Wang Qing, Xu Xiaoshu, Chen Siyu, Lu Rui, Li Liang, Lo Chien-Hui, Liu Zhiquan, Ning Ke, Li Tingting, Kowal Tia J, Wang Biao, Hartnett Mary E, Wang Sui, Qi Lei S, Sun Yang
Byers Eye Institute, Department of Ophthalmology, Stanford University, Palo Alto, CA 94304, USA.
Department of Bioengineering, Stanford University, Stanford, CA 94305, USA.
Sci Adv. 2024 Dec 20;10(51):eadn7540. doi: 10.1126/sciadv.adn7540. Epub 2024 Dec 18.
Retinitis pigmentosa (RP) is characterized by degeneration of rod and cone photoreceptors that progresses to irreversible blindness. Now, there are no mutation-agnostic approaches to treat RP. Here, we utilized a single adeno-associated virus (AAV)-based CRISPR activation system to activate phosphodiesterase 6B (Pde6b) to mitigate the severe degeneration in mice. We demonstrate that transcriptional activation of can rescue the loss of , with preservation of retinal structure, restoration of electroretinography responses, and improvement of visual function as assessed by optokinetic response and looming-induced escape behaviors. These findings demonstrate the therapeutic potential of a dCasMINI-mediated activation strategy that provides a mutation-independent treatment for retinal degeneration. This study offers a promising therapeutic approach for RP and potentially other forms of genetic diseases.
视网膜色素变性(RP)的特征是视杆和视锥光感受器退化,最终发展为不可逆的失明。目前,尚无针对RP的无突变治疗方法。在此,我们利用基于单腺相关病毒(AAV)的CRISPR激活系统激活磷酸二酯酶6B(Pde6b),以减轻小鼠的严重退化。我们证明, 的转录激活可以挽救 的丧失,保留视网膜结构,恢复视网膜电图反应,并通过视动反应和逼近诱导的逃避行为评估改善视觉功能。这些发现证明了dCasMINI介导的激活策略的治疗潜力,该策略为视网膜变性提供了一种不依赖于突变的治疗方法。这项研究为RP以及其他潜在的遗传疾病提供了一种有前景的治疗方法。