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Dose-response evaluation of intravenous gene therapy in a symptomatic mouse model of metachromatic leukodystrophy 变色性白质营养不良症无症状小鼠模型中静脉注射基因疗法的剂量-反应评估
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-06 DOI: 10.1016/j.omtm.2024.101248
Emilie Audouard, Nicolas Khefif, Charlotte Mansat, Océane Nelcha, Elena-Gaia Banchi, Camille Lupiet, Dominique Farabos, Antonin Lamaziere, Caroline Sevin, Françoise Piguet
Metachromatic leukodystrophy (MLD) is a rare, autosomal recessive neurodegenerative disease caused by deficient activity of the lysosomal enzyme arylsulfatase A (ARSA), resulting in sulfatide accumulation and subsequent demyelination and neuronal damage within the central and peripheral nervous systems. Three clinical forms of MLD have been described, based on age at symptom onset. The most frequent and severe forms have an early onset, with the disease progressing rapidly toward severe motor and cognitive regression and ultimately premature death. There are currently no approved therapies for most of these early-onset patients once symptoms are present. Thus, it is crucial to develop new approaches to treat symptomatic patients. Here, we proposed a gene therapy approach based on the intravenous delivery of AAVPHP.eB encoding ARSA. MLD mice were treated at 6 months for a dose-response study and at 9 months to assess late-treatment efficacy. Therapeutic efficacy was evaluated 3 or 6 months after injection. We demonstrated a broad transduction in the central nervous system, a complete correction of sulfatide storage, and a significant improvement in neuroinflammation at low dose and late treatment. Taken together, this work establishes a strong rationale for proposing a phase I/II clinical trial in MLD patients.
变色性白质营养不良症(MLD)是一种罕见的常染色体隐性神经退行性疾病,其病因是溶酶体酶 Arylsulfatase A(ARSA)活性不足,导致硫化物蓄积,进而引起中枢神经系统和周围神经系统脱髓鞘和神经元损伤。根据症状出现时的年龄,已描述了三种临床形式的 MLD。最常见和最严重的形式起病较早,病情发展迅速,运动和认知能力严重退化,最终导致过早死亡。目前,大多数早发患者一旦出现症状,还没有获得批准的治疗方法。因此,开发治疗无症状患者的新方法至关重要。在此,我们提出了一种基于静脉注射编码 ARSA 的 AAVPHP.eB 的基因治疗方法。MLD 小鼠在 6 个月时接受治疗以进行剂量反应研究,在 9 个月时接受治疗以评估后期疗效。治疗效果在注射后 3 个月或 6 个月进行评估。我们证明了低剂量和晚期治疗对中枢神经系统的广泛转导、硫化物储存的完全纠正以及神经炎症的显著改善。综上所述,这项研究为在 MLD 患者中开展 I/II 期临床试验提供了强有力的依据。
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引用次数: 0
An investigation of the immune epitope properties of adeno-associated virus capsid-derived peptides among hemophilia patients 对血友病患者腺相关病毒壳衍生肽免疫表位特性的调查
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-02 DOI: 10.1016/j.omtm.2024.101245
Li Liu, Bingqi Xu, Lingling Chen, Jia Liu, Wei Liu, Feng Xue, Sizhou Feng, Erlie Jiang, Mingzhe Han, Wenwei Shao, Lei Zhang, Xiaolei Pei
Adeno-associated virus (AAV) is an optimal gene vector for monogenic disorders. However, neutralizing antibodies (Nabs) against AAV hinder its widespread application in gene therapy. In this study, we biosynthesized peptides recognized by the binding antibodies (Babs) from the sera containing high Nab titers against AAV2. We established four immunological methods to detect immune epitopes of the AAV2-derived peptides, including a Bab assay, Nab assay, B cell receptor (BCR) detecting assay, and immunoglobin-producing B cell enzyme-linked immunosorbent spot (B cell ELISpot) assay. Correlations among the epitopes determined by these four methods were analyzed using the serum samples and peripheral blood mononuclear cells from 89 patients with hemophilia A/B. As decoys, the peptides’ ability to block the Nab of AAV2 particles was assessed using AAV transduction models both and . Overall, we provide insights into AAV2-capsid-derived peptide immune epitopes, involving the Nab, Bab, BCR, and B cell ELISpot assays, offering alternative immunological evaluation approaches and strategies to overcome Nab barriers in AAV-mediated gene therapy.
