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Project 3: Isolated Liver Perfusion for rAAV
and Non-Viral Vector Delivery.
Viral vectors such as rAAV and viral gene deleted adenoviruses
show potential for liver directed gene therapy for genetic disorders
such as hemophilia. In current proposed liver trial for rAAV-hFVIII
or rAAV-hFIX, we plan to administer the vector into the hepatic
artery. Even though after systemic delivery, a majority of the
vector ends up in the liver, there is a substantial amount of
promiscuous dissemination into other tissues. These can have unwanted
side-effects. We propose to develop a clinically relevant approach
to non-surgical isolation of the hepatic vasculature in a large
animal model that would allow for asanguinous perfusion (AHP)
of the liver in situ. We propose pre-clinical development to test
the feasibility of this approach for rAAV-mediated gene transfer,
and a new integrating plasmid based non-viral vector. We will
compare the "standard" hepatic artery approach with new AHP methods.
We plan to use these technologies to address scientific principles
that are important for vector delivery into the liver. The specific
questions to be addressed are: (1) is there a dose-response advantage
to vascular isolation; (2) is there is difference in toxicity;
(3) can we increase the number of hepatocytes that can be stably
transduced with rAAV or non-viral vectors. We believe that the
technology developed here will not only be useful for addressing
these scientific principles but will be directly applicable to
liver-directed gene therapy trials within the PEGT and other gene
therapy investigators.
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