Skip to main content

Cell-Based Determination of Neutralizing Antibodies Against Adeno-Associated Virus in Cardiac Gene Therapy

  • Protocol
  • First Online:
Cardiac Gene Therapy

Abstract

The field of cardiac gene therapy has seen the rising use of adeno-associated viral (AAV) vectors as a promising therapeutic option for cardiac diseases and heart failure. To achieve intended results of AAV delivery, a majority of clinical studies screen patients for existing neutralizing antibodies that could inhibit the effects of the administered AAV and confound treatment efficacy. The cell-based neutralizing antibody assay offers a method of quantifying and identifying a patient’s existing neutralizing antibodies against specific serotypes. Combined with the luciferase assay, the neutralizing antibody assay tests the ability of patient antibodies in the blood to prevent gene transduction of AAV-encoded luciferase gene at ranging serial dilutions. This chapter provides a protocol and experimental techniques to determine the presence of neutralizing antibodies against AAV in the blood.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP (2020) Heart disease and stroke statistics 2020 update. American Heart Association. Circulation 141(9):139–596

    Article  Google Scholar 

  2. Chamberlain K, Riyad JM, Weber T (2017) Cardiac gene therapy with adeno-associated virus-based vectors. Curr Opin Cardiol 32(3):275–282

    Article  Google Scholar 

  3. Rapti K, Hajjar RJ, Weber T (2012) Novel approaches to deliver molecular therapeutics in cardiac disease using adeno-associated virus vectors. Translational cardiology. In: Molecular and translational medicine. Humana Press, Totowa, pp 391–458. https://doi.org/10.1007/978-1-61779-891-7

    Chapter  Google Scholar 

  4. Rapti K, Stillitano F, Karakikes I, Nonnenmacher M, Weber T, Hulot JS, Hajjar RJ (2015) Effectiveness of gene delivery systems for pluripotent and differentiated cells. Mol Ther Methods Clin Dev 2:14067. https://doi.org/10.1038/mtm.2014.67

    Article  CAS  Google Scholar 

  5. Ronzitti G, Gross DA, Mingozzi F (2020) Human immune responses to Adeno-Associated Virus (AAV) vectors. Front Immunol 11:670. https://doi.org/10.3389/fimmu.2020.00670

    Article  CAS  Google Scholar 

  6. Kuranda K, Jean-Alphonse P, Leborgne C, Hardet R, Collaud F, Marmier S, Costa Verdera H, Ronzitti G, Veron P, Mingozzi F (2018) Exposure to wild-type AAV drives distinct capsid immunity profiles in humans. J Clin Invest 128(12):5267–5279. https://doi.org/10.1172/JCI122372

    Article  Google Scholar 

  7. Mingozzi F, High KA (2013) Immune responses to AAV vectors: overcoming barriers to successful gene therapy. Blood 122(1):23–36. https://doi.org/10.1182/blood-2013-01-306647

    Article  CAS  Google Scholar 

  8. Jungmann A, MĂ¼ller O, Rapti K (2017) Cell-based measurement of neutralizing antibodies against Adeno-Associated Virus (AAV). Methods Mol Biol (Clifton, NJ) 1521:109–126

    Article  CAS  Google Scholar 

Download references

Acknowledgments

This work was supported by NIH R01 HL139963 (K.I). We acknowledge the Gene Therapy Resource Program (GTRP) of the National Heart, Lung, and Blood Institute and National Institutes of Health for providing the gene vectors used in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kiyotake Ishikawa .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Science+Business Media, LLC, part of Springer Nature

About this protocol

Check for updates. Verify currency and authenticity via CrossMark

Cite this protocol

Ravichandran, A.J., Mazurek, R., Ishikawa, K. (2022). Cell-Based Determination of Neutralizing Antibodies Against Adeno-Associated Virus in Cardiac Gene Therapy. In: Ishikawa, K. (eds) Cardiac Gene Therapy. Methods in Molecular Biology, vol 2573. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-2707-5_22

Download citation

  • DOI: https://doi.org/10.1007/978-1-0716-2707-5_22

  • Published:

  • Publisher Name: Humana, New York, NY

  • Print ISBN: 978-1-0716-2706-8

  • Online ISBN: 978-1-0716-2707-5

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics