目的:建立并验证rAAV2-ND4中可复制型AAV2(rcAAV2)的qPCR检测方法。方法:rAAV2-ND4样品(3.0×1010 vg·mL-1,每孔接种100 μL)和wtAd5辅毒(6.0 ×109 TCID50·mL-1,每孔接种10 μL)同时感染HEK293细胞(6.0×105 cells·mL-1,每孔1 mL接种至12孔板中,37 ℃和5%二氧化碳条件培养24 h),经过2 h感染后,更换为细胞培养基(含10%FBS的 DMEM,每孔加入1 mL),继续在37 ℃和5%二氧化碳条件培养48 h。收集细胞并用细胞裂解液处理,细胞裂解物再经上述步骤进行1次感染和培养。收集第二次培养的细胞并加入裂解液56 ℃孵育30 min,之后90 ℃孵育10 min。处理后的细胞裂解物用qPCR方法进行rcAAV2检测,qPCR反应体系为2×T5 Fast qPCR Mix(Probe) 10 μL、引物混合液0.1 μL、探针1 μL、50×ROX Reference Dye I 0.4 μL、EASY Dilution 3.5 μL、处理后的细胞裂解物5 μL,qPCR扩增程序:95 ℃,10 min;[95 ℃,15 s;60 ℃,1 min]40个循环。对方法进行灵敏度、准确度、精密度和专属性验证。结果:所建立的检测rcAAV2的方法灵敏度可达到每108 vg<1 TCID50 rcAAV;qPCR方法回收率在77.6%~91.2%;每人3次(2人)实验均得到相同结果,方法专属性良好。结论:所建立的2轮感染扩增后qPCR检测的方法可应用于rAAV2-ND4样品中rcAAV2的检测。
Objective: To develop and validate a qPCR method for the determination of replication-competent AAV2(rcAAV2) in rAAV2-ND4. Methods: HEK293 cells (6.0×105 cells·mL-1, 1 mL per well, inoculated into a 12 well plate for 24 h at 37 ℃ and 5% carbon dioxide) were infected with rAAV2 ND4 sample (3.0×1010 vg·mL-1, with 100 μL per well) and wtAd5 (6.0×109 TCID50·mL-1, with 10 μL per well) simultaneously. After 2 h of infection, the infected medium was replaced with cell culture medium (DMEM containing 10% FBS, 1 mL per well), and then the infected cells were cultured at 37 ℃ and 5% carbon dioxide for another 48 h. The cells were collected and treated with cell lysate solution. The cell lysate was then subjected to the above steps for infection and culture. The cells from the second culture were collected and incubated with lysate at 56 ℃ for 30 min, followed by incubation at 90 ℃ for 10 min. The processed cell lysates were detected for rcAAV2 using qPCR method, the qPCR reaction system included 2×T5 Fast qPCR Mix (Probe) 10 μL, primer mixture 0.1 μL, probe 1 μL, 50×ROX Reference Dye I 0.4 μL, EASY Dilution 3.5 μL, treated cell lysate 5 μL, and qPCR amplification program was set as bellow: 95 ℃, 10 min; 40 cycles of [95 ℃, 15 s; 60 ℃, 1 min]. Then the sensitivity, accuracy, precision, and specificity of the method were verified. Results: The sensitivity of the established method for detecting rcAAV2 reached less than 1 TCID50 rcAAV per 108 virus genomes; the recovery rate of qPCR method ranged from 77.6% to 91.2%. The same results in three experiments per person (two people) was obtained, and the method specificity was good. Conclusion: The established qPCR method after two rounds of infection amplification can be applied to the detection of rcAAV2 in rAAV2 ND4 samples.
