Vollrath D, Feng W, Duncan J L, Yasumura D, D'Cruz P M, Chappelow A, Matthes M T, Kay M A, LaVail M M
Department of Genetics, Stanford University School of Medicine, Stanford, CA 94305-5120, USA.
Proc Natl Acad Sci U S A. 2001 Oct 23;98(22):12584-9. doi: 10.1073/pnas.221364198. Epub 2001 Oct 9.
The Royal College of Surgeons (RCS) rat is a widely studied animal model of retinal degeneration in which the inability of the retinal pigment epithelium (RPE) to phagocytize shed photoreceptor outer segments leads to a progressive loss of rod and cone photoreceptors. We recently used positional cloning to demonstrate that the gene Mertk likely corresponds to the retinal dystrophy (rdy) locus of the RCS rat. In the present study, we sought to determine whether gene transfer of Mertk to a RCS rat retina would result in correction of the RPE phagocytosis defect and preservation of photoreceptors. We used subretinal injection of a recombinant replication-deficient adenovirus encoding rat Mertk to deliver the gene to the eyes of young RCS rats. Electrophysiological assessment of animals 30 days after injection revealed an increased sensitivity of treated eyes to low-intensity light. Histologic and ultrastructural assessment demonstrated substantial sparing of photoreceptors, preservation of outer segment structure, and correction of the RPE phagocytosis defect in areas surrounding the injection site. Our results provide definitive evidence that mutation of Mertk underlies the RCS retinal dystrophy phenotype, and that the phenotype can be corrected by treatment of juvenile animals. To our knowledge, this is the first demonstration of complementation of both a functional cellular defect (phagocytosis) and a photoreceptor degeneration by gene transfer to the RPE. These results, together with the recent discovery of MERTK mutations in individuals with retinitis pigmentosa, emphasize the importance of the RCS rat as a model for gene therapy of diseases that arise from RPE dysfunction.
皇家外科学院(RCS)大鼠是一种被广泛研究的视网膜变性动物模型,在该模型中,视网膜色素上皮(RPE)无法吞噬脱落的光感受器外节,导致视杆和视锥光感受器逐渐丧失。我们最近利用定位克隆技术证明,Mertk基因可能对应于RCS大鼠的视网膜营养不良(rdy)位点。在本研究中,我们试图确定将Mertk基因转移到RCS大鼠视网膜是否会纠正RPE吞噬缺陷并保护光感受器。我们通过视网膜下注射编码大鼠Mertk的重组复制缺陷型腺病毒,将该基因导入幼年RCS大鼠的眼睛。注射30天后对动物进行的电生理评估显示,治疗后的眼睛对低强度光的敏感度增加。组织学和超微结构评估表明,光感受器大量保留,外节结构得以保存,注射部位周围区域的RPE吞噬缺陷得到纠正。我们的结果提供了确凿证据,证明Mertk突变是RCS视网膜营养不良表型的基础,并且该表型可以通过治疗幼年动物得到纠正。据我们所知,这是首次通过基因转移至RPE来补充功能性细胞缺陷(吞噬作用)和光感受器变性的实例。这些结果,连同最近在色素性视网膜炎患者中发现的MERTK突变,强调了RCS大鼠作为RPE功能障碍所致疾病基因治疗模型的重要性。