Tropism of AAV Vectors in Photoreceptor-Like Cells of Human iPSC-Derived Retinal Organoids
Open accessAbstract
Purpose: To expand the use of human retinal organoids from induced pluripotent stem cells (iPSCs) as an in vitro model of the retina for assessing gene therapy treatments, it is essential to establish efficient transduction. To date, targeted transduction of the photoreceptor-like cells of retinal organoids with adeno-associated virus (AAV) vectors has had varied degrees of success, which we have looked to improve in this study. Methods: Retinal organoids were differentiated from iPSCs of healthy donors and transduced with reporter AAV containing a CAG.GFP, CAG.RFP, GRK1.GFP, or EFS.GFP transgene. Capsid variants assessed were AAV5, AAV2 7m8, AAV2 quad mutant, AAV2 Y444F, and AAV8 Y733F. At 27 days post-transduction, retinal organoids were assessed for reporter expression and viability. Results: The short intron-less elongation factor 1 alpha (EFS) promoter provided minimal reporter expression, whereas vectors containing the CAG promoter enabled transduction in 1% to 37% of cells depending on the AAV serotype; the AAV2 quad mutant (average 19.4%) and AAV2 7m8 (16.4%) outperformed AAV5 (12%) and AAV8 Y733F (2.1%). Reporter expression from rhodopsin kinase (GRK1) promoter transgenes occurred in ∼5% of cells regardless of the serotype. Positive co-localization with recoverin-expressing cells was achieved from all GRK1 vectors and the CAG AAV2 quad mutant variant. Treatment with the AAV vectors did not influence retinal organoid viability. Conclusions: Reliable transduction of the photoreceptor-like cells of retinal organoids can be readily achieved. When using a CAG-driven transgene, transduction of a broad range of cell types is observed, and GRK1 transgenes provide a more restricted expression profile locating to the outer layer of photoreceptor-like cells of retinal organoids. Translational Relevance: This study expands the AAV capsid and transgene options for preclinical testing of gene therapy in iPSC-derived human retinal organoids.
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AAV2.7m8 is a useful delivery vector for cells across retinal cell types.
“Overall, our results indicated AAV2.7m8 to be a useful delivery vector for cells across retinal cell types, confirming several previous studies (29–32).”
From Characterization of RNA editing and gene therapy with a compact CRISPR-Cas13 in the retina (2024) · cites this paper as [31]
The Results (Extent of Vector Transduction in Retinal Organoids; page not provided) describe broad AAV2.7m8 transduction in human retinal organoids. The Discussion calls its transduction robust with the CAG promoter, but reports minimal expression with EFS. Thus the source supports its usefulness in retinal organoids under tested conditions, not an unqualified claim of delivery across retinal cell types. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAAV2.7m8 is effective as a vector for retinal transduction and supports its clinical utility.
“confirming its effectiveness as a vector for retinal transduction and supporting its clinical utility (28, 31).”
From Characterization of RNA editing and gene therapy with a compact CRISPR-Cas13 in the retina (2024) · cites this paper as [31]
The Discussion reports robust AAV2 7m8 transduction in retinal organoids with the CAG promoter, and notes that the vector is being tested for safety and efficacy in humans. These preclinical results support its potential clinical use, but the paper does not establish clinical utility or effectiveness in patients; it also reports minimal expression with the EFS promoter. The indexed passages provide no page numbers. (LLM, conf=0.84)
Experimental — accuracy not yet measuredDue to their tissue-specific tropisms, some of the most common AAV serotypes in use for retinal gene therapy include AAV2, AAV4, AAV5, and AAV8.
“Due to their tissue-specific tropisms, some of the most common AAV serotypes in use for retinal gene therapy include AAV2, AAV4, AAV5, and AAV8, as mentioned previously.26,110”
From Gene Therapy for Retinal Degenerative Diseases: Progress, Challenges, and Future Directions (2023) · cites this paper as [110]
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Cited by
Sorted by citations
Gene Therapy for Retinal Degenerative Diseases: Progress, Challenges, and Future Directions
Drag, S., Dotiwala, F., & Upadhyay, A. K. (2023) · Investigative Opthalmology & Visual Science · doi:10.1167/iovs.64.7.39 · Cited by 145 · see citing works
Characterization of RNA editing and gene therapy with a compact CRISPR-Cas13 in the retina
Kumar, S., Hsiao, Y.-W., Wong, V. H. Y., Aubin, D., Wang, J.-H., Lisowski, L., Rakoczy, E. P., Li, F., Alarcon-Martinez, L., Gonzalez-Cordero, A., et al. (2024) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2408345121 · Cited by 19 · see citing works
- Authors
- McClements, M. E., Steward, H., Atkin, W., Goode, E. A., Gándara, C., Chichagova, V., & MacLaren, R. E.
- Affiliations
- University of Oxford (GB)
- Newcells Biotech Limited, Newcastle upon Tyne, UK
- Corresponding author
- MacLaren, Robert E.
- Venue
- Translational Vision Science & Technology
- Published
- 2022-04-04
- Volume
- 11
- Issue
- 4
- Pages
- 3
- ISSN
- 2164-2591 (ISSN-L)
- PMC
- PMC8994202
- OpenAlex
- W4223627425
- Cited by
- 36
- References
- 8
- Citations by year
- 2026: 10 · 2025: 7 · 2024: 9 · 2023: 9 · 2022: 1
- FWCI
- 3.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Translational Vision Science & Technology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research (NIHR201338)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- adeno-associated virus vectors, retinal organoids, induced pluripotent stem cells, gene therapy, transduction efficiency, AAV5, CAG promoter, recoverin
- MeSH terms
- Dependovirus, Genetic Vectors, Humans, Organoids, Retina, Transduction, Genetic, Tropism, Induced Pluripotent Stem Cells
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