Adeno-associated virus vector gene delivery elevates Factor I levels and down-regulates the complement alternative pathway in vivo.
File(s)Ahmad_et_al_2021.pdf (1.58 MB)
Accepted version
Author(s)
Type
Journal Article
Abstract
The complement system is a key component of innate immunity but impaired regulation influences disease susceptibility, including age-related macular degeneration (AMD) and some kidney diseases. Whilst complete complement inhibition has been used successfully to treat acute kidney disease, key unresolved challenges include strategies to modulate rather than completely inhibit the system and to deliver therapy potentially over decades. Elevating concentrations of complement regulator factor I (CFI) restricts complement activation in vitro and this approach was extended in the current study to modulate complement activation in vivo. Sustained increases in CFI levels were achieved using an adeno-associated virus (AAV) vector to target the liver, inducing a 4- to 5-fold increase in circulating CFI levels. This led to decreased activity of the alternative pathway as demonstrated by a reduction in the rate of iC3b deposition and more rapid formation of C3 degradation products. In addition, vector application in a mouse model of systemic lupus erythematosus (NZBWF1), where tissue injury is in part complement dependent, resulted in reduced complement C3 and IgG renal deposition. Collectively, these data demonstrate that sustained elevation of CFI reduces complement activation in vivo providing proof-of-principle support for the therapeutic application of AAV gene delivery to modulate complement activation.
Date Issued
2021-07-09
Date Acceptance
2021-07-09
Citation
Human Gene Therapy, 2021, 32 (21-22), pp.1370-1381
ISSN
1043-0342
Publisher
Mary Ann Liebert
Start Page
1370
End Page
1381
Journal / Book Title
Human Gene Therapy
Volume
32
Issue
21-22
Copyright Statement
© Mary Ann Liebert, Inc.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/34238030
Subjects
Science & Technology
Life Sciences & Biomedicine
Biotechnology & Applied Microbiology
Genetics & Heredity
Medicine, Research & Experimental
Research & Experimental Medicine
adeno-associated virus
complement
factor I
alternative pathway
immune modulation
FACTOR-B
COMPONENT
THERAPY
CELLS
SERUM
C3
GLOMERULONEPHRITIS
TRANSDUCTION
INFLAMMATION
EXPRESSION
adeno-associated virus
alternative pathway
complement
factor I
immune modulation
1004 Medical Biotechnology
1103 Clinical Sciences
Biotechnology
Publication Status
Published online
Coverage Spatial
United States
Date Publish Online
2021-11-15