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of effective PEGylation of AAV, in which the virus remained fully infective
allowing for efficient gene delivery while benefiting from a stealth effect
(Lee
., 2005). The more the PEG chains and the larger the PEG chains
attached, the better the shielding and stealth effect. On the downside,
shielding is not exclusive to the components of the immune system. As AAV
vectors rely on the native capsid specificity to interact with their target cells,
if decorated too heavily with PEG chains AAV loses its ability to transfect cells
(Lee
et al
et al
., 2005).
8.1.2.2  Stealth efect via geneic alteraion  
Studies focusing on AAV showed that a stealth effect could also be achieved
by alterations of the particle surface. Mutant particles with altered antigenic
surface properties have been generated using genetic modification protocols
(Huttner
., 2003). However, compared with chemical modification
protocols these methods can be cumbersome and time-consuming. Mutants
with up to 70% reduced affinity to AAV-specific antibodies demonstrated
antibody evasion
et al
. On the downside, the mutants suffered from
significant losses in infectivity (Huttner
in vitro
., 2003). This example also
underlines the importance in carefully evaluating each formulation. It is
critical to find the right balance between reducing undesired side effects
while still maintaining the desired function of the VNP.
et al
8.1.2.3  Dual-Funcionalized Formulaions That Facilitate Shielding 
While Maintaining Eicient Gene Delivery
To overcome the problems of PEGylated formulations being shielded
from their target cells and tissues, targeting ligands that bind to specific
molecular receptors have been utilized (discussed in detail in Sections 8.5
and 8.6). A series of PEG-Ad-RGD vectors have been developed and tested.
The RGD (Arg-Gly-Glu) motif is the targeting ligand that promotes binding
and internalization of the vectors into tumor cells (Sections 8.5 and 8.6). The
RGD motif is highly specific for the integrins
overexpressed
on tumor endothelium and cancer cells. Targeting these tumor markers has
proven successful using a range of platforms and is envisaged as a promising
strategy for imaging and drug delivery (Li
α
b
and
α
b
v
3
v
5
et al
., 2003; Meyer
et al
., 2006;
Sipkins
., 2003). PEG-Ad-RGD vectors have been
shown to retain antibody evasion while maintaining efficient gene delivery
rates (reviewed in Eto
et al
., 1998; Winter
et al
et al
., 2008). The principles are outlined in Fig. 8.2.
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