title: Transgene-host cell interactions mediate significant influences on the production, stability, and function of recombinant canine FVIII.
abstract: Recombinant FVIII manufacturing is characterized by poor product stability and low yields. Codon-optimization of transgenes accelerates translation by exploiting the synonymous codon usage bias of a species. However, this can alter the performance of the final product. Additionally, the effects of transgene design across diverse cell types are not well understood and are of interest for next-generation protein and gene therapies. To investigate the effects of transgene design across different host cells, B-domain-deleted (BDD) and modified codon-optimized (CO-N6) transgenes were inserted via lentiviral delivery into cBOECs, HEK293T, and MDCK cells. The CO-N6 cFVIII transgene produced threefold more protein per transgene in HEK293T cells, and sixfold more protein in the two canine cell lines. However, pharmacokinetic analysis in hemophilia A dogs demonstrated that cFVIII produced from cBOECs transduced with the CO-N6 transgene had significantly reduced in vivo recovery. Furthermore, this product showed reduced in vitro stability and activity on thrombin activation versus the BDD product. This trend was reversed in HEK293T lines. Overall, our results demonstrate the need for an integrated approach that not only assesses protein expression levels but also considers the influence that host-cells have on preserving the molecular and biochemical properties of the naturally occurring FVIII.
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada.
authors.forename: Bredon
authors.initials: B
authors.lastname: Crawford
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada ; INCT do Sangue Hemocentro UNICAMP, INCT do Sangue Hemocentro UNICAMP, University of Campinas , Campinas, Brazil.
authors.forename: Margareth C
authors.initials: MC
authors.lastname: Ozelo
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Ogiwara
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada.
authors.forename: James
authors.initials: J
authors.lastname: Ahlin
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada.
authors.forename: Silvia
authors.initials: S
authors.lastname: Albanez
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada.
authors.forename: Carol
authors.initials: C
authors.lastname: Hegadorn
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada.
authors.forename: Lori
authors.initials: L
authors.lastname: Harpell
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada.
authors.forename: Christine
authors.initials: C
authors.lastname: Hough
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University , Kingston, Ontario, Canada.
authors.forename: David
authors.initials: D
authors.lastname: Lillicrap