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重组腺相关病毒载体的视网膜前递送显著提高视网膜转导效率。

Pre-retinal delivery of recombinant adeno-associated virus vector significantly improves retinal transduction efficiency.

作者信息

Zhang Hanmeng, Sajdak Benjamin S, Merriman Dana K, Carroll Joseph, Lipinski Daniel M

机构信息

Cell Biology, Neurobiology and Anatomy, Medical College of Wisconsin, Milwaukee, WI 53226, USA.

Department of Ophthalmology and Visual Sciences, Medical College of Wisconsin, 925 N 87 Street, Milwaukee, WI 53226, USA.

出版信息

Mol Ther Methods Clin Dev. 2021 Jun 12;22:96-106. doi: 10.1016/j.omtm.2021.06.005. eCollection 2021 Sep 10.

DOI:10.1016/j.omtm.2021.06.005
PMID:34485598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8390453/
Abstract

Intravitreal injection is the most widely used injection technique for ocular gene delivery. However, vector diffusion is attenuated by physical barriers and neutralizing antibodies in the vitreous. The 13-lined ground squirrel (13-LGS), as in humans, has a larger relative vitreous body volume than the more common rodent models such as rats and mice, which would further reduce transduction efficiency with the intravitreal injection route. We report here a "pre-retinal" injection approach that leads to detachment of the posterior hyaloid membrane and delivers vector into the space between vitreous and inner retina. Vectors carrying a ubiquitously expressing mCherry reporter were injected into the deep vitreous or pre-retinal space in adult wild-type 13-LGSs. Then, adeno-associated virus (AAV)-mediated mCherry expression was evaluated with non-invasive imaging, immunofluorescence, and flow cytometry. Compared to deep vitreous delivery, pre-retinal administration achieved pan-retinal gene expression with a lower vector dose volume and significantly increased the number of transduced cone photoreceptors. These results suggest that pre-retinal injection is a promising tool in the development of gene therapy strategies in animal models and is a potential approach for use in human research, particularly in younger individuals with an intact posterior hyaloid membrane and stable vitreous.

摘要

玻璃体内注射是眼部基因递送中应用最广泛的注射技术。然而,载体扩散会受到玻璃体中的物理屏障和中和抗体的影响。与人类一样,13条纹地松鼠(13-LGS)的玻璃体相对体积比大鼠和小鼠等更常见的啮齿动物模型更大,这会进一步降低玻璃体内注射途径的转导效率。我们在此报告一种“视网膜前”注射方法,该方法可导致后透明膜脱离,并将载体递送至玻璃体和视网膜内层之间的空间。将携带普遍表达的mCherry报告基因的载体注射到成年野生型13-LGS的深层玻璃体或视网膜前空间中。然后,通过非侵入性成像、免疫荧光和流式细胞术评估腺相关病毒(AAV)介导的mCherry表达。与深层玻璃体递送相比,视网膜前给药以较低的载体剂量体积实现了全视网膜基因表达,并显著增加了转导的视锥光感受器的数量。这些结果表明,视网膜前注射是动物模型基因治疗策略开发中的一种有前景的工具,也是一种潜在的用于人类研究的方法,特别是对于后透明膜完整且玻璃体稳定较年轻个体。

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Treatment-Emergent Adverse Events in Gene Therapy Trials for Inherited Retinal Diseases: A Narrative Review.遗传性视网膜疾病基因治疗试验中的治疗突发不良事件:一项叙述性综述。
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