[HTML][HTML] Modulating immune responses to AAV by expanded polyclonal T-regs and capsid specific chimeric antigen receptor T-regulatory cells
M Arjomandnejad, K Sylvia, M Blackwood… - … Therapy Methods & …, 2021 - cell.com
Molecular Therapy Methods & Clinical Development, 2021•cell.com
Immune responses to adeno-associated virus (AAV) capsids limit the therapeutic potential of
AAV gene therapy. Herein, we model clinical immune responses by generating AAV capsid-
specific chimeric antigen receptor (AAV-CAR) T cells. We then modulate immune responses
to AAV capsid with AAV-CAR regulatory T cells (Tregs). AAV-CAR Tregs in vitro display
phenotypical Treg surface marker expression, and functional suppression of effector T cell
proliferation and cytotoxicity. In mouse models, AAV-CAR Tregs mediated continued …
AAV gene therapy. Herein, we model clinical immune responses by generating AAV capsid-
specific chimeric antigen receptor (AAV-CAR) T cells. We then modulate immune responses
to AAV capsid with AAV-CAR regulatory T cells (Tregs). AAV-CAR Tregs in vitro display
phenotypical Treg surface marker expression, and functional suppression of effector T cell
proliferation and cytotoxicity. In mouse models, AAV-CAR Tregs mediated continued …
Immune responses to adeno-associated virus (AAV) capsids limit the therapeutic potential of AAV gene therapy. Herein, we model clinical immune responses by generating AAV capsid-specific chimeric antigen receptor (AAV-CAR) T cells. We then modulate immune responses to AAV capsid with AAV-CAR regulatory T cells (Tregs). AAV-CAR Tregs in vitro display phenotypical Treg surface marker expression, and functional suppression of effector T cell proliferation and cytotoxicity. In mouse models, AAV-CAR Tregs mediated continued transgene expression from an immunogenic capsid, despite antibody responses, produced immunosuppressive cytokines, and decreased tissue inflammation. AAV-CAR Tregs are also able to bystander suppress immune responses to immunogenic transgenes similarly mediating continued transgene expression, producing immunosuppressive cytokines, and reducing tissue infiltration. Taken together, AAV-CAR T cells and AAV-CAR Tregs are directed and powerful immunosuppressive tools to model and modulate immune responses to AAV capsids and transgenes in the local environment.
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