Reducing off target viral delivery in ovarian cancer gene therapy using a protease-activated AAV2 vector platform

J G Tong1, A C Evans1, M L Ho1

  • 1Department of Bioengineering, Rice University, 6100 Main St., Houston, TX 77005, United States of America.

Insights

A novel gene therapy vector, the Provector, shows reduced off-target effects and lower immune response for treating ovarian cancer. This protease-activated adeno-associated virus (AAV) platform improves tumor targeting while minimizing damage to healthy tissues.

Area of Science:

  • Oncology
  • Gene Therapy
  • Virology

Background:

  • Metastatic epithelial ovarian cancer (EOC) presents challenges for gene therapy due to difficulties in vector targeting and detrimental off-target effects.
  • Current targeting strategies often rely on cell surface receptors, but a universal biomarker for EOC cells is lacking.

Purpose of the Study:

  • To develop a novel adeno-associated virus (AAV) based gene delivery vector, termed Provector, for enhanced EOC treatment.
  • To engineer the Provector for protease-activated transduction, specifically targeting matrix metalloproteinases (MMPs) prevalent in aggressive EOC tumor microenvironments.

Main Methods:

  • Development of a protease-activated AAV vector (Provector) designed for MMP-mediated cellular entry.
  • Evaluation of Provector's biodistribution and targeting efficiency in non-tumor bearing and orthotopic HeyA8 EOC mouse models.
  • Assessment of Provector's immunogenicity and neutralization by pre-existing antibodies compared to standard AAV2.

Main Results:

  • Provector demonstrated significantly reduced viral delivery to healthy tissues, particularly the liver (<1% of AAV2 levels), in non-tumor bearing mice.
  • In an orthotopic EOC model, Provector maintained tumor delivery while exhibiting decreased off-target delivery in the liver and other organs.
  • Provector showed prolonged presence in blood (10% at 24h vs. >99% AAV2 clearance by 1h) and generated 16-fold less neutralizing antibodies than AAV2, with reduced susceptibility to AAV2-neutralizing antibodies.

Conclusions:

  • The Provector represents a promising gene delivery platform for EOC, offering decreased off-target effects without compromising tumor targeting.
  • This novel vector exhibits enhanced immunological stealth compared to traditional AAV2, potentially overcoming pre-existing immunity challenges in clinical applications.
  • The protease-activated mechanism provides a targeted approach for gene therapy in aggressive EOC, minimizing adverse events associated with non-specific viral transduction.

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