Tan Junkai, Zhang Xiaoguang, Li Danli, Liu Guo, Wang Yun, Zhang Daren, Wang Xizhen, Tian Wenhong, Dong Xiaoyan, Zhou Liang, Zhu Xianjun, Liu Xuyang, Fan Ning
Xiamen Eye Center, Xiamen University, Xiamen 361006, China.
Department of Medicine, Nanchang University, Nanchang 330006, China.
Mol Ther Methods Clin Dev. 2020 Apr 25;17:894-903. doi: 10.1016/j.omtm.2020.04.014. eCollection 2020 Jun 12.
Glaucoma is characterized by retinal ganglion cell (RGC) death and axonal loss. Therefore, neuroprotection is important in treating glaucoma. In this study, we explored whether exoenzyme C3 transferase (C3)-based gene therapy could protect retinas in an ischemia/reperfusion (I/R) injury rat model. Self-complementary adeno-associated virus 2 (scAAV2) vectors encoding either C3 protein (scAAV2-C3) or enhanced green fluorescence protein (scAAV2-EGFP) were intravitreally delivered into both eyes of rats, and I/R models (acute ocular hypertension) were made in one eye of each rat at day 7 after the injection. The rats were divided into six groups: scAAV2-C3, scAAV2-C3 with I/R, scAAV2-EGFP, scAAV2-EGFP with I/R, blank control, and blank control with I/R. TUNEL (terminal deoxynucleotidyltransferase-mediated deoxyuridine triphosphate nick end labeling), immunohistochemistry of cleaved caspase-3, NeuN and Brn-3a, and H&E staining were used to detect apoptotic cells and other changes in the retina. The results showed that scAAV2-C3 significantly reduced the number of apoptotic RGCs and decreased cell loss in the ganglion cell layer after I/R injury, and the I/R-injured retinas treated with scAAV2-C3 were the thickest in all I/R groups. These results suggest that scAAV2-mediated C3 gene therapy is able to protect the rat retina from I/R injury and has potential in the treatment of glaucoma in the future.
青光眼的特征是视网膜神经节细胞(RGC)死亡和轴突缺失。因此,神经保护在青光眼治疗中很重要。在本研究中,我们探讨了基于外切酶C3转移酶(C3)的基因疗法是否能在缺血/再灌注(I/R)损伤大鼠模型中保护视网膜。将编码C3蛋白(scAAV2-C3)或增强型绿色荧光蛋白(scAAV2-EGFP)的自互补腺相关病毒2(scAAV2)载体玻璃体内注射到大鼠的双眼,在注射后第7天,于每只大鼠的一只眼睛中制作I/R模型(急性高眼压)。大鼠被分为六组:scAAV2-C3组、scAAV2-C3 + I/R组、scAAV2-EGFP组、scAAV2-EGFP + I/R组、空白对照组和空白对照 + I/R组。采用TUNEL(末端脱氧核苷酸转移酶介导的dUTP缺口末端标记)、裂解的半胱天冬酶-3、NeuN和Brn-3a的免疫组织化学以及苏木精-伊红染色来检测视网膜中的凋亡细胞和其他变化。结果表明,scAAV2-C3显著减少了I/R损伤后凋亡RGC的数量,并减少了神经节细胞层中的细胞丢失,在所有I/R组中,经scAAV2-C3处理的I/R损伤视网膜最厚。这些结果表明,scAAV2介导的C3基因疗法能够保护大鼠视网膜免受I/R损伤,并且在未来青光眼治疗中具有潜力。