PMID- 37101079 OWN - NLM STAT- MEDLINE DCOM- 20230428 LR - 20230522 IS - 1550-7416 (Electronic) IS - 1550-7416 (Linking) VI - 25 IP - 3 DP - 2023 Apr 26 TI - Evaluation of Cellular Immune Response to Adeno-Associated Virus-Based Gene Therapy. PG - 47 LID - 10.1208/s12248-023-00814-5 [doi] LID - 47 AB - The number of approved or investigational late phase viral vector gene therapies (GTx) has been rapidly growing. The adeno-associated virus vector (AAV) technology continues to be the most used GTx platform of choice. The presence of pre-existing anti-AAV immunity has been firmly established and is broadly viewed as a potential deterrent for successful AAV transduction with a possibility of negative impact on clinical efficacy and a connection to adverse events. Recommendations for the evaluation of humoral, including neutralizing and total antibody based, anti-AAV immune response have been presented elsewhere. This manuscript aims to cover considerations related to the assessment of anti-AAV cellular immune response, including review of correlations between humoral and cellular responses, potential value of cellular immunogenicity assessment, and commonly used analytical methodologies and parameters critical for monitoring assay performance. This manuscript was authored by a group of scientists involved in GTx development who represent several pharma and contract research organizations. It is our intent to provide recommendations and guidance to the industry sponsors, academic laboratories, and regulatory agencies working on AAV-based GTx viral vector modalities with the goal of achieving a more consistent approach to anti-AAV cellular immune response assessment. CI - (c) 2023. The Author(s), under exclusive licence to American Association of Pharmaceutical Scientists. FAU - Gorovits, Boris AU - Gorovits B AUID- ORCID: 0000-0001-9405-7718 AD - Sana Biotechnology, Cambridge, Massachusetts, USA. boris.gorovits@sana.com. FAU - Azadeh, Mitra AU - Azadeh M AD - Ultragenyx Pharmaceutical Inc, Novato, California, USA. FAU - Buchlis, George AU - Buchlis G AD - University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Fiscella, Michele AU - Fiscella M AD - Regenxbio Inc, Rockville, Maryland, USA. FAU - Harrison, Travis AU - Harrison T AD - Precision for Medicine, Inc, Redwood City, California, USA. FAU - Havert, Mike AU - Havert M AD - Gene Therapy Partners, San Diego, California, USA. FAU - Janetzki, Sylvia AU - Janetzki S AD - ZellNet Consulting, Inc, Fort Lee, New Jersey, USA. FAU - Jawa, Vibha AU - Jawa V AD - Bristol Myers Squibb Pharmaceutical, Princeton, New Jersey, USA. FAU - Long, Brian AU - Long B AD - BioMarin Pharmaceutical Inc, Novato, California, USA. FAU - Mahnke, Yolanda D AU - Mahnke YD AD - FlowKnowHow LLC, Brooklyn, New York, USA. FAU - McDermott, Andrew AU - McDermott A AD - Labcorp Early Development Laboratories Inc, Indianapolis, Indiana, USA. FAU - Milton, Mark AU - Milton M AD - Lake Boon Pharmaceutical Consulting LLC, Hudson, New York, USA. FAU - Nelson, Robert AU - Nelson R AD - BioAgilytix Europe GmbH, Hamburg, Germany. FAU - Vettermann, Christian AU - Vettermann C AD - BioMarin Pharmaceutical Inc, Novato, California, USA. FAU - Wu, Bonnie AU - Wu B AD - Janssen Pharmaceuticals, Raritan, New Jersey, USA. LA - eng PT - Journal Article PT - Review DEP - 20230426 PL - United States TA - AAPS J JT - The AAPS journal JID - 101223209 SB - IM MH - *Dependovirus/genetics MH - *Genetic Therapy/methods MH - Immunity, Cellular MH - Genetic Vectors PMC - PMC10132926 OTO - NOTNLM OT - AAV OT - Adeno-associated virus OT - Cellular immune response OT - anti-AAV immunogenicity COIS- The authors are employed by and receive compensation from companies that are involved in development of gene therapy modality therapeutics and are listed on the title page of the manuscript. The authors have no other relevant affiliations or financial involvements with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript. EDAT- 2023/04/27 00:42 MHDA- 2023/04/28 06:42 PMCR- 2023/04/26 CRDT- 2023/04/26 23:32 PHST- 2023/02/09 00:00 [received] PHST- 2023/04/14 00:00 [accepted] PHST- 2023/04/28 06:42 [medline] PHST- 2023/04/27 00:42 [pubmed] PHST- 2023/04/26 23:32 [entrez] PHST- 2023/04/26 00:00 [pmc-release] AID - 10.1208/s12248-023-00814-5 [pii] AID - 814 [pii] AID - 10.1208/s12248-023-00814-5 [doi] PST - epublish SO - AAPS J. 2023 Apr 26;25(3):47. doi: 10.1208/s12248-023-00814-5.