route.91,105–107”
From Ocular Gene Therapy: A Literature Review with Special Focus on Immune and Inflammatory Responses (2022) · cites this paper as [107]
Pre-clinical and clinical studies have indicated that gene therapy with AAV can induce dose-dependent innate and adaptive immune responses.
“Pre-clinical and clinical studies have indicated that gene therapy with AAV can induce dose-dependent innate and adaptive immune responses.”
From Ocular Gene Therapy: A Literature Review with Special Focus on Immune and Inflammatory Responses (2022) · cites this paper as [107]
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“For example, rituximab, an anti-CD20 monoclonal antibody, could be administered around the time of first eye treatment to prevent the resulting increase in NAb titres by temporarily depleting B cell populations (Mehta et al., 2021).”
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- Authors
- Mehta, N., Robbins, D. A., & Yiu, G.
- Affiliations
- University of California, Davis (US)
- Venue
- International Ophthalmology Clinics
- Published
- 2021-07
- Volume
- 61
- Issue
- 3
- Pages
- 151-177
- ISSN
- 0020-8167 (ISSN-L)
- PMC
- PMC8259781
- OpenAlex
- W3173347514
- Semantic Scholar
- 59bf80ae09ab3b91ab5ae9893b905e92fb8f9e83
- Cited by
- 33
- References
- 123
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 8 · 2023: 4 · 2022: 8
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Ophthalmology Clinics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Eye Institute (R21EY031108, K08EY026101, R01EY032238)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Health Sciences › Medicine › Ophthalmology › Ocular Infections and Treatments
- Keywords
- retinal gene therapy, ocular inflammation, treatment-emergent adverse events, gene therapy safety, retinal disease
- MeSH terms
- Humans, Inflammation, Retina, Vision Disorders, Genetic Therapy
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