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PEG chains have been covalently attached to
Potato virus X
(PVX),
Tobacco mosaic virus
(TMV), and MS2 (Bruckman
et al
., 2008; Kovacs
et al
.,
2007; Steinmetz
., 2009c) using NHS chemistries, click reactions, or
oxime ligation (recall Chapter 4). PEGylation has been extensively studied
using various CPMV formulations (Destito
et al
et al
., 2007; Lewis
et al
., 2006;
Raja
., 2003; Steinmetz & Manchester, 2009). PEGylation of CPMV before
administration effectively shielded the particles from inducing a primary
immune response (Raja
et al
., 2003). PEGylating CPMV is also an effective
strategy to avoid CPMV-cell interactions
et al
in vitro
and
in vivo
(Destito
et al
.,
2007; Lewis
., 2006; Steinmetz & Manchester, 2009). It was shown that
attaching as few as 30 PEG chains of a molecular weight of 2000 Da (this
is a PEG chain consisting of
et al
14 PEG monomers; see Fig. 8.1) to CPMV
surface Lys side chains allowed effective shielding
n =
in vitro
using cells and
ex
vivo
using tumor tissues (Steinmetz & Manchester, 2009). Only 10% of the
available surface Lys groups were modified with PEG [CPMV displays 300
addressable Lys side chains (Chatterji
., 2004)]. Modeling suggested
that less than 1% of the available surface area of the VNP was covered and
effectively shielded (Steinmetz & Manchester, 2009). Similar data were
obtained studying PEGylated PVX formulations (Steinmetz
et al
., 2009c).
This implies that limited PEGylation of VNPs is sufficient for shielding, and
thus a large surface area and many attachment sites remain available for
further modification with targeting, imaging, and therapeutic ligands.
et al
8.1.2.1  Stealth efect of PEGylated Ads and AAV for gene therapy  
Ad vectors and AAV have been developed for gene therapy for many years.
Broad clinical utility has been challenging because of (i) rapid clearance
(the plasma half-life of Ad is less than 2 min), (ii) liver toxicity, and (iii)
prevalence of Ad-neutralizing antibodies in an individual's serum (reviewed
in Eto
., 2008).
A variety of PEGylated Ad vectors have been analyzed
et al
, and PEG
attachment was beneficial for addressing each of the above-mentioned
points: (i) PEGylated Ads had a fourfold higher clearance ratio compared
with native Ads; (ii) enhanced tumor uptake and lower uptake in the liver
implied reduced side effects and increased therapeutic success; and (iii)
evasion of antibody neutralization by PEG-Ad formulations has been
reported (reviewed in Eto
in vivo
., 2008).
Careful design and evaluation of a particular formulation is critical, as
shown in a study using AAV. It was found that there is only a small window
et al
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