PMID- 35229644 OWN - NLM STAT- MEDLINE DCOM- 20220615 LR - 20220621 IS - 1557-7422 (Electronic) IS - 1043-0342 (Linking) VI - 33 IP - 11-12 DP - 2022 Jun TI - The Effect of Rapamycin and Ibrutinib on Antibody Responses to Adeno-Associated Virus Vector-Mediated Gene Transfer. PG - 614-624 LID - 10.1089/hum.2021.258 [doi] AB - Adeno-associated virus (AAV) vector-mediated gene transfer is lessening the impact of monogenetic disorders. Human AAV gene therapy recipients commonly mount immune responses to AAV or the encoded therapeutic protein, which requires transient immunosuppression. Most efforts to date have focused on blunting AAV capsid-specific T cell responses, which have been implicated in elimination of AAV-transduced cells. Here, we explore the use of immunosuppressants, rapamycin given alone or in combination with ibrutinib to inhibit AAV vector- or transgene product-specific antibody responses. Our results show that rapamycin or ibrutinib given alone reduces primary antibody responses against AAV capsid, but the combination of rapamycin and ibrutinib is more effective, blunts recall responses, and reduces numbers of circulating antibody-secreting plasma cells. The drugs fail to lower B cell memory formation or to reduce the inhibitory effects of pre-existing AAV capsid-specific antibodies on transduction efficiency. FAU - Xiang, Zhiquan AU - Xiang Z AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Kuranda, Klaudia AU - Kuranda K AD - Spark Therapeutics, Philadelphia, Pennsylvania, USA. FAU - Quinn, William AU - Quinn W AD - Spark Therapeutics, Philadelphia, Pennsylvania, USA. FAU - Chekaoui, Areski AU - Chekaoui A AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Ambrose, Robert AU - Ambrose R AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Hasanpourghai, Mohadeseh AU - Hasanpourghai M AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Novikov, Mikhail AU - Novikov M AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Newman, Dakota AU - Newman D AUID- ORCID: 0000-0002-3835-0853 AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Cole, Christina AU - Cole C AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Zhou, Xiangyang AU - Zhou X AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Mingozzi, Federico AU - Mingozzi F AD - Spark Therapeutics, Philadelphia, Pennsylvania, USA. FAU - Ertl, Hildegund C J AU - Ertl HCJ AUID- ORCID: 0000-0001-9795-5206 AD - Wistar Institute, Philadelphia, Pennsylvania, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220504 PL - United States TA - Hum Gene Ther JT - Human gene therapy JID - 9008950 RN - 0 (Capsid Proteins) RN - 0 (Piperidines) RN - 1X70OSD4VX (ibrutinib) RN - JAC85A2161 (Adenine) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adenine/analogs & derivatives MH - Antibody Formation MH - Capsid Proteins/genetics MH - *Dependovirus/metabolism MH - Gene Transfer Techniques MH - Genetic Therapy MH - *Genetic Vectors/genetics MH - Humans MH - Piperidines MH - Sirolimus/pharmacology/therapeutic use OTO - NOTNLM OT - AAV OT - antibody responses OT - gene transfer OT - ibrutinib OT - rapamycin EDAT- 2022/03/02 06:00 MHDA- 2022/06/16 06:00 CRDT- 2022/03/01 08:41 PHST- 2022/03/02 06:00 [pubmed] PHST- 2022/06/16 06:00 [medline] PHST- 2022/03/01 08:41 [entrez] AID - 10.1089/hum.2021.258 [doi] PST - ppublish SO - Hum Gene Ther. 2022 Jun;33(11-12):614-624. doi: 10.1089/hum.2021.258. Epub 2022 May 4.