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A largely random AAV integration profile after LPLD gene therapy
Author(s) -
Christine Kaeppel,
Stuart G. Beattie,
Raffaele Fronza,
Richard van Logtenstein,
Florence Salmon,
Sabine Schmidt,
Stephan Wolf,
Ali Nowrouzi,
Hanno Glimm,
Christof von Kalle,
Harald Petry,
Daniel Gaudet,
Manfred Schmidt
Publication year - 2013
Publication title -
nature medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.536
H-Index - 547
eISSN - 1546-170X
pISSN - 1078-8956
DOI - 10.1038/nm.3230
Subject(s) - vector (molecular biology) , genetic enhancement , genome , viral vector , biology , gene , virology , computational biology , genetics , recombinant dna
The clinical application of adeno-associated virus vectors (AAVs) is limited because of concerns about AAV integration-mediated tumorigenicity. We performed integration-site analysis after AAV1-LPL(S447X) intramuscular injection in five lipoprotein lipase-deficient subjects, revealing random nuclear integration and hotspots in mitochondria. We conclude that AAV integration is potentially safe and that vector breakage and integration may occur from each position of the vector genome. Future viral integration-site analyses should include the mitochondrial genome.

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