Dissemin is shutting down on January 1st, 2025

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Cell Press, Molecular Therapy, 4(19), p. 642-649

DOI: 10.1038/mt.2010.293

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Suppression and Replacement Gene Therapy for Autosomal Dominant Disease in a Murine Model of Dominant Retinitis Pigmentosa

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Data provided by SHERPA/RoMEO

Abstract

For dominantly inherited disorders development of gene therapies, targeting the primary genetic lesion has been impeded by mutational heterogeneity. An example is rhodopsin-linked autosomal dominant retinitis pigmentosa with over 150 mutations in the rhodopsin gene. Validation of a mutation-independent suppression and replacement gene therapy for this disorder has been undertaken. The therapy provides a means of correcting the genetic defect in a mutation-independent manner thereby circumventing the mutational diversity. Separate adeno-associated virus (AAV) vectors were used to deliver an RNA interference (RNAi)-based rhodopsin suppressor and a codon-modified rhodopsin replacement gene resistant to suppression due to nucleotide alterations at degenerate positions over the RNAi target site. Viruses were subretinally coinjected into P347S mice, a model of dominant rhodopsin-linked retinitis pigmentosa. Benefit in retinal function and structure detected by electroretinography (ERG) and histology, respectively, was observed for at least 5 months. Notably, the photoreceptor cell layer, absent in 5-month-old untreated retinas, contained 3–4 layers of nuclei, whereas photoreceptor ultrastructure, assessed by transmission electron microscopy (TEM) improved significantly. The study provides compelling evidence that codelivered suppression and replacement is beneficial, representing a significant step toward the clinic. Additionally, dual-vector delivery of combined therapeutics represents an exciting approach, which is potentially applicable to other inherited disorders. ; PUBLISHED ; We thank Prof Wolfgang Baehr (University of Utah, Salt Lake City, UT) for the original RHO cDNA construct, Prof Tiensen Li for the P347S mouse (Harvard Medical School, Boston, MA), Elisabeth Sehn (Johannes Gutenberg University, Mainz, Germany) for skillful technical assistance, Prof Robert S. Molday (University of British Colombia, Vancouver, CA) for the rhodopsin primary antibody and the staff of the Bioresources Unit, Trinity College Dublin. The research was supported by grant awards from Science Foundation Ireland, Fighting Blindness Ireland, Foundation Fighting Blindness-National Neurovision Research Institute (USA), Enterprise Ireland, I.R.C.S.E.T. “The embark initiative,” EviGenoRet (LSHG-CT-2005–512036), Deutsche Forschungsgemeinschaft (GRK1044), FAUN-Stiftung. G.J.F. and P.F.K. are directors of Genable Technologies; N.C. A.P. M.O'R. and S.M.-W. are consultants for Genable Technologies. These authors have no conflict of interest.