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基于氧化铁偶联CRISPR-nCas9的黏多糖贮积症IVA小鼠基因组编辑评估

Iron oxide-coupled CRISPR-nCas9-based genome editing assessment in mucopolysaccharidosis IVA mice.

作者信息

Leal Andrés Felipe, Celik Betul, Fnu Nidhi, Khan Shaukat, Tomatsu Shunji, Alméciga-Díaz Carlos Javier

机构信息

Institute for the Study of Inborn Errors of Metabolism, Faculty of Science, Pontificia Universidad Javeriana, Bogotá DC 110231, Colombia.

Nemours Children's Health, Wilmington, DE 19803, USA.

出版信息

Mol Ther Methods Clin Dev. 2023 Nov 7;31:101153. doi: 10.1016/j.omtm.2023.101153. eCollection 2023 Dec 14.

Abstract

Mucopolysaccharidosis (MPS) IVA is a lysosomal storage disorder caused by mutations in the gene that leads to the lysosomal accumulation of keratan sulfate (KS) and chondroitin 6-sulfate, causing skeletal dysplasia and cardiopulmonary complications. Current enzyme replacement therapy does not impact the bone manifestation of the disease, supporting that new therapeutic alternatives are required. We previously demonstrated the suitability of the CRISPR-nCas9 system to rescue the phenotype of human MPS IVA fibroblasts using iron oxide nanoparticles (IONPs) as non-viral vectors. Here, we have extended this strategy to an MPS IVA mouse model by inserting the human GALNS cDNA into the ROSA26 . The results showed increased GALNS activity, mono-KS reduction, partial recovery of the bone pathology, and non-IONPs-related toxicity or antibody-mediated immune response activation. This study provides, for the first time, evidence of the potential of a CRISPR-nCas9-based gene therapy strategy for treating MPS IVA using non-viral vectors as carriers.

摘要

黏多糖贮积症IVA型(MPS IVA)是一种溶酶体贮积病,由基因突变引起,导致硫酸角质素(KS)和硫酸软骨素6在溶酶体中蓄积,引发骨骼发育异常和心肺并发症。目前的酶替代疗法对该疾病的骨骼表现没有影响,这表明需要新的治疗方案。我们之前证明了使用氧化铁纳米颗粒(IONPs)作为非病毒载体,CRISPR-nCas9系统适用于挽救人类MPS IVA成纤维细胞的表型。在此,我们通过将人GALNS cDNA插入ROSA26,将这一策略扩展到MPS IVA小鼠模型。结果显示GALNS活性增加、单硫酸角质素减少、骨骼病理部分恢复,且未出现与IONPs相关的毒性或抗体介导的免疫反应激活。本研究首次提供了以CRISPR-nCas9为基础的基因治疗策略利用非病毒载体作为载体治疗MPS IVA潜力的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ba/10724691/534de74e9802/fx1.jpg

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