AAV-mediated expression of HLA-G1/5 reduces severity of experimental autoimmune uveitis

Sci Rep. 2019 Dec 27;9(1):19864. doi: 10.1038/s41598-019-56462-3.

Abstract

Non-infectious uveitis (NIU) is an intractable, recurrent, and painful disease that is a common cause of vision loss. Available treatments of NIU, such as the use of topical corticosteroids, are non-specific and have serious side effects which limits them to short-term use; however, NIU requires long-term treatment to prevent vision loss. Therefore, a single dose therapeutic that mediates long-term immunosuppression with minimal side effects is desirable. In order to develop an effective long-term therapy for NIU, an adeno-associated virus (AAV) gene therapy approach was used to exploit a natural immune tolerance mechanism induced by the human leukocyte antigen G (HLA-G). To mimic the prevention of NIU, naïve Lewis rats received a single intravitreal injection of AAV particles harboring codon-optimized cDNAs encoding HLA-G1 and HLA-G5 isoforms one week prior to the induction of experimental autoimmune uveitis (EAU). AAV-mediated expression of the HLA-G-1 and -5 transgenes in the targeted ocular tissues following a single intravitreal injection of AAV-HLA-G1/5 significantly decreased clinical and histopathological inflammation scores compared to untreated EAU eyes (p < 0.04). Thus, localized ocular gene delivery of AAV-HLA-G1/5 may reduce the off-target risks and establish a long-term immunosuppressive effect that would serve as an effective and novel therapeutic strategy for NIU, with the potential for applications to additional ocular immune-mediated diseases.

MeSH terms

  • Animals
  • Antibodies, Neutralizing / metabolism
  • Dependovirus / genetics*
  • Female
  • Genetic Therapy
  • HLA-G Antigens / genetics
  • HLA-G Antigens / metabolism*
  • HLA-G Antigens / physiology*
  • Intravitreal Injections
  • Rats
  • Uveitis / genetics
  • Uveitis / metabolism
  • Uveitis / pathology*
  • Uveitis / therapy*

Substances

  • Antibodies, Neutralizing
  • HLA-G Antigens