Induction of antigen-specific CD4+ T-cell anergy and deletion by in vivo viral gene transfer

E Dobrzynski, F Mingozzi, YL Liu, E Bendo, O Cao… - Blood, 2004 - ashpublications.org
E Dobrzynski, F Mingozzi, YL Liu, E Bendo, O Cao, L Wang, RW Herzog
Blood, 2004ashpublications.org
Immune responses to the therapeutic gene product are a potentially serious complication in
treatment of genetic disease by gene therapy. Induction and maintenance of immunologic
hypo-responsiveness to the therapeutic antigen is therefore critical to the success of gene-
based treatment of inherited protein deficiency. Here, we demonstrate induction of antigen-
specific CD4+ T-cell tolerance to a secreted transgene product (ovalbumin, ova) in ova-
specific T-cell receptor (TCR) transgenic mice by hepatic adeno-associated virus (AAV) …
Abstract
Immune responses to the therapeutic gene product are a potentially serious complication in treatment of genetic disease by gene therapy. Induction and maintenance of immunologic hypo-responsiveness to the therapeutic antigen is therefore critical to the success of gene-based treatment of inherited protein deficiency. Here, we demonstrate induction of antigen-specific CD4+ T-cell tolerance to a secreted transgene product (ovalbumin, ova) in ova-specific T-cell receptor (TCR) transgenic mice by hepatic adeno-associated virus (AAV)–mediated gene transfer. Transduced mice maintained stable circulating ova levels without evidence of an immune response. Lymph node cells and splenocytes were hypo-responsive to ova as early as day 10 after gene transfer. Numbers of TCR+CD4+ cells were reduced in secondary lymphoid organs and in the thymus by 1 to 2 months after vector administration. The remaining TCR+CD4+ cell population was anergic to ova antigen in vitro and enriched for CD25+ cells. These data provide direct evidence that transgene expression following in vivo viral gene transfer can induce CD4+ T-cell tolerance to the transgene product, involving anergy and deletion mechanisms.
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