Ahmed Seemin S, Rubin Hillard, Wang Minglun, Faulkner Deiby, Sengooba Arnold, Dollive Serena N, Avila Nancy, Ellsworth Jeff L, Lamppu Diana, Lobikin Maria, Lotterhand Jason, Adamson-Small Laura, Wright Teresa, Seymour Albert, Francone Omar L
Research and Development, Homology Medicines, 1 Patriots Park, Bedford, MA 01730, USA.
In Vivo Group, Homology Medicines, 1 Patriots Park, Bedford, MA 01730, USA.
Mol Ther Methods Clin Dev. 2020 Mar 13;17:568-580. doi: 10.1016/j.omtm.2020.03.009. eCollection 2020 Jun 12.
Phenylketonuria is an inborn error of metabolism caused by loss of function of the liver-expressed enzyme phenylalanine hydroxylase and is characterized by elevated systemic phenylalanine levels that are neurotoxic. Current therapies do not address the underlying genetic disease or restore the natural metabolic pathway resulting in the conversion of phenylalanine to tyrosine. A family of hepatotropic clade F adeno-associated viruses (AAVs) was isolated from human CD34 hematopoietic stem cells (HSCs) and one (AAVHSC15) was utilized to deliver a vector to correct the phenylketonuria phenotype in Pah mice. The AAVHSC15 vector containing a codon-optimized form of the human phenylalanine hydroxylase cDNA was administered as a single intravenous dose to Pah mice maintained on a phenylalanine-containing normal chow diet. Optimization of the transgene resulted in a vector that produced a sustained reduction in serum phenylalanine and normalized tyrosine levels for the lifespan of Pah mice. Brain levels of phenylalanine and the downstream serotonin metabolite 5-hydroxyindoleacetic acid were restored. In addition, the coat color of treated mice darkened following treatment, indicating restoration of the phenylalanine metabolic pathway. Taken together, these data support the potential of an AAVHSC15-based gene therapy as an investigational therapeutic for phenylketonuria patients.
苯丙酮尿症是一种先天性代谢缺陷,由肝脏表达的苯丙氨酸羟化酶功能丧失引起,其特征是全身苯丙氨酸水平升高,具有神经毒性。目前的治疗方法并未针对潜在的遗传疾病,也未恢复苯丙氨酸转化为酪氨酸的天然代谢途径。从人类CD34造血干细胞(HSCs)中分离出一组嗜肝F亚群腺相关病毒(AAVs),并利用其中一种(AAVHSC15)递送载体来纠正Pah小鼠的苯丙酮尿症表型。将含有密码子优化形式的人苯丙氨酸羟化酶cDNA的AAVHSC15载体以单次静脉注射剂量给予维持含苯丙氨酸正常饲料饮食的Pah小鼠。转基因的优化产生了一种载体,该载体在Pah小鼠的寿命期间使血清苯丙氨酸持续降低,并使酪氨酸水平正常化。大脑中的苯丙氨酸水平和下游血清素代谢物5-羟吲哚乙酸得以恢复。此外,治疗后小鼠的毛色变深,表明苯丙氨酸代谢途径得以恢复。综上所述,这些数据支持基于AAVHSC15的基因疗法作为苯丙酮尿症患者研究性治疗方法的潜力。
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