Antibody-guided AAV vectors for antigen-specific delivery of suicide genes

Shojiro Inano1,2, Hiroyuki Morita3, Daishi Nakagawa4

  • 1Department of Early Clinical Development, Graduate School of Medicine, Kyoto University, Yoshida-Konoecho, Sakyo-ku, Kyoto, Japan. shoin@kuhp.kyoto-u.ac.jp.

Gene Therapy
|November 26, 2025
PubMed

Insights

This study introduces a novel antibody-guided adeno-associated virus (AAV) vector system as a cancer therapy alternative. It precisely targets cancer cells with suicide genes, reducing off-target toxicity compared to antibody-drug conjugates (ADCs).

Area of Science:

  • Oncology
  • Gene Therapy
  • Virology

Background:

  • Antibody-drug conjugates (ADCs) show promise in cancer therapy but face limitations due to off-target toxicity from payload leakage.
  • Developing targeted delivery systems that minimize systemic exposure and maximize cancer cell specificity is crucial.

Purpose of the Study:

  • To develop an alternative to ADCs using an antibody-guided adeno-associated virus (AAV) vector system for targeted cancer gene therapy.
  • To create a modular platform for retargeting cancer cells by modifying the antibody component without re-engineering the viral capsid.

Main Methods:

  • Engineered AAV VP2 capsid to display Protein A for IgG binding, enabling antibody-guided complex formation.
  • Utilized an AAV2 heparan sulfate binding knockout (HBKO) background to reduce non-specific viral infections.
  • Tested antigen-specific transduction targeting CD20, EGFR, PSMA, CEA, and CD5 in vitro, delivering EGFP and the pro-apoptotic gene BAX.

Main Results:

  • Achieved antigen-specific transduction for multiple cancer targets with varying efficiency.
  • Demonstrated successful EGFP expression and induced selective apoptosis in target-positive cancer cells upon BAX gene delivery.
  • The system showed reduced risk of extracellular payload leakage compared to conventional ADCs.

Conclusions:

  • The antibody-guided AAV vector system offers a versatile and potentially safer alternative for targeted cancer therapy.
  • This platform enables customizable, precision-guided gene-based treatments with enhanced tumor selectivity.
  • Further development could lead to advanced gene-based therapeutic strategies with minimized toxicity.

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