腺相关病毒(AAV)是治疗单基因疾病的最佳基因载体。然而,针对 AAV 的中和抗体(Nabs)阻碍了其在基因治疗中的广泛应用。在这项研究中,我们从针对 AAV2 的高 Nab 滴度血清中生物合成了被结合抗体(Babs)识别的多肽。我们建立了四种免疫学方法来检测AAV2衍生多肽的免疫表位,包括Bab检测法、Nab检测法、B细胞受体(BCR)检测法和产生免疫球蛋白的B细胞酶联免疫吸附斑(B细胞ELISpot)检测法。利用 89 名 A/B 型血友病患者的血清样本和外周血单核细胞分析了这四种方法确定的表位之间的相关性。作为诱饵,我们使用 AAV 转导模型评估了多肽阻断 AAV2 粒子 Nab 的能力。总之,我们对 AAV2-capsid衍生的多肽免疫表位进行了深入研究,其中涉及 Nab、Bab、BCR 和 B 细胞 ELISpot 检测,提供了在 AAV 介导的基因治疗中克服 Nab 障碍的替代免疫学评估方法和策略。
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引用次数: 0
Subretinal AAV delivery of RNAi-therapeutics targeting VEGFA reduces choroidal neovascularization in a large animal model 在大型动物模型中,视网膜下 AAV 释放靶向 VEGFA 的 RNAi- 治疗药物可减少脉络膜新生血管的形成
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-22 DOI: 10.1016/j.omtm.2024.101242
Silja Hansen Haldrup, Bjørn K. Fabian-Jessing, Thomas Stax Jakobsen, Anna Bøgh Lindholm, Rikke L. Adsersen, Lars Aagaard, Toke Bek, Anne Louise Askou, Thomas J. Corydon
Neovascular age-related macular degeneration (nAMD) is a frequent cause of vision loss among the elderly in the Western world. Current disease management with repeated injections of anti-VEGF agents accumulates the risk for adverse events and constitutes a burden for society and the individual patient. Sustained suppression of VEGF using gene therapy is an attractive alternative, which we explored using adeno-associated virus (AAV)-based delivery of novel RNA interference (RNAi) effectors in a porcine model of choroidal neovascularization (CNV). The potency of -targeting, Ago2-dependent short hairpin RNAs placed in pri-microRNA scaffolds (miR-agshRNA) was established and in mice. Subsequently, AAV serotype 8 (AAV2.8) vectors encoding -targeting or irrelevant miR-agshRNAs under the control of a tissue-specific promotor were delivered to the porcine retina via subretinal injection before CNV induction by laser. Notably, -targeting miR-agshRNAs resulted in a significant and sizable reduction of CNV compared with the non-targeting control. We also demonstrated that single-stranded and self-complementary AAV2.8 vectors efficiently transduce porcine retinal pigment epithelium cells but differ in their transduction characteristics and retinal safety. Collectively, our data demonstrated a robust anti-angiogenic effect of -targeting miR-aghsRNAs in a large translational animal model, thereby suggesting AAV-based delivery of anti-VEGFA RNAi therapeutics as a valuable tool for the management of nAMD.
