Abstract

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Yan et al. demonstrate in a series of studies that their rAAV2/HBoV1 vectors are capable of efficient gene transfer in ferret proximal and distal airway epithelial cells, including in air–liquid interface cultures, tracheal xenografts, and, in vivo, live ferrets. 3 As the group had previously determined, the optimized conditions included co-administration of proteasome inhibitors doxorubicin and LLnL. Their results indicated robust gene transfer with luciferase and mCherry reporters in both proximal and distal airways and the ability to re-dose effectively with a different reporter gene (Gaussia vs. Renilla luciferase) after neonatal ferret gene transfer. The characteristics of vector persistence in older animals were also studied and proved favorable.
Taken together, this work seems quite promising as a new approach to gene therapy for CF, at least providing an approach suitable for studying CFTR gene replacement in the CF ferret model in future studies. This type of study demonstrates the critical importance of developing viral vector systems with appropriate tropism for larger animals, whose characteristics more closely mimic those of humans. This also demonstrates the importance of ongoing co-development of vectors and animal models to tackle gene therapy, targeting organs with more complex architecture, such as the airway epithelium. Only through such studies can ongoing progress be made on treating single-gene disorders such as CF whose pathobiology is not at all simple.
