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腺相关病毒8型基因疗法可逆转弗里德赖希共济失调小鼠模型的心脏病变并预防早期死亡。

AAV8 gene therapy reverses cardiac pathology and prevents early mortality in a mouse model of Friedreich's ataxia.

作者信息

Chang Joshua C, Ryan Molly R, Stark Marie C, Liu Su, Purushothaman Pravinkumar, Bolan Fria, Johnson Caitlin A, Champe Mark, Meng Hui, Lawlor Michael W, Halawani Sarah, Ngaba Lucie V, Lynch David R, Davis Crystal, Gonzalo-Gil Elena, Lutz Cathleen, Urbinati Fabrizia, Medicherla Bala, Fonck Carlos

机构信息

Astellas Gene Therapies, Inc., South San Francisco, CA 94080, USA.

Formerly of Astellas Gene Therapies, Inc., South San Francisco, CA 94080, USA.

出版信息

Mol Ther Methods Clin Dev. 2024 Jan 22;32(1):101193. doi: 10.1016/j.omtm.2024.101193. eCollection 2024 Mar 14.

Abstract

Friedreich's ataxia (FRDA) is an autosomal-recessive disorder primarily attributed to biallelic GAA repeat expansions that reduce expression of the mitochondrial protein frataxin (FXN). FRDA is characterized by progressive neurodegeneration, with many patients developing cardiomyopathy that progresses to heart failure and death. The potential to reverse or prevent progression of the cardiac phenotype of FRDA was investigated in a mouse model of FRDA, using an adeno-associated viral vector (AAV8) containing the coding sequence of the gene. The Fxn::MCK-Cre conditional knockout mouse (-MCK) has an gene ablation that prevents FXN expression in cardiac and skeletal muscle, leading to cardiac insufficiency, weight loss, and morbidity. MCK mice received a single intravenous injection of an AAV8 vector containing human (hFXN) or mouse (mFXN) genes under the control of a phosphoglycerate kinase promoter. Compared to vehicle-treated MCK control mice, AAV-treated MCK mice displayed increases in body weight, reversal of cardiac deficits, and increases in survival without apparent toxicity in the heart or liver for up to 12 weeks postdose. FXN protein expression in heart tissue was detected in a dose-dependent manner, exhibiting wide distribution throughout the heart similar to wild type, but more speckled. These results support an AAV8-based approach to treat FRDA-associated cardiomyopathy.

摘要

弗里德赖希共济失调(FRDA)是一种常染色体隐性疾病,主要归因于双等位基因GAA重复序列扩增,该扩增会降低线粒体蛋白 frataxin(FXN)的表达。FRDA的特征是进行性神经退行性变,许多患者会发展为心肌病,进而发展为心力衰竭并导致死亡。在FRDA小鼠模型中,使用携带该基因编码序列的腺相关病毒载体(AAV8),研究了逆转或预防FRDA心脏表型进展的可能性。Fxn::MCK-Cre条件性敲除小鼠(-MCK)存在基因缺失,可阻止心脏和骨骼肌中FXN的表达,导致心脏功能不全、体重减轻和发病。MCK小鼠通过静脉单次注射在磷酸甘油酸激酶启动子控制下携带人(hFXN)或小鼠(mFXN)基因的AAV8载体。与载体处理的MCK对照小鼠相比,AAV处理的MCK小鼠体重增加、心脏缺陷得到逆转,并且在给药后长达12周内存活率提高,心脏或肝脏未出现明显毒性。在心脏组织中检测到FXN蛋白表达呈剂量依赖性,其在整个心脏中的分布与野生型相似,但更为散在。这些结果支持基于AAV8的方法来治疗FRDA相关的心肌病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd4/10862410/590b0c54e3d2/fx1.jpg

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