UCL Institute of Ophthalmology, London EC1V 9EL, UK.
UCL Institute of Ophthalmology, London EC1V 9EL, UK; Moorfields Eye Hospital NHS Foundation Trust, London EC1V 2PD, UK.
Stem Cell Reports. 2022 Oct 11;17(10):2187-2202. doi: 10.1016/j.stemcr.2022.08.005. Epub 2022 Sep 8.
Leber congenital amaurosis type 4 (LCA4), caused by AIPL1 mutations, is characterized by severe sight impairment in infancy and rapidly progressing degeneration of photoreceptor cells. We generated retinal organoids using induced pluripotent stem cells (iPSCs) from renal epithelial cells obtained from four children with AIPL1 nonsense mutations. iPSC-derived photoreceptors exhibited the molecular hallmarks of LCA4, including undetectable AIPL1 and rod cyclic guanosine monophosphate (cGMP) phosphodiesterase (PDE6) compared with control or CRISPR-corrected organoids. Increased levels of cGMP were detected. The translational readthrough-inducing drug (TRID) PTC124 was investigated as a potential therapeutic agent. LCA4 retinal organoids exhibited low levels of rescue of full-length AIPL1. However, this was insufficient to fully restore PDE6 in photoreceptors and reduce cGMP. LCA4 retinal organoids are a valuable platform for in vitro investigation of novel therapeutic agents.
Leber 先天性黑蒙 4 型(LCA4)是由 AIPL1 突变引起的,其特征是婴儿期严重视力障碍和光感受器细胞快速进行性退化。我们使用从四个患有 AIPL1 无义突变的儿童的肾上皮细胞中获得的诱导多能干细胞(iPSC)生成了视网膜类器官。与对照或 CRISPR 校正的类器官相比,iPSC 衍生的光感受器表现出 LCA4 的分子特征,包括无法检测到的 AIPL1 和杆状环鸟苷酸单磷酸(cGMP)磷酸二酯酶(PDE6)。检测到 cGMP 水平升高。研究了翻译通读诱导药物(TRID)PTC124 作为潜在的治疗药物。LCA4 视网膜类器官显示全长 AIPL1 的挽救水平较低。然而,这不足以完全恢复光感受器中的 PDE6 并降低 cGMP。LCA4 视网膜类器官是体外研究新型治疗药物的有价值平台。