Enhancing gene transfer to renal tubules and podocytes by context-dependent selection of AAV capsids

Abstract AAV vectors show promise for gene therapy; however, kidney gene transfer remains challenging. Here we conduct a barcode-seq-based comparison of 47 AAV capsids administered through different routes in mice, followed by individual validation. We find that local delivery of AAV-KP1, but not AA...

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Main Authors: Taisuke Furusho, Ranjan Das, Hideyuki Hakui, Anusha Sairavi, Kei Adachi, Mia S. Galbraith-Liss, Pratheppa Rajagopal, Masahiro Horikawa, Shuhua Luo, Lena Li, Kentaro Yamada, Nicole Andeen, Gregory A. Dissen, Hiroyuki Nakai
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-54475-9
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author Taisuke Furusho
Ranjan Das
Hideyuki Hakui
Anusha Sairavi
Kei Adachi
Mia S. Galbraith-Liss
Pratheppa Rajagopal
Masahiro Horikawa
Shuhua Luo
Lena Li
Kentaro Yamada
Nicole Andeen
Gregory A. Dissen
Hiroyuki Nakai
author_facet Taisuke Furusho
Ranjan Das
Hideyuki Hakui
Anusha Sairavi
Kei Adachi
Mia S. Galbraith-Liss
Pratheppa Rajagopal
Masahiro Horikawa
Shuhua Luo
Lena Li
Kentaro Yamada
Nicole Andeen
Gregory A. Dissen
Hiroyuki Nakai
author_sort Taisuke Furusho
collection DOAJ
description Abstract AAV vectors show promise for gene therapy; however, kidney gene transfer remains challenging. Here we conduct a barcode-seq-based comparison of 47 AAV capsids administered through different routes in mice, followed by individual validation. We find that local delivery of AAV-KP1, but not AAV9, via the renal vein or pelvis effectively transduces proximal tubules with minimal off-target liver transduction, while systemic AAV9, but not AAV-KP1, enhances proximal tubule and podocyte transduction in chronic kidney disease. We demonstrate that these contrasting observations are partly due to differences in their pharmacokinetics. Importantly, we show that renal pelvis injection overcomes pre-existing immunity, leading to robust and exclusive proximal tubule transduction, in non-human primates (NHPs). In addition, we highlight drastic differences in renal transduction profiles between mice and NHPs. Thus, this study provides mechanistic insights and underscores importance of context-dependent selection of AAV capsids to overcome challenges in gene delivery to the kidney.
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spelling doaj-art-9a7abb30409a48e58f1f895df1d09c472025-01-05T12:34:52ZengNature PortfolioNature Communications2041-17232024-12-0115111710.1038/s41467-024-54475-9Enhancing gene transfer to renal tubules and podocytes by context-dependent selection of AAV capsidsTaisuke Furusho0Ranjan Das1Hideyuki Hakui2Anusha Sairavi3Kei Adachi4Mia S. Galbraith-Liss5Pratheppa Rajagopal6Masahiro Horikawa7Shuhua Luo8Lena Li9Kentaro Yamada10Nicole Andeen11Gregory A. Dissen12Hiroyuki Nakai13Department of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDotter Department of Interventional Radiology, Oregon Health & Science University School of MedicineDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineDotter Department of Interventional Radiology, Oregon Health & Science University School of MedicineDepartment of Pathology, Oregon Health & Science University School of MedicineDivision of Neuroscience, Oregon National Primate Research Center, Oregon Health & Science UniversityDepartment of Molecular and Medical Genetics, Oregon Health & Science University School of MedicineAbstract AAV vectors show promise for gene therapy; however, kidney gene transfer remains challenging. Here we conduct a barcode-seq-based comparison of 47 AAV capsids administered through different routes in mice, followed by individual validation. We find that local delivery of AAV-KP1, but not AAV9, via the renal vein or pelvis effectively transduces proximal tubules with minimal off-target liver transduction, while systemic AAV9, but not AAV-KP1, enhances proximal tubule and podocyte transduction in chronic kidney disease. We demonstrate that these contrasting observations are partly due to differences in their pharmacokinetics. Importantly, we show that renal pelvis injection overcomes pre-existing immunity, leading to robust and exclusive proximal tubule transduction, in non-human primates (NHPs). In addition, we highlight drastic differences in renal transduction profiles between mice and NHPs. Thus, this study provides mechanistic insights and underscores importance of context-dependent selection of AAV capsids to overcome challenges in gene delivery to the kidney.https://doi.org/10.1038/s41467-024-54475-9
spellingShingle Taisuke Furusho
Ranjan Das
Hideyuki Hakui
Anusha Sairavi
Kei Adachi
Mia S. Galbraith-Liss
Pratheppa Rajagopal
Masahiro Horikawa
Shuhua Luo
Lena Li
Kentaro Yamada
Nicole Andeen
Gregory A. Dissen
Hiroyuki Nakai
Enhancing gene transfer to renal tubules and podocytes by context-dependent selection of AAV capsids
Nature Communications
title Enhancing gene transfer to renal tubules and podocytes by context-dependent selection of AAV capsids
title_full Enhancing gene transfer to renal tubules and podocytes by context-dependent selection of AAV capsids
title_fullStr Enhancing gene transfer to renal tubules and podocytes by context-dependent selection of AAV capsids
title_full_unstemmed Enhancing gene transfer to renal tubules and podocytes by context-dependent selection of AAV capsids
title_short Enhancing gene transfer to renal tubules and podocytes by context-dependent selection of AAV capsids
title_sort enhancing gene transfer to renal tubules and podocytes by context dependent selection of aav capsids
url https://doi.org/10.1038/s41467-024-54475-9
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