tgAAG76, an adeno-associated virus delivered gene therapy for the potential treatment of vision loss caused by RPE65 gene abnormalities.

Knut Stieger
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Abstract

The gene therapy vector tgAAG76 (rAAV 2/2.hRPE65p.hRPE65) is in joint development by Targeted Genetics Corp, Moorfields Eye Hospital and the University of London. The vector is a recombinant adeno-associated virus vector that contains the human RPE65 gene under the control of the human RPE65 promoter region and the bovine growth hormone polyadenylation signal. The vector was designed for administration into the subretinal space of patients affected by a hereditary blinding disorder, Leber congenital amaurosis type 2, which is caused by mutations in the RPE65 gene. Interim results from an ongoing phase I/II clinical trial assessing tgAAG76 in three patients with Leber congenital amaurosis type 2 were considered to accomplish the primary outcome of the trial, which was the safety of the procedure, with no severe side effects observed to date. One of the three patients had a significant increase in sensitivity to light and the better capacity to ambulate an obstacle course under dim light conditions compared with baseline. Completion of the clinical trial was anticipated in the second half of 2010.

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tgAAG76是一种腺相关病毒提供的基因疗法,可用于治疗由RPE65基因异常引起的视力丧失。
基因治疗载体tgAAG76 (rAAV 2/2. hrpe65 . hrpe65)由Targeted Genetics Corp、Moorfields眼科医院和伦敦大学联合开发。载体是在人RPE65启动子区和牛生长激素多聚腺苷化信号控制下,含有人RPE65基因的重组腺相关病毒载体。该载体设计用于给药到遗传性致盲疾病的患者视网膜下间隙,Leber先天性黑蒙病2型,这是由RPE65基因突变引起的。一项正在进行的I/II期临床试验评估了tgAAG76在3例Leber先天性黑朦2型患者中的应用,中期结果被认为完成了该试验的主要结局,即该手术的安全性,迄今未观察到严重的副作用。与基线相比,三名患者中的一名对光的敏感性显著增加,在昏暗的光线条件下行走障碍的能力更好。临床试验预计将于2010年下半年完成。
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来源期刊
Current Opinion in Molecular Therapeutics
Current Opinion in Molecular Therapeutics 医学-生物工程与应用微生物
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