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慢病毒介导的 CRISPR/Cas9 传递降低了肌球蛋白青光眼小鼠模型中的眼内压。

Lentiviral mediated delivery of CRISPR/Cas9 reduces intraocular pressure in a mouse model of myocilin glaucoma.

机构信息

Department of Pharmacology and Neuroscience, North Texas Eye Research Institute, University of North Texas Health Science Center at Fort Worth, Fort Worth, TX, 76107, USA.

Department of Ophthalmology and Center for Translational Vision Research, University of California, 829 Health Sciences Rd, Irvine, CA, 92617, USA.

出版信息

Sci Rep. 2024 Mar 23;14(1):6958. doi: 10.1038/s41598-024-57286-6.

Abstract

Mutations in myocilin (MYOC) are the leading known genetic cause of primary open-angle glaucoma, responsible for about 4% of all cases. Mutations in MYOC cause a gain-of-function phenotype in which mutant myocilin accumulates in the endoplasmic reticulum (ER) leading to ER stress and trabecular meshwork (TM) cell death. Therefore, knocking out myocilin at the genome level is an ideal strategy to permanently cure the disease. We have previously utilized CRISPR/Cas9 genome editing successfully to target MYOC using adenovirus 5 (Ad5). However, Ad5 is not a suitable vector for clinical use. Here, we sought to determine the efficacy of adeno-associated viruses (AAVs) and lentiviruses (LVs) to target the TM. First, we examined the TM tropism of single-stranded (ss) and self-complimentary (sc) AAV serotypes as well as LV expressing GFP via intravitreal (IVT) and intracameral (IC) injections. We observed that LV_GFP expression was more specific to the TM injected via the IVT route. IC injections of Trp-mutant scAAV2 showed a prominent expression of GFP in the TM. However, robust GFP expression was also observed in the ciliary body and retina. We next constructed lentiviral particles expressing Cas9 and guide RNA (gRNA) targeting MYOC (crMYOC) and transduction of TM cells stably expressing mutant myocilin with LV_crMYOC significantly reduced myocilin accumulation and its associated chronic ER stress. A single IVT injection of LV_crMYOC in Tg-MYOC mice decreased myocilin accumulation in TM and reduced elevated IOP significantly. Together, our data indicates, LV_crMYOC targets MYOC gene editing in TM and rescues a mouse model of myocilin-associated glaucoma.

摘要

肌球蛋白(MYOC)突变是原发性开角型青光眼的主要已知遗传原因,约占所有病例的 4%。MYOC 突变导致功能获得表型,其中突变肌球蛋白在内质网(ER)中积累,导致 ER 应激和小梁网(TM)细胞死亡。因此,在基因组水平上敲除肌球蛋白是永久治愈该疾病的理想策略。我们之前曾成功利用 CRISPR/Cas9 基因组编辑使用腺病毒 5(Ad5)靶向 MYOC。然而,Ad5 不是临床应用的合适载体。在这里,我们试图确定腺相关病毒(AAV)和慢病毒(LV)靶向 TM 的功效。首先,我们通过玻璃体内(IVT)和眼内(IC)注射检查了单链(ss)和自互补(sc)AAV 血清型以及表达 GFP 的 LV 的 TM 趋向性。我们观察到,通过 IVT 途径注射的 LV_GFP 表达更特异性地针对 TM。IC 注射 Trp-突变 scAAV2 显示 GFP 在 TM 中表达明显。然而,也在睫状体和视网膜中观察到强烈的 GFP 表达。接下来,我们构建了表达 Cas9 和针对 MYOC 的向导 RNA(gRNA)的慢病毒颗粒(crMYOC),并将 LV_crMYOC 转导稳定表达突变肌球蛋白的 TM 细胞,发现这显著减少了肌球蛋白的积累及其相关的慢性 ER 应激。在 Tg-MYOC 小鼠中单次 IVT 注射 LV_crMYOC 可减少 TM 中肌球蛋白的积累,并显著降低升高的 IOP。总之,我们的数据表明,LV_crMYOC 靶向 TM 中的 MYOC 基因编辑并挽救了肌球蛋白相关青光眼的小鼠模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e46f/10960846/5ed401acce93/41598_2024_57286_Fig1_HTML.jpg

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