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通过脑室内注射腺相关病毒9型载体治疗先天性神经递质缺乏症。

Treatment of congenital neurotransmitter deficiencies by intracerebral ventricular injection of an adeno-associated virus serotype 9 vector.

作者信息

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

机构信息

1 Department of Medical Genetics, National Taiwan University Hospital and National Taiwan University College of Medicine , Taipei 10041, Taiwan .

出版信息

Hum Gene Ther. 2014 Mar;25(3):189-98. doi: 10.1089/hum.2013.170. Epub 2014 Jan 7.


DOI:10.1089/hum.2013.170
PMID:24251946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3955971/
Abstract

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.

摘要

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。

相似文献

[1]
Treatment of congenital neurotransmitter deficiencies by intracerebral ventricular injection of an adeno-associated virus serotype 9 vector.

Hum Gene Ther. 2014-3

[2]
Benefits of Neuronal Preferential Systemic Gene Therapy for Neurotransmitter Deficiency.

Mol Ther. 2015-10

[3]
Regulation of the dopaminergic system in a murine model of aromatic L-amino acid decarboxylase deficiency.

Neurobiol Dis. 2012-12-26

[4]
Mutation-adapted U1 snRNA corrects a splicing error of the dopa decarboxylase gene.

Hum Mol Genet. 2016-12-1

[5]
AADC deficiency: occurring in humans, modeled in rodents.

Adv Pharmacol. 2013

[6]
Carbidopa-based modulation of the functional effect of the AAV2-hAADC gene therapy in 6-OHDA lesioned rats.

PLoS One. 2015-4-10

[7]
Gene therapy for aromatic L-amino acid decarboxylase deficiency by MR-guided direct delivery of AAV2-AADC to midbrain dopaminergic neurons.

Nat Commun. 2021-7-12

[8]
Triple transduction with adeno-associated virus vectors expressing tyrosine hydroxylase, aromatic-L-amino-acid decarboxylase, and GTP cyclohydrolase I for gene therapy of Parkinson's disease.

Hum Gene Ther. 2000-7-20

[9]
Gene therapy for aromatic L-amino acid decarboxylase deficiency.

Sci Transl Med. 2012-5-16

[10]
Convection-enhanced delivery of AAV vector in parkinsonian monkeys; in vivo detection of gene expression and restoration of dopaminergic function using pro-drug approach.

Exp Neurol. 2000-7

引用本文的文献

[1]
Identification of Potential Clusters of Signs and Symptoms to Prioritize Patients' Eligibility for AADCd Screening by 3-OMD Testing: An Italian Delphi Consensus.

Behav Neurol. 2024-4-9

[2]
Gene Therapy for Dopamine Dyshomeostasis: From Parkinson's to Primary Neurotransmitter Diseases.

Mov Disord. 2023-6

[3]
Forebrain excitatory neuron-specific SENP2 knockout mouse displays hyperactivity, impaired learning and memory, and anxiolytic-like behavior.

Mol Brain. 2020-4-14

[4]
Recombinant Adeno-Associated Virus Gene Therapy in Light of Luxturna (and Zolgensma and Glybera): Where Are We, and How Did We Get Here?

Annu Rev Virol. 2019-7-5

[5]
Electrical Abnormalities in Dopaminergic Neurons of the Substantia Nigra in Mice With an Aromatic L-Amino Acid Decarboxylase Deficiency.

Front Cell Neurosci. 2019-1-31

[6]
[Feeding difficulty and developmental delay for 8 months and nystagmus for 4 months in an infant].

Zhongguo Dang Dai Er Ke Za Zhi. 2017-1

[7]
Recombinant adeno-associated virus vectors in the treatment of rare diseases.

Expert Opin Orphan Drugs. 2015

[8]
Benefits of Neuronal Preferential Systemic Gene Therapy for Neurotransmitter Deficiency.

Mol Ther. 2015-10

本文引用的文献

[1]
Viral transduction of the neonatal brain delivers controllable genetic mosaicism for visualising and manipulating neuronal circuits in vivo.

Eur J Neurosci. 2013-1-24

[2]
A next step in adeno-associated virus-mediated gene therapy for neurological diseases: regulation and targeting.

Br J Clin Pharmacol. 2013-8

[3]
S250F variant associated with aromatic amino acid decarboxylase deficiency: molecular defects and intracellular rescue by pyridoxine.

Hum Mol Genet. 2013-1-15

[4]
Regulation of the dopaminergic system in a murine model of aromatic L-amino acid decarboxylase deficiency.

Neurobiol Dis. 2012-12-26

[5]
Improved survival and reduced phenotypic severity following AAV9/MECP2 gene transfer to neonatal and juvenile male Mecp2 knockout mice.

Mol Ther. 2012-9-25

[6]
Cerebral infusion of AAV9 vector-encoding non-self proteins can elicit cell-mediated immune responses.

Mol Ther. 2012-8-28

[7]
Gene therapy for aromatic L-amino acid decarboxylase deficiency.

Sci Transl Med. 2012-5-16

[8]
Intravenous administration of AAV2/9 to the fetal and neonatal mouse leads to differential targeting of CNS cell types and extensive transduction of the nervous system.

FASEB J. 2011-7-11

[9]
Global gene transfer into the CNS across the BBB after neonatal systemic delivery of single-stranded AAV vectors.

Brain Res. 2011-3-31

[10]
Exercise elevates dopamine D2 receptor in a mouse model of Parkinson's disease: in vivo imaging with [¹⁸F]fallypride.

Mov Disord. 2010-12-15

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