新生血管性老年黄斑变性(nAMD)是西方国家老年人视力丧失的常见原因。目前通过反复注射抗血管内皮生长因子药物来治疗疾病的方法会累积不良反应风险,给社会和患者个人造成负担。在猪脉络膜新生血管(CNV)模型中,我们利用基于腺相关病毒(AAV)的新型 RNA 干扰(RNAi)效应物进行了探讨。在小鼠中建立并验证了置于 pri-microRNA 支架(miR-agshRNA)中的 Ago2 依赖性短发夹 RNA 的靶向效力。随后,在激光诱导 CNV 之前,通过视网膜下注射将编码-靶向或无关 miR-agshRNA 的 AAV 血清型 8(AAV2.8)载体送入猪视网膜。值得注意的是,与非靶向对照组相比,靶向 miR-agshRNAs 能显著减少 CNV。我们还证明了单链和自补体 AAV2.8 载体能有效转导猪视网膜色素上皮细胞,但它们的转导特性和视网膜安全性不同。总之,我们的数据表明,在一个大型转化动物模型中,靶向 miR-aghsRNAs 具有强大的抗血管生成作用,从而表明基于 AAV 的抗 VEGFA RNAi 治疗药物是治疗 nAMD 的一种有价值的工具。
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引用次数: 0
Combining CRISPR/Cas mediated terminal resolution with a novel genetic workflow to achieve high-diversity adenoviral libraries 将 CRISPR/Cas 介导的末端解析与新型遗传学工作流程相结合,实现高多样性腺病毒文库
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-18 DOI: 10.1016/j.omtm.2024.101241
Julian Fischer, Ariana Fedotova, Lena Jaki, Erwan Sallard, Anja Erhardt, Jonas Fuchs, Zsolt Ruzsics
While recombinant Adenoviruses are widely used in both laboratory and medical gene transfer, library-based applications using this vector platform are not readily available. Recently, we developed a new method, the CRISPR/Cas9 mediated terminal resolution aiding high-efficiency rescue of recombinant Adenoviruses from recombinant DNA. Here we report on a genetic workflow that allows construction of BAC-based recombinant Adenoviruses libraries reconstituted using highly efficient terminal resolution. We utilized frequent, pre-existing genomic sequences to allow the insertion of a selection marker, complementing two selected target sites into novel endonuclease recognition sites. In the second step, this selection marker is replaced with a transgene or mutation of interest via Gibson assembly. Our approach does not cause unwanted genomic off-target mutations while providing substantial flexibility for the site and nature of the genetic modification. This new genetic workflow, which we termed half-site directed fragment replacement allows the introduction of >10ˆ6 unique modifications into rAd encoding BACs using laboratory scale methodology. To demonstrate the power of HFR, we rescued barcoded viral vector libraries yielding a diversity of ∼2.5x10ˆ4 unique recombinant Adenoviruses per cmˆ2 of transfected cell culture.
虽然重组腺病毒被广泛应用于实验室和医学基因转移,但使用这种载体平台的基于文库的应用并不容易获得。最近,我们开发了一种新方法--CRISPR/Cas9 介导的末端解析,有助于从重组 DNA 中高效拯救重组腺病毒。在此,我们报告了一种基因工作流程,它允许利用高效的末端解析构建基于 BAC 的重组腺病毒文库。我们利用频繁出现的、预先存在的基因组序列来插入选择标记,将两个选定的目标位点补充到新型内切酶识别位点中。第二步,通过 Gibson 组装,用转基因或感兴趣的突变取代选择标记。我们的方法不会造成不必要的基因组脱靶突变,同时为基因修饰的位点和性质提供了极大的灵活性。我们将这种新的基因工作流程称为半位定向片段置换,它可以利用实验室规模的方法在 rAd 编码 BAC 中引入大于 10ˆ6 的独特修饰。为了证明 HFR 的威力,我们拯救了条形码病毒载体文库,在每厘米 2 的转染细胞培养物中产生了 2.5x10ˆ4 种独特的重组腺病毒。
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引用次数: 0
Strengthening health systems for access to gene therapy in rare genetic disorders 加强卫生系统,促进罕见遗传疾病的基因治疗
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-13 DOI: 10.1016/j.omtm.2024.101220
Sonal Bhatia, Yann Le Cam, Juan Carrion, Lauren Diamond, Paul Fennessy, Safiyya Gassman, Felix Gutzwiller, Stephen Kagan, Diana Pankevich, Jennifer Young Maloney, Nitin Mahadev, Martin Schulz, Durhane Wong-Rieger, Paolo Morgese
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引用次数: 0
AAV-delivered hepato-adrenal cooperativity in steroidogenesis: implications for gene therapy for congenital adrenal hyperplasia 类固醇生成过程中的肝-肾协同作用:先天性肾上腺皮质增生症基因疗法的意义
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-12 DOI: 10.1016/j.omtm.2024.101232
Lara E. Graves, Eva B. van Dijk, Erhua Zhu, Sundar Koyyalamudi, Tiffany Wotton, Dinah Sung, Shubha Srinivasan, Samantha L. Ginn, Ian E. Alexander
