PMID- 38385340 OWN - NLM STAT- MEDLINE DCOM- 20240502 LR - 20240502 IS - 1533-1601 (Electronic) IS - 0192-6233 (Linking) VI - 52 IP - 1 DP - 2024 Jan TI - Adeno-Associated Virus-Mediated Dorsal Root Ganglion Toxicity in the New Zealand White Rabbit. PG - 35-54 LID - 10.1177/01926233241229808 [doi] AB - Recombinant adeno-associated virus (AAV)-mediated degeneration of sensory neurons in the dorsal root ganglia (DRG) and trigeminal ganglia (TG) has been observed in non-human primates (NHPs) following intravenous (IV) and intrathecal (IT) delivery. Administration of recombinant AAV encoding a human protein transgene via a single intra-cisterna magna (ICM) injection in New Zealand white rabbits resulted in histopathology changes very similar to NHPs: mononuclear cell infiltration, degeneration/necrosis of sensory neurons, and nerve fiber degeneration of sensory tracts in the spinal cord and of multiple nerves. AAV-associated clinical signs and incidence/severity of histologic findings indicated that rabbits were equally or more sensitive than NHPs to sensory neuron damage. Another study using human and rabbit transgene constructs of the same protein demonstrated comparable changes suggesting that the effects are not an immune response to the non-self protein transgene. Rabbit has not been characterized as a species for general toxicity testing of AAV gene therapies, but these studies suggest that it may be an alternative model to investigate mechanisms of AAV-mediated neurotoxicity and test novel AAV designs mitigating these adverse effects. FAU - Tien, Eric AU - Tien E AUID- ORCID: 0009-0005-8213-1657 AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Grubor, Branka AU - Grubor B AUID- ORCID: 0000-0003-2510-7499 AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Kirkland, Melissa AU - Kirkland M AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Chan, Su Jing AU - Chan SJ AD - Voyager Therapeutics, Inc., Lexington, Massachusetts, USA. FAU - van der Munnik, Nick AU - van der Munnik N AD - GlaxoSmithKline, Middlesex, UK. FAU - Xu, Wenlong AU - Xu W AD - Sonata Therapeutics, Watertown, Massachusetts, USA. FAU - Henry, Kate AU - Henry K AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Hamann, Stefan AU - Hamann S AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Wei, Cong AU - Wei C AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Lee, Wan-Hung AU - Lee WH AUID- ORCID: 0000-0002-5030-2619 AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Gianni, Davide AU - Gianni D AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Brennecke, Ashton AU - Brennecke A AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Nambiar, Kalyani AU - Nambiar K AD - Regeneron Pharmaceuticals Inc., Tarrytown, New York, USA. FAU - Chen, Jeron AU - Chen J AD - Voyager Therapeutics, Inc., Lexington, Massachusetts, USA. FAU - Liu, Bin AU - Liu B AD - Vertex, Boston, Massachusetts, USA. FAU - Shen, Shen AU - Shen S AD - Vertex, Boston, Massachusetts, USA. FAU - Tremblay, Claudine AU - Tremblay C AD - Charles River Laboratories, Montreal, Quebec, Canada. FAU - Plowey, Edward D AU - Plowey ED AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Trapa, Patrick AU - Trapa P AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Fikes, James AU - Fikes J AUID- ORCID: 0000-0002-5837-7359 AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Suh, Junghae AU - Suh J AD - Biogen Inc., Cambridge, Massachusetts, USA. FAU - Morris, Dale AU - Morris D AD - Biogen Inc., Cambridge, Massachusetts, USA. LA - eng PT - Journal Article DEP - 20240222 PL - United States TA - Toxicol Pathol JT - Toxicologic pathology JID - 7905907 SB - IM MH - Animals MH - Rabbits MH - *Ganglia, Spinal MH - *Dependovirus/genetics MH - Genetic Vectors MH - Male MH - Humans MH - Transgenes MH - Female MH - Sensory Receptor Cells OTO - NOTNLM OT - AAV OT - dorsal root ganglia OT - gene therapy OT - toxicity COIS- Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: All authors were employed by Biogen (except for Claudine Tremblay) at the time of their contribution to this work. EDAT- 2024/02/22 12:43 MHDA- 2024/05/02 13:00 CRDT- 2024/02/22 07:48 PHST- 2024/05/02 13:00 [medline] PHST- 2024/02/22 12:43 [pubmed] PHST- 2024/02/22 07:48 [entrez] AID - 10.1177/01926233241229808 [doi] PST - ppublish SO - Toxicol Pathol. 2024 Jan;52(1):35-54. doi: 10.1177/01926233241229808. Epub 2024 Feb 22.