PMID- 26052519 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150608 LR - 20201001 IS - 2329-0501 (Print) IS - 2329-0501 (Electronic) IS - 2329-0501 (Linking) VI - 1 DP - 2014 TI - Widespread gene transfer in the central nervous system of cynomolgus macaques following delivery of AAV9 into the cisterna magna. PG - 14051 LID - 10.1038/mtm.2014.51 [doi] AB - Adeno-associated virus serotype 9 (AAV9) vectors have recently been shown to transduce cells throughout the central nervous system of nonhuman primates when injected into the cerebrospinal fluid (CSF), a finding which could lead to a minimally invasive approach to treat genetic and acquired diseases affecting the entire CNS. We characterized the transduction efficiency of two routes of vector administration into the CSF of cynomolgus macaques-lumbar puncture, which is typically used in clinical practice, and suboccipital puncture, which is more commonly used in veterinary medicine. We found that delivery of vector into the cisterna magna via suboccipital puncture is up to 100-fold more efficient for achieving gene transfer to the brain. In addition, we evaluated the inflammatory response to AAV9-mediated GFP expression in the nonhuman primate CNS. We found that while CSF lymphocyte counts increased following gene transfer, there were no clinical or histological signs of immune toxicity. Together these data indicate that delivery of AAV9 into the cisterna magna is an effective method for achieving gene transfer in the CNS, and suggest that adapting this uncommon injection method for human trials could vastly increase the efficiency of gene delivery. FAU - Hinderer, Christian AU - Hinderer C AD - Gene Therapy Program, Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania, USA. FAU - Bell, Peter AU - Bell P AD - Gene Therapy Program, Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania, USA. FAU - Vite, Charles H AU - Vite CH AD - Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania , Philadelphia, Pennsylvania, USA. FAU - Louboutin, Jean-Pierre AU - Louboutin JP AD - Department of Basic Medical Sciences, Section of Anatomy, University of the West Indies , Kingston, Jamaica. FAU - Grant, Rebecca AU - Grant R AD - Gene Therapy Program, Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania, USA. FAU - Bote, Erin AU - Bote E AD - Gene Therapy Program, Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania, USA. FAU - Yu, Hongwei AU - Yu H AD - Gene Therapy Program, Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania, USA. FAU - Pukenas, Bryan AU - Pukenas B AD - Department of Radiology, Hospital of the University of Pennsylvania , Philadelphia, Pennsylvania, USA. FAU - Hurst, Robert AU - Hurst R AD - Department of Radiology, Hospital of the University of Pennsylvania , Philadelphia, Pennsylvania, USA. FAU - Wilson, James M AU - Wilson JM AD - Gene Therapy Program, Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania, USA. LA - eng GR - P40 OD010939/OD/NIH HHS/United States GR - P40 RR002512/RR/NCRR NIH HHS/United States PT - Journal Article DEP - 20141210 PL - United States TA - Mol Ther Methods Clin Dev JT - Molecular therapy. Methods & clinical development JID - 101624857 PMC - PMC4448732 EDAT- 2014/01/01 00:00 MHDA- 2014/01/01 00:01 PMCR- 2014/12/10 CRDT- 2015/06/09 06:00 PHST- 2014/08/22 00:00 [received] PHST- 2014/09/05 00:00 [accepted] PHST- 2015/06/09 06:00 [entrez] PHST- 2014/01/01 00:00 [pubmed] PHST- 2014/01/01 00:01 [medline] PHST- 2014/12/10 00:00 [pmc-release] AID - S2329-0501(16)30120-6 [pii] AID - 10.1038/mtm.2014.51 [doi] PST - epublish SO - Mol Ther Methods Clin Dev. 2014 Dec 10;1:14051. doi: 10.1038/mtm.2014.51. eCollection 2014.