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新型腺相关病毒载体递送肌联蛋白基因调节剂 jazz 可改善 mdx 小鼠的肌营养不良病理。

Novel adeno-associated viral vector delivering the utrophin gene regulator jazz counteracts dystrophic pathology in mdx mice.

机构信息

Institute of Cell Biology and Neurobiology CNR, IRCCS Fondazione Santa Lucia, Rome, Italy.

出版信息

J Cell Physiol. 2014 Sep;229(9):1283-91. doi: 10.1002/jcp.24567.

Abstract

Over-expression of the dystrophin-related gene utrophin represents a promising therapeutic strategy for Duchenne muscular dystrophy (DMD). The strategy is based on the ability of utrophin to functionally replace defective dystrophin. We developed the artificial zinc finger transcription factor "Jazz" that up-regulates both the human and mouse utrophin promoter. We observed a significant recovery of muscle strength in dystrophic Jazz-transgenic mdx mice. Here we demonstrate the efficacy of an experimental gene therapy based on the systemic delivery of Jazz gene in mdx mice by adeno-associated virus (AAV). AAV serotype 8 was chosen on the basis of its high affinity for skeletal muscle. Muscle-specific expression of the therapeutic Jazz gene was enhanced by adding the muscle α-actin promoter to the AAV vector (mAAV). Injection of mAAV8-Jazz viral preparations into mdx mice resulted in muscle-specific Jazz expression coupled with up-regulation of the utrophin gene. We show a significant recovery from the dystrophic phenotype in mAAV8-Jazz-treated mdx mice. Histological and physiological analysis revealed a reduction of fiber necrosis and inflammatory cell infiltration associated with functional recovery in muscle contractile force. The combination of ZF-ATF technology with the AAV delivery can open a new avenue to obtain a therapeutic strategy for treatment of DMD.

摘要

肌营养不良蛋白相关基因 utrophin 的过度表达代表了治疗杜氏肌营养不良症 (DMD) 的一种很有前途的治疗策略。该策略基于 utrophin 能够发挥功能替代缺陷肌营养不良蛋白的能力。我们开发了一种名为“Jazz”的人工锌指转录因子,它可以上调人类和小鼠 utrophin 启动子。我们观察到 Jazz 转基因 mdx 小鼠的肌肉力量有显著恢复。在这里,我们通过腺相关病毒 (AAV) 展示了一种基于 Jazz 基因系统递送来治疗肌营养不良症的实验基因疗法的疗效。选择 AAV 血清型 8 是基于其对骨骼肌的高亲和力。通过将肌肉α-肌动蛋白启动子添加到 AAV 载体 (mAAV) 中,增强了治疗性 Jazz 基因在肌肉中的特异性表达。我们表明,在 mdx 小鼠中注射 mAAV8-Jazz 病毒制剂可导致肌肉特异性 Jazz 表达与 utrophin 基因的上调相关联。我们发现 mAAV8-Jazz 治疗的 mdx 小鼠从肌营养不良症表型中得到了显著恢复。组织学和生理学分析显示,与肌肉收缩力的功能恢复相关的纤维坏死和炎性细胞浸润减少。ZF-ATF 技术与 AAV 传递的结合为获得治疗 DMD 的治疗策略开辟了新途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd20/4303978/a4a9b95c8b03/jcp0229-1283-f1.jpg

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