Faculty of Biology, Technion-Israel Institute of Technology, Haifa, 32000, Israel.
Gene Ther. 2022 May;29(5):294-303. doi: 10.1038/s41434-022-00325-6. Epub 2022 Mar 17.
The reproductive axis is activated by gonadotropin-releasing hormone (GnRH), which stimulates the pituitary gonadotropes to secrete hormones that drive gonadal function and steroidogenesis. Thus repression of this axis, which is conserved across mammals and sexes, can reduce steroid levels and/or prevent reproduction. Steroid-dependent pathologies, including various cancers, are commonly treated with GnRH super-analogs which have long-term side-effects, while humane solutions for controlling reproduction in domestic and wild animal populations are lacking. GnRH-conjugated toxins are undergoing clinical trials for GnRHR-expressing cancer cells, and have been examined for gonadotrope ablation in animals, but showed low and/or transient effects and administration of toxins has many potential complications. Here we exploit GnRH targeting to gonadotropes to deliver DNA encoding an effector that induces gonadotropin gene repressive epigenetic modifications which are perpetuated over time. Several layers of specificity are endowed through targeting to GnRHR-expressing cells and due to local cleavage of the peptide packaging the DNA; the DNA-encoded effector is expressed and directed to the target genes by the DNA binding domain of a highly specific transcription factor. This design has multiple advantages over existing methods of shutting down the reproductive axis, and its modular design should allow adaptation for broad applications.
生殖轴被促性腺激素释放激素 (GnRH) 激活,后者刺激垂体促性腺激素分泌激素,从而驱动性腺功能和类固醇生成。因此,这个在哺乳动物和性别中都保守的轴的抑制可以降低类固醇水平和/或阻止生殖。包括各种癌症在内的类固醇依赖性疾病通常用 GnRH 超类似物治疗,这些类似物具有长期的副作用,而缺乏控制家养和野生动物种群繁殖的人道解决方案。 GnRH 缀合毒素正在用于表达 GnRHR 的癌细胞的临床试验中,并已在动物中检查用于促性腺激素细胞消融,但显示出低和/或短暂的效果,并且毒素的给药有许多潜在的并发症。在这里,我们利用 GnRH 靶向促性腺激素来递送编码效应物的 DNA,该效应物诱导促性腺激素基因的抑制性表观遗传修饰,这些修饰会随着时间的推移而持续。通过靶向表达 GnRHR 的细胞和由于肽包装的 DNA 的局部切割,赋予了几个层次的特异性;DNA 编码的效应物通过高度特异性转录因子的 DNA 结合域表达并定向到靶基因。与关闭生殖轴的现有方法相比,这种设计具有多个优势,并且其模块化设计应该允许广泛应用的适应性。