The role of apoptosis in immune hyporesponsiveness following AAV8 liver gene transfer

Mol Ther. 2013 Dec;21(12):2227-35. doi: 10.1038/mt.2013.94. Epub 2013 Oct 15.

Abstract

Gene therapy provides a significant opportunity to treat a variety of inherited and acquired diseases. However, adverse immune responses toward the adeno-associated virus (AAV) antigens may limit its success. The mechanisms responsible for immunity or tolerance toward AAV-encoded transgene products remain poorly defined. Studies in mice demonstrate that AAV2/8 gene transfer to liver is associated with immunological hyporesponsiveness toward both AAV vector and antigenic transgene product. To evaluate the role of activation-induced cell death (AICD) and cytokine withdrawal (intrinsic cell death) in the deletion of mature T lymphocytes, we compared immunological responses in hepatic AAV2/8 transfer in murine recipients lacking the Fas receptor, and recipients overexpressing Bcl-xL, to WT murine counterparts. Prolonged transgene expression was dependent on both Fas signaling and Bcl-xL-regulated apoptosis in T cells. Abrogation of intrinsic cell death enhanced Th1 responses, whereas AICD functioned to limit neutralizing antibody production toward AAV2/8. In addition, immune hyporesponsiveness and stable transgene expression was dependent on upregulation of FasL expression on transduced hepatocytes and a corresponding apoptosis of infiltrating Fas (+) cells. These data provide evidence that both AICD and apoptosis due to cytokine withdrawal of lymphocytes are essential for immune hyporesponsiveness toward hepatic AAV2/8-encoded transgene product in the setting of liver gene transfer.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis*
  • Cytokines / immunology*
  • Dependovirus / genetics*
  • Dependovirus / immunology*
  • Gene Transfer Techniques*
  • Genetic Therapy
  • Genetic Vectors
  • Immune Tolerance
  • Liver / immunology*
  • Liver / metabolism
  • Mice
  • Mice, Inbred C57BL
  • T-Lymphocytes / immunology
  • bcl-X Protein / genetics
  • bcl-X Protein / metabolism*
  • fas Receptor / metabolism*

Substances

  • Cytokines
  • bcl-X Protein
  • fas Receptor