[HTML][HTML] Percutaneous transendocardial delivery of self-complementary adeno-associated virus 6 achieves global cardiac gene transfer in canines

LT Bish, MM Sleeper, B Brainard, S Cole, N Russell… - Molecular therapy, 2008 - cell.com
LT Bish, MM Sleeper, B Brainard, S Cole, N Russell, E Withnall, J Arndt, C Reynolds…
Molecular therapy, 2008cell.com
Achieving efficient cardiac gene transfer in a large animal model has proven to be
technically challenging. Previous strategies have used cardiopulmonary bypass or dual
catheterization with the aid of vasodilators to deliver vectors, such as adenovirus, adeno-
associated virus (AAV), or plasmid DNA. Although single-stranded AAV (ssAAV) vectors
have shown the greatest promise, they suffer from delayed expression, which might be
circumvented using self-complementary vectors. We sought to optimize cardiac gene …
Achieving efficient cardiac gene transfer in a large animal model has proven to be technically challenging. Previous strategies have used cardiopulmonary bypass or dual catheterization with the aid of vasodilators to deliver vectors, such as adenovirus, adeno-associated virus (AAV), or plasmid DNA. Although single-stranded AAV (ssAAV) vectors have shown the greatest promise, they suffer from delayed expression, which might be circumvented using self-complementary vectors. We sought to optimize cardiac gene transfer using a percutaneous transendocardial injection catheter to deliver adeno-associated viral vectors to the canine myocardium. Four vectors were evaluated—ssAAV9, self-complementary AAV9 (scAAV9), scAAV8, scAAV6—so that comparison could be made between single-stranded and self-complementary vectors as well as among serotypes 9, 8, and 6. We demonstrate that scAAV is superior to ssAAV and that AAV 6 is superior to the other serotypes evaluated. Biodistribution studies revealed that vector genome copies were 15–4,000 times more abundant in the heart than in any other organ for scAAV6. Percutaneous transendocardial injection of scAAV6 is a safe, effective method to achieve efficient cardiac gene transfer.
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