[1] 高晶,石慧,裴晗,等. AAV2介导ND4基因治疗LHON不同免疫抑制方案的比较研究[J]. 华中科技大学学报(医学版),2013,42(2):187
GAO J, SHI H, PEI H, et al. Comparison of immunosuppressive effects and ND4 expression among different immunosuppressive strategies following AAV2-ND4 gene treatment for Leber hereditary optic neuropathy[J]. Acta Med Univ Technol Huazhong, 2013, 42(2):187
[2] 郭向明,贾小云,肖学珊,等. 中国人Leber遗传性视神经病变线粒体DNA突变频谱[J]. 中华眼底病杂志,2003,19(5):288
GUO XM, JIA XY, XIAO XS, et al. Spectrum of pathologic mitochondria DNA mutations in Chinese patients with Leber’s hereditary optic neuropathy[J]. Chin J Ocular Fundus Diseases, 2003, 19(5):288
[3] LAAN LJW, WANG Y, TILANUS HW, et al. AAV-mediated gene therapy for liver diseases: the prime candidate for clinical application [J]. Expert Opin Biol Ther, 2011, 11(3):315
[4] DISMUKE DJ, TENENBAUM L, SAMULSKI RJ. Biosafety of recombinant adeno-associated virus vectors[J]. Curr Gene Ther, 2013, 13(6):434
[5] GEORGE LA, RAGNI MV, RASKO JEJ, et al. Long-term follow-up of the first in human intravascular delivery of AAV for gene transfer: AAV2-hFIX16 for severe hemophilia B[J]. Mol Ther, 2020, 28(9):2073
[6] DONSANTE A, MILLER DG, LI Y, et al. AAV vector integration sites in mouse hepatocellular carcinoma[J]. Science, 2007, 317(5837):477
[7] MUELLER C, GERNOUX G, GRUNTMAN AM, et al. 5 Year expression and neutrophil defect repair after gene therapy in alpha-1 antitrypsin deficiency[J]. Mol Ther, 2017, 25(6):1387
[8] RANGARAJAN S, WALSH L, LESTER W, et al. AAV5-factor Ⅷ gene transfer in severe Hemophilia A[J]. N Engl J Med, 2017, 377(26):2519
[9] GEORGE LA, SULLIVAN SK, GIERMASZ A, et al. Hemophilia B gene therapy with a high-specific-activity factor Ⅸ variant[J]. N Engl J Med, 2017, 377(23): 2215
[10] BENNETT J, WELLMAN J, MARSHALL KA, et al. Safety and durability of effect of contralateral-eye administration of AAV2 gene therapy in patients with childhood-onset blindness caused by RPE65 mutations:a follow-on phase 1 trial[J]. Lancet, 2016, 388(10045):661
[11] RAKOCZY EP, LAI CM, MAGNO AL, et al. Gene therapy with recombinant adeno-associated vectors for neovascular age-related macular degeneration:1 year follow-up of a phase 1 randomised clinical trial[J]. Lancet, 2015, 386(10011):2395
[12] CHANDLER LC, BARNARD AR, CADDY SL, et al. Enhancement of adeno-associated virus-mediated gene therapy using hydroxychloroquine in murine and human tissues [J]. Mol Ther Methods Clin Dev, 2019, 14:77
[13] MACLAREN RE. A 2020 vision of ocular gene therapy[J]. Gene Ther, 2021, 28(5):217
[14] WANG D, TAI PWL, GAO G. Adeno-associated virus vector as a platform for gene therapy delivery[J]. Nat Rev Drug Discov, 2019, 18(5):358
[15] YANG S, MA SQ, WAN X, et al. Long-term outcomes of gene therapy for the treatment of Leber’s hereditary optic neuropathy[J]. EBioMedicine, 2016, 10:258
[16] WAN X, PEI H, ZHAO M, et al. Efficacy and safety of rAAV2-ND4 treatment for Leber’s hereditary optic neuropathy[J]. Sci Rep, 2016, 6:21587
[17] HÜSER D, GOGOL-DÖRING A, LUTTER T, et al. Intergration preferences of wildtype AAV-2 for consensus rep-binding sites at numerous loci in the human genome[J]. PLoS Pathog, 2010, 6(7):e1000985
[18] SCHULTZ BR, CHAMBERLAIN JS. Recombinant adeno-associated virus transduction and integration[J]. Mol Ther, 2008, 16(7):1189
[19] ALLEN JM, DEBELAK DJ, REYNOLDS TC, et al. Identification and elimination of replication-competent adeno-associated virus (AAV) that can arise by nonhomologous recombination during AAV vector production[J]. J Virol, 1997, 71(9):6816
[20] WRIGHT JF. Manufacturing and characterizing AAV-based vectors for use in clinical studies[J]. Gene Ther, 2008, 15(11):840
[21] WANG XS, KHUNTIRAT B, QING K, et al. Characterization of wild-type adeno-associated virus type 2-like particles generated during recombinant viral vector production and strategies for their elimination[J]. J Virol, 1998, 72(7):5472
[22] SAMULSKI RJ, CHANG LS, SHENK T. Helper-Free stocks of recombinant adeno-associated viruses: normal integration does not require viral gene expression[J]. J Virol, 1989, 63(9):3822
[23] BENNETT A, PATEL S, MIETZSCH M, et al. Thermal stability as a determinant of AAV serotype identity[J]. Mol Ther Methods Clin Dev, 2017, 6:171
[24] CHEN YC, MA NX, PEI ZF, et al. A neuroD1 AAV-based gene therapy for functional brain repair after ischemic injury through in vivo astrocyte-to-neuron conversion[J]. Mol Ther, 2020, 28(1):217
[25] PRASAD KMR, XU Y, YANG Z, et al. Robust cardiomyocyte-specific gene expression following systemic injection of AAV: in vivo gene delivery follows a poisson distribution[J]. Gene Ther, 2011, 18(1):43
[26] JIN S, LI H, HAN M, et al. Mesenchymal stem cells with enhanced Bcl-2 expression promote liver recovery in a rat model of hepatic cirrhosis[J]. Cell Physiol Biochem, 2016, 40(5):1117
[27] US Dept Health Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research. Guidance for FDA and sponsors: content and review of Chemistry, Manufacturing, and Control (CMC) information for human gene therapy Investigational New Drug applications (INDs)[DB/OL]. 2004-11 [2020-5-21]. http://www.fda.gov/cber/guidelines.htm