Model for the Immune Response Mechanism Against AAV Vectors
Cooperation between pDCs (that sense the AAV genome via TLR9 and produce T1 IFN), cDCs (that present antigen), and CD4+ T helper cells (that provide co-stimulation via the CD40-CD40L pathway) leads to activation of CD8+ T cells. Antibody formation also depends on CD4+ T helper cells and is augmented by activation of moDCs, resulting in IL-1β and IL-6 pro-inflammatory cytokine production, and is modulated by T1 IFN. Abbreviations are as follows: IFNAR-1, interferon α/β receptor 1; cDC, conventional dendritic cell; pDC, plasmacytoid dendritic cell; IFN, interferon; TLR, Toll-like receptor; MyD88, myeloid differentiation primary response protein 88; MHC, major histocompatibility complex; moDC, monocyte-derived dendritic cell; and CD, cluster of differentiation.