Gene therapy vectors based on human DNA viruses could be mobilized or
rescued from individuals who are subsequently infected with the corres
ponding wild-type (wt) helper viruses. This phenomenon has been effect
ively modeled in vitro with both adenovirus (Ad) and adeno-associated
virus (AAV) vectors but has not previously been studied in vivo. In th
e current study, we have developed an in vivo model to study the inter
actions of a recombinant AAV vector (AAV-CFTR) with wt AAV type 2 (AAV
2) and a host range mutant Ad (Ad2HR405) for which monkey cells are pe
rmissive (D. E. Brough, S. A. Rice, S. Sell, and D. F. Klessig, J. Vir
ol. 55:206-212, 1985), AAV-CFTR was administered to the respiratory ep
ithelium of the nose or lung of rhesus macaques. Primary cells were ha
rvested from the infusion site at time points up to 3 months after vec
tor administration to confirm vector DNA persistence. Vector DNA was p
resent in episomal form and could be rescued in vitro only by addition
of wt AAV2 and Ad. In in vivo rescue studies, vector was administered
before or after wt-AAV2 and Ad2HR405 infection, and the shedding of A
AV-CFTR was examined. Ad2HR405 and wt-AAV2 infections were established
in the nose with concomitant administration. wt-AAV2 replication occu
rred in the lung when virus was administered directly at a high titer
to the lower respiratory tract. AAV-CFTR vector rescue was also observ
ed in the latter setting. Although these studies were performed with s
mall numbers of animals within each group, it appears that AAV-CFTR DN
A persists in the primate respiratory tract and that this model may be
useful for studies of recombinant AAV vector rescue.