成功地利用非病毒的附加型载体对 USH2A 进行了大型基因扩增。

Successful large gene augmentation of USH2A with non-viral episomal vectors.

机构信息

Development, Ageing, and Disease, UCL Institute of Ophthalmology, London EC1V 9EL, UK; Ocular Genomics and Therapeutics, The Francis Crick Institute, London NW1 1AT, UK.

DNA Vector Research, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.

出版信息

Mol Ther. 2023 Sep 6;31(9):2755-2766. doi: 10.1016/j.ymthe.2023.06.012. Epub 2023 Jun 19.

Abstract

USH2A mutations are a common cause of autosomal recessive retinitis pigmentosa (RP) and Usher syndrome, for which there are currently no approved treatments. Gene augmentation is a valuable therapeutic strategy for treating many inherited retinal diseases; however, conventional adeno-associated virus (AAV) gene therapy cannot accommodate cDNAs exceeding 4.7 kb, such as the 15.6-kb-long USH2A coding sequence. In the present study, we adopted an alternative strategy to successfully generate scaffold/matrix attachment region (S/MAR) DNA plasmid vectors containing the full-length human USH2A coding sequence, a GFP reporter gene, and a ubiquitous promoter (CMV or CAG), reaching a size of approximately 23 kb. We assessed the vectors in transfected HEK293 cells and USH2A patient-derived dermal fibroblasts in addition to ush2a zebrafish microinjected with the vector at the one-cell stage. pS/MAR-USH2A vectors drove persistent transgene expression in patient fibroblasts with restoration of usherin. Twelve months of GFP expression was detected in the photoreceptor cells, with rescue of Usher 2 complex localization in the photoreceptors of ush2a zebrafish retinas injected with pS/MAR-USH2A. To our knowledge, this is the first reported vector that can be used to express full-length usherin with functional rescue. S/MAR DNA vectors have shown promise as a novel non-viral retinal gene therapy, warranting further translational development.

摘要

USH2A 突变是常染色体隐性视网膜色素变性(RP)和 Usher 综合征的常见病因,目前尚无批准的治疗方法。基因扩增是治疗许多遗传性视网膜疾病的有价值的治疗策略;然而,传统的腺相关病毒(AAV)基因治疗不能容纳超过 4.7 kb 的 cDNA,例如 15.6 kb 长的 USH2A 编码序列。在本研究中,我们采用了一种替代策略,成功地生成了包含全长人 USH2A 编码序列、GFP 报告基因和普遍启动子(CMV 或 CAG)的支架/基质附着区(S/MAR)DNA 质粒载体,大小约为 23 kb。我们评估了转染 HEK293 细胞和 USH2A 患者来源的皮肤成纤维细胞中的载体,以及在单细胞期用载体微注射的 ush2a 斑马鱼中的载体。pS/MAR-USH2A 载体在患者成纤维细胞中驱动持续的转基因表达,并恢复了 usherin。在注射了 pS/MAR-USH2A 的 ush2a 斑马鱼视网膜感光细胞中检测到 12 个月的 GFP 表达,并挽救了 Usher 2 复合物在感光细胞中的定位。据我们所知,这是第一个报道的能够表达全长 usherin 并具有功能挽救的载体。S/MAR DNA 载体作为一种新型非病毒视网膜基因治疗方法显示出前景,值得进一步的转化发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810c/10491995/679c12fed538/fx1.jpg

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