腺相关病毒9介导的靶向施万细胞的基因治疗挽救了一种脱髓鞘性神经病模型。

AAV9-mediated Schwann cell-targeted gene therapy rescues a model of demyelinating neuropathy.

作者信息

Kagiava Alexia, Karaiskos Christos, Richter Jan, Tryfonos Christina, Jennings Matthew J, Heslegrave Amanda J, Sargiannidou Irene, Stavrou Marina, Zetterberg Henrik, Reilly Mary M, Christodoulou Christina, Horvath Rita, Kleopa Kleopas A

机构信息

Neuroscience Department, The Cyprus Institute of Neurology and Genetics and Cyprus School of Molecular Medicine, Nicosia, Cyprus.

Department of Molecular Virology, The Cyprus Institute of Neurology and Genetics and Cyprus School of Molecular Medicine, Nicosia, Cyprus.

出版信息

Gene Ther. 2021 Nov;28(10-11):659-675. doi: 10.1038/s41434-021-00250-0. Epub 2021 Mar 10.

Abstract

Mutations in the GJB1 gene, encoding the gap junction (GJ) protein connexin32 (Cx32), cause X-linked Charcot-Marie-Tooth disease (CMT1X), an inherited demyelinating neuropathy. We developed a gene therapy approach for CMT1X using an AAV9 vector to deliver the GJB1/Cx32 gene under the myelin protein zero (Mpz) promoter for targeted expression in Schwann cells. Lumbar intrathecal injection of the AAV9-Mpz.GJB1 resulted in widespread biodistribution in the peripheral nervous system including lumbar roots, sciatic and femoral nerves, as well as in Cx32 expression in the paranodal non-compact myelin areas of myelinated fibers. A pre-, as well as post-onset treatment trial in Gjb1-null mice, demonstrated improved motor performance and sciatic nerve conduction velocities along with improved myelination and reduced inflammation in peripheral nerve tissues. Blood biomarker levels were also significantly ameliorated in treated mice. This study provides evidence that a clinically translatable AAV9-mediated gene therapy approach targeting Schwann cells could potentially treat CMT1X.

摘要

编码间隙连接(GJ)蛋白连接蛋白32(Cx32)的GJB1基因突变会导致X连锁型夏科-马里-图斯病(CMT1X),这是一种遗传性脱髓鞘性神经病。我们开发了一种针对CMT1X的基因治疗方法,使用AAV9载体在髓磷脂蛋白零(Mpz)启动子的控制下递送GJB1/Cx32基因,以便在施万细胞中实现靶向表达。经腰椎鞘内注射AAV9-Mpz.GJB1后,其在外周神经系统中广泛分布,包括腰神经根、坐骨神经和股神经,并且在有髓纤维的结旁非致密髓鞘区域中表达Cx32。在Gjb1基因缺失小鼠中进行的发病前和发病后治疗试验表明,其运动能力和坐骨神经传导速度得到改善,同时外周神经组织中的髓鞘形成增加,炎症减轻。治疗小鼠的血液生物标志物水平也显著改善。这项研究提供了证据,表明一种针对施万细胞的可临床转化的AAV9介导的基因治疗方法可能有效治疗CMT1X。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e326/8599011/ce2a5f5b79ae/41434_2021_250_Fig1_HTML.jpg

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