Neutralizing antibodies play a central role in the prevention and clearance of viral infections, but can be detrimental to the use of viral capsids for gene delivery. Antibodies present a major hurdle for ongoing clinical trials using adeno-associated viruses (AAVs); however, relatively little is known about the antigenic epitopes of most AAV serotypes or the mechanism(s) of antibody-mediated neutralization. We developed panels of AAV mAbs by repeatedly immunizing mice with AAV serotype 1 (AAV1) capsids, or by sequentially immunizing with AAV1 followed by AAV5 capsids, in order to examine the efficiency and mechanisms of antibody-mediated neutralization. The antibodies were not cross-reactive between heterologous AAV serotypes except for a low level of recognition of AAV1 capsids by the AAV5 antibodies, probably due to the initial immunization with AAV1. The neutralization efficiency of different IgGs varied and Fab fragments derived from these antibodies were generally poorly neutralizing. The antibodies appeared to display various alternative mechanisms of neutralization, which included inhibition of receptor-binding and interference with a post-attachment step.
INTRODUCTIONAdeno-associated viruses (AAVs) are non-enveloped viruses with a 4.7 kb ssDNA genome packaged into añ 25 nm diameter icosahedral capsid (Kerr et al., 2006). Several of the 12 currently identified AAV serotypes are under investigation as vectors for therapeutic gene delivery due to features that make them potentially attractive vectors, including high capsid stability and lack of pathogenicity (Allocca et al., 2006;Dai & Rabie, 2007;Grimm & Kay, 2003;Michelfelder & Trepel, 2009; Van Vliet et al., 2008;Wu et al., 2006b). The different serotypes of AAV have viral proteins (VPs) that are~60-90 % identical in amino acid sequence (Gao et al., 2003(Gao et al., , 2004, with variations in capsid surface-oriented loops, resulting in alterations of antigenicity, tissue tropism and transduction efficiency Lerch et al., 2010;Lochrie et al., 2006;Nam et al., 2007;Ng et al., 2010). The AAV2 serotype is the best characterized and is also the capsid type with the largest number of ongoing clinical gene therapy trials (e.g. Grieger & Samulski, 2005;Marks et al., 2010;Mueller & Flotte, 2008;Scallan et al., 2003). Other serotypes such as AAV1 and AAV5 have been less well characterized, but show enhanced transduction of certain tissues such as muscle, brain and/or haematopoietic stem cells compared with AAV2 (Burger et al., 2004;Chao et al., 2000;Zabner et al., 2000;Zhong et al., 2006). Both of these serotypes utilize sialic acids as their primary cellular receptors and AAV5 also binds to the platelet-derived growth factor receptor (PDGFR) as a co-receptor (Kaludov et al., 2001;Di Pasquale et al., 2003;Walters et al., 2001;Wu et al., 2006c).Humoral immunity leading to virus neutralization has been recognized as a major barrier to clinical trials involving AAV in humans, and the role of cellular immunity is also becoming increasingly appreciated (Boutin et al....