1. AAV2/8 Anti-angiogenic Gene Therapy Using Single-Chain Antibodies Inhibits Murine Choroidal Neovascularization
- Author
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Maureen Gatherer, Andrew J. Lotery, Jennifer Scott, Robert E MacLaren, Michelle E. McClements, Chris Hughes, Martin J. Glennie, Neil M.J. O’Flynn, and S. V. Goverdhan
- Subjects
0301 basic medicine ,CNV mouse model ,single-chain ,lcsh:QH426-470 ,Angiogenesis ,Genetic enhancement ,Transgene ,medicine.medical_treatment ,AMD ,Article ,angiogenesis ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Genetics ,medicine ,lcsh:QH573-671 ,Molecular Biology ,biology ,lcsh:Cytology ,business.industry ,Growth factor ,AAV ,anti-VEGF scFv antibodies ,gene therapy ,eye diseases ,3. Good health ,lcsh:Genetics ,030104 developmental biology ,Choroidal neovascularization ,030220 oncology & carcinogenesis ,biology.protein ,Cancer research ,Molecular Medicine ,Antibody ,medicine.symptom ,business ,vector ,Single-Chain Antibodies - Abstract
While anti-angiogenic therapies for wet age-related macular degeneration (AMD) are effective for many patients, they require multiple injections and are expensive and prone to complications. Gene therapy could be an elegant solution for this problem by providing a long-term source of anti-angiogenic proteins after a single administration. Another potential issue with current therapeutic proteins containing a fragment crystallizable (Fc) domain (such as whole antibodies like bevacizumab) is the induction of an unwanted immune response. In wet AMD, a low level of inflammation is already present, so to avoid exacerbation of disease by the therapeutic protein, we propose single-chain fragment variable (scFv) antibodies, which lack the Fc domain, as a safer alternative. To investigate the feasibility of this, anti-vascular endothelial growth factor (VEGF)-blocking antibodies in two formats were produced and tested in vitro and in vivo. The scFv transgene was then cloned into an adeno-associated virus (AAV) vector. A therapeutic effect in a mouse model of choroidal neovascularization (CNV) was demonstrated with antibodies in both scFv and immunoglobulin G1 (IgG1) formats (p < 0.04). Importantly, the scFv anti-VEGF antibody expressed from an AAV vector also had a significant beneficial effect (p = 0.02), providing valuable preclinical data for future translation to the clinic. Keywords: AAV, vector, gene therapy, AMD, CNV mouse model, anti-VEGF scFv antibodies, single-chain, angiogenesis
- Published
- 2019
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