Biochemical Correction of Very Long-Chain Acyl-CoA Dehydrogenase Deficiency Following Adeno-associated Virus Gene Therapy. J. Lawrence Merritt, II, M.D.1* Tien Nguyen, Ph.D. 2 Jan Daniels2 Dietrich Matern, M.D.2,3 David B. Schowalter, M.D., Ph.D.2 SUPPLEMENTAL INFORMATION SUPPLEMENTARY MATERIALS AND METHODS Vector Production, Purification, & Characterization. Recombinant AAV were produced by triple co-transfection on AAV-293 cells (#240073, Stratagene, LaJolla, CA) at 50% confluency in forty 20 cm culture dishes. We had previously cloned the human VLCAD cDNA into the pCMV-MCS plasmid (Stratagene) containing the CMV promoter and a human growth hormone polyA (hGHpA) sequence.1 The pseudotyped AAV vector, AAV8-hVLCAD, was then generated using pHelper (Stratagene) and an AAV plasmid containing a AAV serotype 8 cap sequence, p5E18-VD2/8, using with Trans-IT 293 Transfection reagent (Mirus, Madison, WI). After 72 hour incubation cells were harvested, freeze-thawed three times, sonicated, incubated with Benzonase (E101525KU, Sigma), precipitated in calcium chloride, triple purified on a cesium chloride gradient, desalted using an Amicon Ultra – 15 100,000 MWCO centrifugal filter device (Millipore, Bedford, MA) with sterile phosphate buffered saline (PBS) and 5% sorbitol, aliquoted, and stored at –80°C. Staining of viral proteins was done by boiling 50 μl of purified virus stock with 50 μl of 2X Loading dye (Bio-Rad, Hercules, CA) for 10 minutes, loading on a 10% PAGE gel, fixing the gel in 30% ethanol and 10% acetic acid overnight, three rinses in deionized water for ten minutes with gentle rotation, and final staining per the manufacturer’s guidelines (Bio-Rad). Electron microscopy was done using a transmission electron microscopy at the Mayo Clinic Electron Microscopy Core Facility. Quantitative Analysis. A modified quantification protocol as described by Potter and colleagues 2 was completed using a 4 μl aliquot of purified virus stock incubated in 10 U DNaseI in 200 μl 50 mM Tris-HCl, 10 mM MgCl2 at pH 7.5 for one hour at 37°C followed by addition of 20 μl of 40 μg Proteinase K in 10 mM Tris-HCl, 10 mM EDTA, 1% SDS at pH 8.0 for one hour at 37°C and then quantification by PCR. Reverse transcriptase was performed by extracting RNA from flash-frozen liver tissue using RNeasy Mini Kit combined with the QIA Shredder kit, and RNase-Free DNase Set (QIAGEN, Valencia, CA) per the manufacturer's recommendations. Genomic DNA was purified from frozen liver tissue using the Puregene DNA purification per the manufacturer’s recommendations (QIAGEN). Viral genome quantification was performed using real-time qPCR with Brilliant® QRT_PCR Master Mix Kit (Stratagene, Cedar Creek, TX) and a primer and TaqMan® (Applied Biosystems, Foster City, CA) probe set targeted to amplify the hGHpA region of the pCMV-MCS plasmid (F: 5’-CTG GGT TCA AGC GAT TCT CC; R: 5’-ATG CAT GAC CAG GCT CAG CT; PB: 5’FAM-TGC CTC AGC CTC CCG AGT TGT TG) on an Applied Biosystems 7900HT Fast Real-Time PCR System. Standard curves were performed using pCMV-MCS at seven concentrations. Quantitative PCR conditions were set to 95°C for ten minutes then repeated for 40 cycles at 95°C for 30 seconds and 58°C for one minute. Reverse transcriptase-qPCR was performed using Power SYBR Green PCR Master Mix Kit and GADPH primer set (Applied Biosystems). SUPPLEMENTARY REFERNCES 1. Merritt JL, 2nd, Matern D, Vockley J, Daniels J, Nguyen TV, Schowalter DB. In vitro characterization and in vivo expression of human very-long chain acyl-CoA dehydrogenase. Mol Genet Metab 2006; 88(4): 351-358. 2. Potter M, Chesnut K, Muzyczka N, Flotte T, Zolotukhin S. Streamlined largescale production of recombinant adeno-associated virus (rAAV) vectors. Methods Enzymol 2002; 346: 413-430.