Despite the availability of life-saving corticosteroids for 70 years, treatment for adrenal insufficiency is not able to recapitulate physiological diurnal cortisol secretion and results in numerous complications. Gene therapy is an attractive possibility for monogenic adrenocortical disorders such as congenital adrenal hyperplasia, however, requires further development of gene transfer/editing technologies and knowledge of the target progenitor cell populations. Vectors based on adeno-associated virus are the leading system for direct gene delivery but have limitations in targeting replicating cell populations such as in the adrenal cortex. One strategy to overcome this technological limitation is to deliver the relevant adrenocortical gene to a currently targetable organ outside of the adrenal cortex. To explore this possibility, we developed a vector encoding human 21-hydroxylase and directed expression to the liver in a mouse model of congenital adrenal hyperplasia. This extra-adrenal expression resulted in reconstitution of the steroidogenic pathway. Aldosterone and renin levels normalised, and corticosterone levels improved sufficiently to reduce adrenal hyperplasia. This strategy could provide an alternative treatment option for monogenic adrenal disorders, particularly for mineralocorticoid defects. These findings also demonstrate, when targeting the adrenal gland, that inadvertent liver transduction should be precluded as it may confound data interpretation.
尽管拯救生命的皮质类固醇已问世 70 年,但肾上腺功能不全的治疗无法再现皮质醇的昼夜生理分泌,并导致许多并发症。基因疗法是治疗单基因肾上腺皮质疾病(如先天性肾上腺皮质增生症)的一种有吸引力的方法,但需要进一步开发基因转移/编辑技术,并了解目标祖细胞群。基于腺相关病毒的载体是直接传递基因的主要系统,但在靶向复制细胞群(如肾上腺皮质)方面存在局限性。克服这一技术限制的策略之一是将相关肾上腺皮质基因传递到肾上腺皮质以外的可靶向器官。为了探索这种可能性,我们开发了一种编码人类 21- 羟化酶的载体,并在先天性肾上腺增生症小鼠模型中将其定向表达到肝脏。这种肾上腺外表达导致了类固醇生成途径的重建。醛固酮和肾素水平恢复正常,皮质酮水平得到改善,足以减少肾上腺增生。这种策略可为单基因肾上腺疾病,尤其是矿质皮质激素缺陷提供另一种治疗选择。这些研究结果还表明,在以肾上腺为靶点时,应避免无意中进行肝脏转导,因为这可能会混淆数据解读。
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引用次数: 0
Producing high-quantity and high-quality recombinant adeno-associated virus by low-cis triple transfection 通过低顺式三重转染技术生产高数量和高质量的重组腺相关病毒
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-12 DOI: 10.1016/j.omtm.2024.101230
Hao Liu, Yue Zhang, Mitchell Yip, Lingzhi Ren, Jialing Liang, Xiupeng Chen, Nan Liu, Ailing Du, Jiaming Wang, Hao Chang, Hyejin Oh, Chen Zhou, Ruxiao Xing, Mengyao Xu, Peiyi Guo, Dominic Gessler, Jun Xie, Phillip WL. Tai, Guangping Gao, Dan Wang
Recombinant adeno-associated virus (rAAV)-based gene therapy is entering clinical and commercial stages at an unprecedented pace. Triple transfection of HEK293 cells is currently the most widely used platform for rAAV manufacturing. Here, we develop low-cis triple transfection that reduces the transgene plasmid usage by 10- to 100-fold, and overcomes several major limitations associated with standard triple transfection. This new method improves packaging of yield-inhibiting transgenes by up to 10-fold, and generates rAAV batches with reduced plasmid backbone contamination that otherwise cannot be eliminated in downstream processing. When tested in mice and compared with rAAV produced by standard triple transfection, low-cis rAAV shows comparable or superior potency, and results in diminished plasmid backbone DNA and RNA persistence in tissue. Mechanistically, low-cis triple transfection relies on the extensive replication of transgene cassette (i.e., ITR-flanked vector DNA) in HEK293 cells during production phase. This cost-effective method can be easily implemented and widely applicable to producing rAAV of high quantity, purity, and potency.
