Although the remarkable versatility and efficacy of recombinant adeno-associated virus 2 (AAV2) vectors in transducing a wide variety of cells and tissues in vitro, and in numerous pre-clinical animal models of human diseases in vivo, have been well established, the published literature is replete with controversies with regard to the efficacy of AAV2 vectors in hematopoietic stem cell (HSC) transduction. A number of factors have contributed to these controversies, the molecular bases of which have begun to come to light in recent years. With the availability of several novel serotypes (AAV1 through AAV12), rational design of AAV capsid mutants, and strategies (selfcomplementary vector genomes, hematopoietic cell-specific promoters), it is indeed becoming feasible to achieve efficient transduction of HSC by AAV vectors in a murine serial bone marrow transplantation model in vivo, where stable integration of the proviral AAV genome does not lead to any overt hematological abnormalities. Thus, a better understanding of the AAV-HSC interactions, and the availability of a vast repertoire of novel serotype vectors, are likely to have significant implications in the use of AAV vectors in high-efficiency transduction of HSCs as well as in gene therapy applications involving the hematopoietic system.
KeywordsAdeno-associated virus; Viral vectors; Gene transfer; Gene expression; Hematopoietic stem cells Gene therapy with vectors based on retroviruses and adenoviruses has been attempted in a number of clinical trials [Edelstein et al., 2007]. Initially, retroviral vectors yielded encouraging results, but the development of T cell lymphoma in non-human primates, and more recently, the development of T-cell leukemia in three children in a clinical trial for gene therapy of X-linked severe-combined immunodeficiency with these vectors has raised serious safety concerns [Deichmann et al., 2007;Hacein-Bey-Abina et al., 2003;Kohn et al., 2003]. Similarly, questions were raised with reference to efficacy of adenoviral vectors in gene therapy of cystic fibrosis, and subsequently, the death of a patient in a clinical trial for gene therapy of was attributed to the use of first-generation adenoviral vectors [Raper et al., 2003].A third group of viruses, termed parvoviruses, have to date not been associated with any malignant disease. In fact, parvoviruses have been shown to possess anti-tumor properties [Asokan and Samulski, 2005;Li et al., 2005]. Parvoviruses are among the smallest of known viruses, which contain a single-stranded DNA genome, and infect all vertebrates. One parvovirus of human origin, the adeno-associated virus 2 (AAV2), has been studied [Berns and Bohenzky, 1987;Muzyczka et al., 1984]. Although ∼90% of the human population is sero-positive for AAV2, no known disease has thus far been associated with AAV2 infection. AAV2 requires co-infection with a helper-virus, such as adenovirus, for its optimal replication, but in the absence of a helper-virus, the AAV2 genome integrates site-specifically into the huma...