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重组 AAV 介导的 BEST1 向视网膜色素上皮的转移:血清型依赖性视网膜效应分析。

Recombinant AAV-mediated BEST1 transfer to the retinal pigment epithelium: analysis of serotype-dependent retinal effects.

机构信息

Section of Ophthalmology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.

出版信息

PLoS One. 2013 Oct 15;8(10):e75666. doi: 10.1371/journal.pone.0075666. eCollection 2013.

Abstract

Mutations in the BEST1 gene constitute an underlying cause of juvenile macular dystrophies, a group of retinal disorders commonly referred to as bestrophinopathies and usually diagnosed in early childhood or adolescence. The disease primarily affects macular and paramacular regions of the eye leading to major declines in central vision later in life. Currently, there is no cure or surgical management for BEST1-associated disorders. The recently characterized human disease counterpart, canine multifocal retinopathy (cmr), recapitulates a full spectrum of clinical and molecular features observed in human bestrophinopathies and offers a valuable model system for development and testing of therapeutic strategies. In this study, the specificity, efficiency and safety of rAAV-mediated transgene expression driven by the human VMD2 promoter were assessed in wild-type canine retinae. While the subretinal delivery of rAAV2/1 vector serotype was associated with cone damage in the retina when BEST1 and GFP were co-expressed, the rAAV2/2 vector serotype carrying either GFP reporter or BEST1 transgene under control of human VMD2 promoter was safe, and enabled specific transduction of the RPE cell monolayer that was stable for up to 6 months post injection. These encouraging studies with the rAAV2/2 vector lay the groundwork for development of gene augmentation therapy for human bestrophinopathies.

摘要

BEST1 基因突变是青少年黄斑营养不良的根本原因,这是一组通常被称为贝斯特综合征的视网膜疾病,通常在儿童期或青春期被诊断出来。这种疾病主要影响眼睛的黄斑和旁黄斑区域,导致晚年中心视力严重下降。目前,还没有针对 BEST1 相关疾病的治疗方法或手术管理。最近被描述的人类疾病对应物,犬多灶性视网膜病变(cmr),重现了人类贝斯特综合征中观察到的一系列完整的临床和分子特征,并为治疗策略的开发和测试提供了有价值的模型系统。在这项研究中,评估了由人 VMD2 启动子驱动的 rAAV 介导的转基因表达在野生型犬视网膜中的特异性、效率和安全性。虽然当 BEST1 和 GFP 共表达时,rAAV2/1 载体血清型的视网膜下递送与视网膜中的锥体损伤有关,但携带 GFP 报告基因或 BEST1 转基因的 rAAV2/2 载体在人 VMD2 启动子的控制下是安全的,并能特异性转导 RPE 细胞单层,其稳定性可长达 6 个月。这些使用 rAAV2/2 载体的令人鼓舞的研究为人类贝斯特综合征的基因增强治疗的发展奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39eb/3797066/3348d6c46a33/pone.0075666.g001.jpg

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