基于重组腺相关病毒(rAAV)的基因疗法正以前所未有的速度进入临床和商业阶段。HEK293 细胞的三重转染是目前最广泛使用的 rAAV 生产平台。在这里,我们开发了低顺式三重转染技术,可将转基因质粒用量减少 10 到 100 倍,并克服了与标准三重转染相关的几个主要限制。这种新方法可将产量抑制型转基因的包装提高 10 倍,并能生产出减少质粒骨架污染的 rAAV 批次,而这种污染在下游处理过程中是无法消除的。在小鼠体内进行测试并与标准三重转染产生的 rAAV 进行比较时,低顺式 rAAV 显示出相当或更高的效力,并减少了质粒骨架 DNA 和 RNA 在组织中的持久性。从机理上讲,低顺式三重转染依赖于转基因盒(即 ITR 侧翼载体 DNA)在 HEK293 细胞中生产阶段的广泛复制。这种经济有效的方法易于实施,可广泛用于生产高数量、高纯度和高效力的 rAAV。
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引用次数: 0
Novel AAV variants with improved tropism for human Schwann cells 对人类许旺细胞具有更好趋向性的新型 AAV 变体
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-11 DOI: 10.1016/j.omtm.2024.101234
Matthieu Drouyer, Tak-Ho Chu, Elodie Labit, Florencia Haase, Renina Gale Navarro, Deborah Nazareth, Nicole Rosin, Jessica Merjane, Suzanne Scott, Marti Cabanes-Creus, Adrian Westhaus, Erhua Zhu, Rajiv Midha, Ian E. Alexander, Jeff Biernaskie, Samantha L. Ginn, Leszek Lisowski
Gene therapies and associated technologies are transforming biomedical research and enabling novel therapeutic options for patients living with debilitating and incurable genetic disorders. The vector system based on recombinant adeno-associated viral vectors (AAVs) has shown great promise in recent clinical trials for genetic diseases of multiple organs, such as the liver and the nervous system. Despite recent successes toward the development of novel bioengineered AAV variants for improved transduction of primary human tissues and cells, vectors that can efficiently transduce human Schwann cells (hSCs) have yet to be identified. Here, we report the application of the functional transduction-RNA selection method in primary hSCs for the development of bespoke AAV variants for specific and efficient transgene delivery to hSCs. The two identified capsid variants, Pep2hSC1 and Pep2hSC2, show conserved potency for delivery across various , , and models of hSCs. These novel AAV capsids will serve as valuable research tools, forming the basis for therapeutic solutions for both SC-related disorders or peripheral nervous system injury.
