PMID- 35211638 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220226 IS - 2329-0501 (Print) IS - 2329-0501 (Electronic) IS - 2329-0501 (Linking) VI - 24 DP - 2022 Mar 10 TI - Differential T cell immune responses to deamidated adeno-associated virus vector. PG - 255-267 LID - 10.1016/j.omtm.2022.01.005 [doi] AB - Despite the high safety profile demonstrated in clinical trials, the immunogenicity of adeno-associated virus (AAV)-mediated gene therapy remains a major hurdle. Specifically, T-cell-mediated immune responses to AAV vectors are related to loss of efficacy and potential liver toxicities. As post-translational modifications in T cell epitopes have the potential to affect immune reactions, the cellular immune responses to peptides derived from spontaneously deamidated AAV were investigated. Here, we report that highly deamidated sites in AAV9 contain CD4 T cell epitopes with a Th1 cytokine pattern in multiple human donors with diverse human leukocyte antigen (HLA) backgrounds. Furthermore, some peripheral blood mononuclear cell (PBMC) samples demonstrated differential T cell activation to deamidated or non-deamidated epitopes. Also, in vitro and in silico HLA binding assays showed differential binding to the deamidated or non-deamidated peptides in some HLA alleles. This study provides critical attributes to vector-immune-mediated responses, as AAV deamidation can impact the immunogenicity, safety, and efficacy of AAV-mediated gene therapy in some patients. FAU - Bing, So Jin AU - Bing SJ AD - Division of Cellular and Gene Therapies, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, USA. FAU - Justesen, Sune AU - Justesen S AD - Immunitrack ApS, Copenhagen, Denmark. FAU - Wu, Wells W AU - Wu WW AD - Facility for Biotechnology Resources, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, USA. FAU - Sajib, Abdul Mohin AU - Sajib AM AD - Division of Cellular and Gene Therapies, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, USA. FAU - Warrington, Stephanee AU - Warrington S AD - Division of Cellular and Gene Therapies, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, USA. FAU - Baer, Alan AU - Baer A AD - Division of Cellular and Gene Therapies, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, USA. FAU - Thorgrimsen, Stephan AU - Thorgrimsen S AD - Immunitrack ApS, Copenhagen, Denmark. FAU - Shen, Rong-Fong AU - Shen RF AD - Facility for Biotechnology Resources, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, USA. FAU - Mazor, Ronit AU - Mazor R AD - Division of Cellular and Gene Therapies, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, USA. LA - eng PT - Journal Article DEP - 20220118 PL - United States TA - Mol Ther Methods Clin Dev JT - Molecular therapy. Methods & clinical development JID - 101624857 PMC - PMC8829777 OTO - NOTNLM OT - T cell epitopes OT - adeno-associated virus vector OT - deamidation OT - gene therapy OT - immunogenicity COIS- The authors declare no competing interests. EDAT- 2022/02/26 06:00 MHDA- 2022/02/26 06:01 PMCR- 2022/01/18 CRDT- 2022/02/25 05:39 PHST- 2021/11/03 00:00 [received] PHST- 2022/01/16 00:00 [accepted] PHST- 2022/02/25 05:39 [entrez] PHST- 2022/02/26 06:00 [pubmed] PHST- 2022/02/26 06:01 [medline] PHST- 2022/01/18 00:00 [pmc-release] AID - S2329-0501(22)00006-7 [pii] AID - 10.1016/j.omtm.2022.01.005 [doi] PST - epublish SO - Mol Ther Methods Clin Dev. 2022 Jan 18;24:255-267. doi: 10.1016/j.omtm.2022.01.005. eCollection 2022 Mar 10.