Lee Ni-Chung, Chien Yin-Hsiu, Hu Min-Hsiu, Liu Wen-Shin, Chen Pin-Wen, Wang Wei-Hua, Tzen Kai-Yuan, Byrne Barry J, Hwu Wuh-Liang
1 Department of Medical Genetics, National Taiwan University Hospital and National Taiwan University College of Medicine , Taipei 10041, Taiwan .
Hum Gene Ther. 2014 Mar;25(3):189-98. doi: 10.1089/hum.2013.170. Epub 2014 Jan 7.
Dopamine and serotonin are produced by distinct groups of neurons in the brain, and gene therapies other than direct injection have not been attempted to correct congenital deficiencies in such neurotransmitters. In this study, we performed gene therapy to treat knock-in mice with dopamine and serotonin deficiencies caused by a mutation in the aromatic L-amino acid decarboxylase (AADC) gene (Ddc(KI) mice). Intracerebral ventricular injection of neonatal mice with an adeno-associated virus (AAV) serotype 9 (AAV9) vector expressing the human AADC gene (AAV9-hAADC) resulted in widespread AADC expression in the brain. Without treatment, 4-week-old Ddc(KI) mice exhibited whole-brain homogenate dopamine and serotonin levels of 25% and 15% of normal, respectively. After gene therapy, the levels rose to 100% and 40% of normal, respectively. The gene therapy improved the growth rate and survival of Ddc(KI) mice and normalized their hindlimb clasping and cardiovascular dysfunctions. The behavioral abnormalities of the Ddc(KI) mice were partially corrected, and the treated Ddc(KI) mice were slightly more active than normal mice. No immune reactions resulted from the treatment. Therefore, a congenital neurotransmitter deficiency can be treated safely through inducing widespread expression of the deficient gene in neonatal mice.
多巴胺和血清素由大脑中不同的神经元群体产生,除了直接注射之外,尚未尝试过其他基因疗法来纠正此类神经递质的先天性缺陷。在本研究中,我们进行了基因治疗,以治疗因芳香族L-氨基酸脱羧酶(AADC)基因突变导致多巴胺和血清素缺乏的基因敲入小鼠(Ddc(KI)小鼠)。向新生小鼠脑室内注射表达人AADC基因的腺相关病毒(AAV)血清型9(AAV9)载体(AAV9-hAADC),导致AADC在大脑中广泛表达。未经治疗时,4周龄的Ddc(KI)小鼠全脑匀浆中的多巴胺和血清素水平分别为正常水平的25%和15%。基因治疗后,这些水平分别升至正常水平的100%和40%。基因治疗提高了Ddc(KI)小鼠的生长速度和存活率,并使其后肢紧握和心血管功能障碍恢复正常。Ddc(KI)小鼠的行为异常得到了部分纠正,接受治疗的Ddc(KI)小鼠比正常小鼠稍活跃。治疗未引发免疫反应。因此,通过在新生小鼠中诱导缺陷基因的广泛表达,可以安全地治疗先天性神经递质缺乏症。
Hum Mol Genet. 2016-12-1
Adv Pharmacol. 2013
Sci Transl Med. 2012-5-16
Zhongguo Dang Dai Er Ke Za Zhi. 2017-1
Expert Opin Orphan Drugs. 2015
Sci Transl Med. 2012-5-16