基因疗法和相关技术正在改变生物医学研究,并为衰弱和无法治愈的遗传疾病患者提供了新的治疗方案。以重组腺相关病毒载体(AAV)为基础的载体系统在最近的临床试验中显示出治疗肝脏和神经系统等多器官遗传疾病的巨大前景。尽管最近在开发新型生物工程 AAV 变体以改善原代人体组织和细胞的转导方面取得了成功,但能有效转导人许旺细胞(hSCs)的载体仍有待鉴定。在此,我们报告了在原代间充质干细胞中应用功能性转导-RNA选择方法开发定制AAV变体,以特异、高效地向间充质干细胞传递转基因。两种已鉴定的病毒壳变体--Pep2hSC1 和 Pep2hSC2--显示出在不同的造血干细胞模型中具有一致的转导效力。这些新型 AAV 胶囊将成为有价值的研究工具,为 SC 相关疾病或外周神经系统损伤的治疗方案奠定基础。
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引用次数: 0
Non-canonical capsid engineering highlights new possibilities for AAV vectorology 非典型囊壳工程彰显 AAV 载体学的新可能性
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-06 DOI: 10.1016/j.omtm.2024.101221
Zehan Zhang, John R. Counsell
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引用次数: 0
A robust and flexible baculovirus-insect cell system for AAV vector production with improved yield, capsid ratios and potency 用于生产 AAV 向量的稳健而灵活的杆状病毒-昆虫细胞系统,可提高产量、囊壳比率和效力
IF 4.7 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-04 DOI: 10.1016/j.omtm.2024.101228
Yoko Marwidi, Hoang-Oanh B. Nguyen, David Santos, Tenzin Wangzor, Sumita Bhardwaj, Gabriel Ernie, Gregg Prawdzik, Garrett Lew, David Shivak, Michael Trias, Jada Padilla, Hung Tran, Kathleen Meyer, Richard Surosky, Alex Michael Ward
Manufacturing of adeno-associated viruses (AAV) for gene and cell therapy applications has increased significantly and spurred development of improved mammalian and insect cell-based production systems. We developed a baculovirus-based insect cell production system—the SGMO Helper—with a novel gene architecture and greater flexibility to modulate the expression level and content of individual Rep and Cap proteins. In addition, we incorporated modifications to the AAV6 capsid sequence that improves yield, capsid integrity, and potency. Production of recombinant AAV 6 (rAAV6) using the SGMO Helper had improved yields compared to the Bac-RepCap helper from the Kotin lab. SGMO Helper-derived rAAV6 is resistant to a previously described proteolytic cleavage unique to baculovirus-insect cell production systems and has improved capsid ratios and potency, and , compared with rAAV6 produced using Bac-RepCap. Next-generation sequencing sequence analysis demonstrated that the SGMO Helper is stable over six serial passages and rAAV6 capsids contain comparable amounts of non-vector genome DNA as rAAV6 produced using Bac-RepCap. AAV production using the SGMO Helper is scalable using bioreactors and has improved yield, capsid ratio, and potency. Our studies demonstrate that the SGMO Helper is an improved platform for AAV manufacturing to enable delivery of cutting-edge gene and cell therapies.
用于基因和细胞治疗的腺相关病毒(AAV)的生产量大幅增加,促进了基于哺乳动物和昆虫细胞的改良生产系统的开发。我们开发了一种基于杆状病毒的昆虫细胞生产系统--SGMO Helper,它具有新颖的基因结构和更大的灵活性,可以调节单个 Rep 蛋白和 Cap 蛋白的表达水平和含量。此外,我们还对 AAV6 的囊膜序列进行了修改,从而提高了产量、囊膜完整性和效力。与科廷实验室的 Bac-RepCap 助手相比,使用 SGMO 助手生产重组 AAV6(rAAV6)的产量有所提高。与使用 Bac-RepCap 生产的 rAAV6 相比,SGMO Helper 衍生的 rAAV6 能抵抗先前描述的一种特有于杆状病毒-昆虫细胞生产系统的蛋白酶裂解,并且提高了囊膜比率和效力。下一代测序序列分析表明,SGMO Helper 经过六次连续传代后是稳定的,而且 rAAV6 荚膜中的非载体基因组 DNA 含量与使用 Bac-RepCap 生产的 rAAV6 相当。使用 SGMO Helper 生产 AAV 可通过生物反应器进行扩展,并能提高产量、囊壳比率和效力。我们的研究表明,SGMO Helper 是一种改进的 AAV 生产平台,可用于提供最先进的基因和细胞疗法。
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引用次数: 0
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Molecular Therapy-Methods & Clinical Development
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