1. Methodological Validation and Inter-Laboratory Comparison of Microneutralization Assay for Detecting Anti-AAV9 Neutralizing Antibody in Human.
- Author
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Yu, Shuangqing, Zhao, Qian, Zhang, Cengceng, Fu, Diyi, Zhu, Xueyang, Zhou, Jianfang, Ma, Wenhao, Dong, Zheyue, Zhai, Xiaoliang, Jiang, Lijie, Han, Xiaohong, Zhang, Shuyang, Wu, Xiaobing, and Dong, Xiaoyan
- Subjects
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ADENO-associated virus , *GENE therapy , *QUALITY control , *SENSITIVITY & specificity (Statistics) , *CLINICAL medicine - Abstract
Anti-AAV neutralizing Abs (NAbs) titer is usually measured by cell-based microneutralization (MN) assay and is crucial for patient screening in AAV-based gene therapy clinical trials. However, achieving uniform operation and comparable results among different laboratories remains challenging. Here, we established a standardized MN assay for anti-AAV9 NAbs in human sera or plasma and transferred the method to the other two research teams. Then, we validated its parameters and tested a set of eight human samples in blind across all laboratories. The end-point titer, defined by a transduction inhibition of 50% (IC50), was calculated using curve-fit modelling. A mouse neutralizing monoclonal antibody in human negative serum was used for system quality control (QC), requiring inter-assay titer variation of <4-fold difference or geometric coefficient of variation (%GCV) of <50%. The assay demonstrated a sensitivity of 54 ng/mL and no cross-reactivity to 20 μg/mL anti-AAV8 MoAb. The intra-assay and inter-assay variation for the low positive QC were 7–35% and 22–41%, respectively. The titers of the blind samples showed excellent reproducibility within and among laboratories, with a %GCV of 18–59% and 23–46%, respectively. This study provides a commonly transferrable MN assay for evaluating anti-AAV9 NAbs in humans, supporting its application in clinical trials. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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