AAV Infection: Protection from Cancer
- PMID: 27832705
- PMCID: PMC5399746
- DOI: 10.1089/hum.2016.147
AAV Infection: Protection from Cancer
Abstract
There are conflicting reports that integration of the wild-type adeno-associated virus 2 (AAV2) genome is associated with induction of hepatocellular carcinoma (HCC) in a small subset of patients. However, there are several lines of evidence that contradict this assertion: (i) AAV2 has long been known to be a non-pathogenic virus, although ∼90% of the human population is seropositive for AAV2 antibodies; (ii) AAV2 has been shown to possess anticancer activity; (iii) epidemiological evidence suggests that AAV2 infection plays a protective role against cervical carcinoma; and (iv) five different AAV serotype vectors (AAV1, AAV2, AAV5, AAV8, and AAV9) have been or are currently being used in 162 Phase I/II clinical trials and one Phase III clinical trial in humans to date, and no cancer of any type has ever been observed or reported. A brief historical account of the putative role of infection by AAV in the etiology of cancer, or lack thereof, is presented.
Keywords: DNA integration; liver cancer; recombinant AAV vectors; wild-type AAV2.
Conflict of interest statement
A.S. holds issued patents related to AAV vectors that have been licensed to various AAV gene therapy companies. No competing financial interests exist for B.J.C.
Comment in
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Re: Srivastava A, Carter BJ; AAV Infection: Protection from Cancer; Hum Gene Ther 2017;28:323-327; DOI: 10.1089/hum.2016.147.Hum Gene Ther. 2017 May;28(5):375-376. doi: 10.1089/hum.2017.045. Hum Gene Ther. 2017. PMID: 28335621 No abstract available.
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Authors' Response to Jesse D. Riordan, Hum Gene Ther 2017;28:375-376; DOI: 10.1089/hum.2017.045.Hum Gene Ther. 2017 May;28(5):376-377. doi: 10.1089/hum.2017.050. Hum Gene Ther. 2017. PMID: 28498777 No abstract available.
References
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- Nault JC, Datta S, Imbeaud S, et al. . Recurrent AAV2-related insertional mutagenesis in human hepatocellular carcinomas. Nat Genet 2015;47:1187–1193 - PubMed
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- Nault JC, Colombo M. Hepatocellular carcinoma and direct acting antiviral treatments: controversy after the revolution. J Hepatol 2016;65:663–665 - PubMed
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