Department of Gene Therapy, Institute of DNA Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Gene Ther. 2010 Apr;17(4):521-30. doi: 10.1038/gt.2009.160. Epub 2009 Dec 24.
Pompe disease results from the deficiency of the lysosomal enzyme acid alpha-glucosidase (GAA), leading to accumulated glycogen in the heart and the skeletal muscles, which causes cardiomyopathy and muscle weakness. In this study, we tested the feasibility of gene therapy for Pompe disease using a lentivirus vector (LV). Newborn GAA knockout mice were treated with intravenous injection of LV encoding human GAA (hGAA) through the facial superficial temporal vein. The transgene expression in the tissues was analyzed up to 24 weeks after treatment. Our results showed that the recombinant LV was efficient not only in increasing the GAA activity in tissues but also in decreasing their glycogen content. The examination of histological sections showed clearence of the glycogen storage in skeletal and cardiac muscles 16 and 24 weeks after a single vector injection. Levels of expressed hGAA could be detected in serum of treated animals until 24 weeks. No significant immune reaction to transgene was detected in most treated animals. Therefore, we show that LV-mediated delivery system was effective in correcting the biochemical abnormalities and that this gene transfer system might be suitable for further studies on delivering GAA to Pompe disease mouse models.
庞贝病是由于溶酶体酶酸性α-葡萄糖苷酶(GAA)的缺乏引起的,导致心肌和骨骼肌中糖原积累,从而引起心肌病和肌肉无力。在这项研究中,我们使用慢病毒载体(LV)测试了庞贝病基因治疗的可行性。通过面部浅表颞静脉,对新生 GAA 敲除小鼠进行静脉注射编码人 GAA(hGAA)的 LV 治疗。在治疗后 24 周内分析了组织中转基因的表达。我们的结果表明,重组 LV 不仅能有效提高组织中的 GAA 活性,还能降低其糖原含量。组织学切片检查显示,单次载体注射 16 周和 24 周后,骨骼肌和心肌中的糖原储存明显清除。在治疗动物的血清中可检测到表达的 hGAA 直至 24 周。大多数治疗动物中未检测到针对转基因的明显免疫反应。因此,我们表明 LV 介导的递送系统能有效纠正生化异常,并且该基因转移系统可能适用于进一步研究将 GAA 递送至庞贝病小鼠模型。