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腺相关病毒载体介导的短发夹RNA抑制mTOR可抑制激光诱导的脉络膜新生血管形成。

Adeno-Associated Viral Vector-Mediated mTOR Inhibition by Short Hairpin RNA Suppresses Laser-Induced Choroidal Neovascularization.

作者信息

Park Tae Kwann, Lee Si Hyung, Choi Jun Sub, Nah Seung Kwan, Kim Hee Jong, Park Ha Yan, Lee Heuiran, Lee Steven Hyun Seung, Park Keerang

机构信息

Department of Ophthalmology, Soonchunhyang University, College of Medicine, Cheonan 31151, Republic of Korea; Department of Ophthalmology, Soonchunhyang University Hospital Bucheon, Bucheon 14584, Republic of Korea.

Department of Ophthalmology, Soonchunhyang University, College of Medicine, Cheonan 31151, Republic of Korea; Department of Ophthalmology, Soonchunhyang University Hospital Bucheon, Bucheon 14584, Republic of Korea.

出版信息

Mol Ther Nucleic Acids. 2017 Sep 15;8:26-35. doi: 10.1016/j.omtn.2017.05.012. Epub 2017 Jun 1.

Abstract

Choroidal neovascularization (CNV) is the defining characteristic feature of the wet subtype of age-related macular degeneration (AMD) and may result in irreversible blindness. Based on anti-vascular endothelial growth factor (anti-VEGF), the current therapeutic approaches to CNV are fraught with difficulties, and mammalian target of rapamycin (mTOR) has recently been proposed as a possible therapeutic target, although few studies have been conducted. Here, we show that a recombinant adeno-associated virus-delivered mTOR-inhibiting short hairpin RNA (rAAV-mTOR shRNA), which blocks the activity of both mTOR complex 1 and 2, represents a promising therapeutic approach for the treatment of CNV. Eight-week-old male C57/B6 mice were treated with the short hairpin RNA (shRNA) after generating CNV lesions in the eyes via laser photocoagulation. The recombinant adeno-associated virus (rAAV) delivery vehicle was able to effectively transduce cells in the inner retina, and significantly fewer inflammatory cells and less extensive CNV were observed in the animals treated with rAAV-mTOR shRNA when compared with control- and rAAV-scrambled shRNA-treated groups. Presumably related to the reduction of CNV, increased autophagy was detected in CNV lesions treated with rAAV-mTOR shRNA, whereas significantly fewer apoptotic cells detected in the outer nuclear layer around the CNV indicate that mTOR inhibition may also have neuroprotective effects. Taken together, these results demonstrate the therapeutic potential of mTOR inhibition, resulting from rAAV-mTOR shRNA activity, in the treatment of AMD-related CNV.

摘要

脉络膜新生血管(CNV)是年龄相关性黄斑变性(AMD)湿性亚型的典型特征,可能导致不可逆的失明。基于抗血管内皮生长因子(抗VEGF)的目前CNV治疗方法充满困难,尽管相关研究较少,但哺乳动物雷帕霉素靶蛋白(mTOR)最近已被提出作为一种可能的治疗靶点。在此,我们表明,一种重组腺相关病毒递送的抑制mTOR的短发夹RNA(rAAV-mTOR shRNA),它可阻断mTOR复合物1和2的活性,是一种有前景的治疗CNV的方法。通过激光光凝在8周龄雄性C57/B6小鼠眼睛中产生CNV病变后,用短发夹RNA(shRNA)进行治疗。重组腺相关病毒(rAAV)载体能够有效转导视网膜内层细胞,与对照组和rAAV-乱序shRNA治疗组相比,在用rAAV-mTOR shRNA治疗的动物中观察到炎性细胞显著减少,CNV范围也更小。推测与CNV的减少有关,在用rAAV-mTOR shRNA治疗的CNV病变中检测到自噬增加,而在CNV周围外核层中检测到的凋亡细胞显著减少,这表明mTOR抑制可能也具有神经保护作用。综上所述,这些结果证明了rAAV-mTOR shRNA活性导致的mTOR抑制在治疗AMD相关CNV中的治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d69/5477068/f11632d4b9c6/gr1.jpg

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