Atomic Energy Commission (CEA), Institute of Biomedical Imaging (I2BM), Molecular Imaging Research Center (MIRCen), Fontenay-aux-Roses, France.
Neurobiol Dis. 2012 Nov;48(2):202-11. doi: 10.1016/j.nbd.2011.08.023. Epub 2011 Aug 25.
Huntington's disease (HD) is an autosomal dominant neurodegenerative disorder caused by an expansion of CAG repeats in the huntingtin (Htt) gene. Despite intensive efforts devoted to investigating the mechanisms of its pathogenesis, effective treatments for this devastating disease remain unavailable. The lack of suitable models recapitulating the entire spectrum of the degenerative process has severely hindered the identification and validation of therapeutic strategies. The discovery that the degeneration in HD is caused by a mutation in a single gene has offered new opportunities to develop experimental models of HD, ranging from in vitro models to transgenic primates. However, recent advances in viral-vector technology provide promising alternatives based on the direct transfer of genes to selected sub-regions of the brain. Rodent studies have shown that overexpression of mutant human Htt in the striatum using adeno-associated virus or lentivirus vectors induces progressive neurodegeneration, which resembles that seen in HD. This article highlights progress made in modeling HD using viral vector gene transfer. We describe data obtained with of this highly flexible approach for the targeted overexpression of a disease-causing gene. The ability to deliver mutant Htt to specific tissues has opened pathological processes to experimental analysis and allowed targeted therapeutic development in rodent and primate pre-clinical models.
亨廷顿病(HD)是一种常染色体显性神经退行性疾病,由亨廷顿(Htt)基因中的 CAG 重复扩展引起。尽管人们致力于研究其发病机制,但仍缺乏有效的治疗方法。缺乏能够重现整个退行性过程的合适模型,严重阻碍了治疗策略的确定和验证。人们发现 HD 的退化是由单个基因突变引起的,这为开发 HD 的实验模型提供了新的机会,从体外模型到转基因灵长类动物。然而,病毒载体技术的最新进展提供了基于将基因直接转移到大脑的选定亚区的有希望的替代方法。啮齿动物研究表明,使用腺相关病毒或慢病毒载体在纹状体中超表达突变型人 Htt 会诱导进行性神经退行性变,类似于 HD 中所见的情况。本文重点介绍了使用病毒载体基因转移来模拟 HD 的进展。我们描述了使用这种高度灵活的方法靶向过表达致病基因所获得的数据。将突变型 Htt 递送到特定组织的能力使病理过程能够进行实验分析,并允许在啮齿动物和灵长类动物临床前模型中进行靶向治疗开发。