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基于 CRISPR-Cas9 的肌球蛋白相关青光眼治疗。

CRISPR-Cas9-based treatment of myocilin-associated glaucoma.

机构信息

Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA 52242.

North Texas Eye Research Institute, University of North Texas Health Science Center, Fort Worth, TX 76107;

出版信息

Proc Natl Acad Sci U S A. 2017 Oct 17;114(42):11199-11204. doi: 10.1073/pnas.1706193114. Epub 2017 Oct 2.


DOI:10.1073/pnas.1706193114
PMID:28973933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5651749/
Abstract

Primary open-angle glaucoma (POAG) is a leading cause of irreversible vision loss worldwide, with elevated intraocular pressure (IOP) a major risk factor. Myocilin () dominant gain-of-function mutations have been reported in ∼4% of POAG cases. mutations result in protein misfolding, leading to endoplasmic reticulum (ER) stress in the trabecular meshwork (TM), the tissue that regulates IOP. We use CRISPR-Cas9-mediated genome editing in cultured human TM cells and in a MYOC mouse model of POAG to knock down expression of mutant MYOC, resulting in relief of ER stress. In vivo genome editing results in lower IOP and prevents further glaucomatous damage. Importantly, using an ex vivo human organ culture system, we demonstrate the feasibility of human genome editing in the eye for this important disease.

摘要

原发性开角型青光眼 (POAG) 是全球范围内导致不可逆视力丧失的主要原因,眼内压 (IOP) 升高是主要的危险因素。已在约 4%的 POAG 病例中报道了肌球蛋白 () 显性获得性功能突变。这些突变导致蛋白质错误折叠,导致调节 IOP 的小梁网 (TM) 内质网 (ER) 应激。我们使用 CRISPR-Cas9 介导的基因编辑在培养的人 TM 细胞和 POAG 的 MYOC 小鼠模型中敲低突变 MYOC 的表达,从而缓解 ER 应激。体内基因编辑可降低 IOP 并防止进一步的青光眼损伤。重要的是,我们使用体外人器官培养系统证明了对这种重要疾病进行人基因组编辑的可行性。

相似文献

[1]
CRISPR-Cas9-based treatment of myocilin-associated glaucoma.

Proc Natl Acad Sci U S A. 2017-10-2

[2]
Lentiviral mediated delivery of CRISPR/Cas9 reduces intraocular pressure in a mouse model of myocilin glaucoma.

Sci Rep. 2024-3-23

[3]
Expression of Mutant Myocilin Induces Abnormal Intracellular Accumulation of Selected Extracellular Matrix Proteins in the Trabecular Meshwork.

Invest Ophthalmol Vis Sci. 2016-11-1

[4]
Reduction of ER stress via a chemical chaperone prevents disease phenotypes in a mouse model of primary open angle glaucoma.

J Clin Invest. 2011-8-8

[5]
Histochemical Analysis of Glaucoma Caused by a Myocilin Mutation in a Human Donor Eye.

Ophthalmol Glaucoma. 2018

[6]
Mutant human myocilin induces strain specific differences in ocular hypertension and optic nerve damage in mice.

Exp Eye Res. 2012-5-3

[7]
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Invest Ophthalmol Vis Sci. 2012-3-21

[8]
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Hum Mol Genet. 2015-6-15

[9]
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Int J Med Sci. 2020

[10]
Ex-vivo cultured human corneoscleral segment model to study the effects of glaucoma factors on trabecular meshwork.

PLoS One. 2020-6-24

引用本文的文献

[1]
TIGER: A tdTomato in vivo genome-editing reporter mouse for investigating precision-editor delivery approaches.

Proc Natl Acad Sci U S A. 2025-9-2

[2]
A High-Fidelity RNA-Targeting Cas13X Downregulates Connexin43 in Macroglia: A Novel Neuroprotective Strategy for Glaucoma.

Adv Sci (Weinh). 2025-9

[3]
Gene therapy strategies in ophthalmology-an overview of current developments and future prospects.

J Appl Genet. 2025-6-5

[4]
Global research trends on endoplasmic reticulum stress in retinal diseases from 2000 to 2024.

Int Ophthalmol. 2025-5-26

[5]
Protein misfolding and mitochondrial dysfunction in glaucoma.

Front Cell Dev Biol. 2025-4-25

[6]
Challenging glaucoma with emerging therapies: an overview of advancements against the silent thief of sight.

Front Med (Lausanne). 2025-3-26

[7]
Progress in Translating Glaucoma Genetics Into the Clinic: A Review.

Clin Exp Ophthalmol. 2025-4

[8]
Antibody-mediated clearance of an ER-resident aggregate that causes glaucoma.

PNAS Nexus. 2024-12-10

[9]
Genetic engineering and the eye.

Eye (Lond). 2025-1

[10]
Advances in Neuroprotection in Glaucoma: Pharmacological Strategies and Emerging Technologies.

Pharmaceuticals (Basel). 2024-9-25

本文引用的文献

[1]
Expression of Mutant Myocilin Induces Abnormal Intracellular Accumulation of Selected Extracellular Matrix Proteins in the Trabecular Meshwork.

Invest Ophthalmol Vis Sci. 2016-11-1

[2]
The many faces of the trabecular meshwork cell.

Exp Eye Res. 2017-5

[3]
In Vivo CRISPR/Cas9 Gene Editing Corrects Retinal Dystrophy in the S334ter-3 Rat Model of Autosomal Dominant Retinitis Pigmentosa.

Mol Ther. 2016-3

[4]
Elevation of intraocular pressure in rodents using viral vectors targeting the trabecular meshwork.

Exp Eye Res. 2015-12

[5]
Ocular localization and transduction by adenoviral vectors are serotype-dependent and can be modified by inclusion of RGD fiber modifications.

PLoS One. 2014-9-18

[6]
The CRISPR/Cas9 System Facilitates Clearance of the Intrahepatic HBV Templates In Vivo.

Mol Ther Nucleic Acids. 2014-8-19

[7]
Permanent alteration of PCSK9 with in vivo CRISPR-Cas9 genome editing.

Circ Res. 2014-8-15

[8]
The pathophysiology and treatment of glaucoma: a review.

JAMA. 2014-5-14

[9]
Genome editing with Cas9 in adult mice corrects a disease mutation and phenotype.

Nat Biotechnol. 2014-3-30

[10]
Robust mouse pattern electroretinograms derived simultaneously from each eye using a common snout electrode.

Invest Ophthalmol Vis Sci. 2014-4-17

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