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Multicenter assessment and longitudinal study of the prevalence of antibodies and related adaptive immune responses to AAV in adult males with hemophilia 多中心评估和纵向研究成年男性血友病患者对 AAV 的抗体和相关适应性免疫反应的流行情况。
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-14 DOI: 10.1038/s41434-024-00441-5
Ingrid Pabinger, Mila Ayash-Rashkovsky, Miguel Escobar, Barbara A. Konkle, María Eva Mingot-Castellano, Eric S. Mullins, Claude Negrier, Luying Pan, Kavitha Rajavel, Brian Yan, John Chapin
Adeno-associated virus (AAV) based gene therapy has demonstrated effective disease control in hemophilia. However, pre-existing immunity from wild-type AAV exposure impacts gene therapy eligibility. The aim of this multicenter epidemiologic study was to determine the prevalence and persistence of preexisting immunity against AAV2, AAV5, and AAV8, in adult participants with hemophilia A or B. Blood samples were collected at baseline and annually for ≤3 years at trial sites in Austria, France, Germany, Italy, Spain, and the United States. At baseline, AAV8, AAV2, and AAV5 neutralizing antibodies (NAbs) were present in 46.9%, 53.1%, and 53.4% of participants, respectively; these values remained stable at Years 1 and 2. Co-prevalence of NAbs to at least two serotypes and all three serotypes was present at baseline for ~40% and 38.2% of participants, respectively. For each serotype, ~10% of participants who tested negative for NAbs at baseline were seropositive at Year 1. At baseline, 38.3% of participants had detectable cell mediated immunity by ELISpot, although no correlations were observed with the humoral response. In conclusion, participants with hemophilia may have significant preexisting immunity to AAV capsids. Insights from this study may assist in understanding capsid-based immunity trends in participants considering AAV vector-based gene therapy.
基于腺相关病毒(AAV)的基因疗法已证明能有效控制血友病的病情。然而,野生型 AAV 暴露产生的原有免疫力会影响基因治疗的资格。这项多中心流行病学研究旨在确定 AAV2、AAV5 和 AAV8 在成年 A 型或 B 型血友病患者中的普遍性和持续性。基线时,分别有46.9%、53.1%和53.4%的参与者体内存在AAV8、AAV2和AAV5中和抗体(NAbs);这些数值在第一年和第二年保持稳定。至少两种血清型和所有三种血清型的 NAbs 共患病率在基线时分别为 40% 和 38.2%。对于每种血清型,基线时NAbs检测呈阴性的参与者中约有10%在第一年时血清呈阳性。在基线时,38.3% 的参与者通过 ELISpot 检测到细胞介导免疫,但没有观察到与体液反应的相关性。总之,血友病患者可能对 AAV 病毒衣壳有明显的预先免疫力。这项研究的启示可能有助于了解考虑使用 AAV 载体进行基因治疗的参与者的囊壳免疫趋势。
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引用次数: 0
Gene therapy corrects the neurological deficits of mice with sialidosis 基因疗法可纠正硅烷基糖苷酸沉积症小鼠的神经系统缺陷。
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-07 DOI: 10.1038/s41434-024-00443-3
Wuh-Liang Hwu, Karine Chang, Yu-Han Liu, Hao-Chun Wang, Ni-Chung Lee, Yin-Hsiu Chien
Patients with sialidosis (mucolipidosis type I) type I typically present with myoclonus, seizures, ataxia, cherry-red spots, and blindness because of mutations in the neuraminidase 1 (NEU1) gene. Currently, there is no treatment for sialidosis. In this study, we developed an adeno-associated virus (AAV)-mediated gene therapy for a Neu1 knockout (Neu1−/−) mouse model of sialidosis. The vector, AAV9-P3-NP, included the human NEU1 promoter, NEU1 cDNA, IRES, and CTSA cDNA. Untreated Neu1−/− mice showed astrogliosis and microglial LAMP1 accumulation in the nervous system, including brain, spinal cord, and dorsal root ganglion, together with impaired motor function. Coexpression of NEU1 and protective protein/cathepsin A (PPCA) in neonatal Neu1−/− mice by intracerebroventricular injection, and less effective by facial vein injection, decreased astrogliosis and LAMP1 accumulation in the nervous system and improved rotarod performance of the treated mice. Facial vein injection also improved the grip strength and survival of Neu1−/− mice. Therefore, cerebrospinal fluid delivery of AAV9-P3-NP, which corrects the neurological deficits of mice with sialidosis, could be a suitable treatment for patients with sialidosis type I.
由于神经氨酸酶 1(NEU1)基因突变,I 型硅脂质沉着症(粘脂质沉着症 I 型)患者通常表现为肌阵挛、癫痫发作、共济失调、樱桃红色斑点和失明。目前,还没有治疗sialidosis的方法。在这项研究中,我们开发了一种腺相关病毒(AAV)介导的基因疗法,用于神经氨酸酶1基因敲除(Neu1-/-)的小鼠硅质酸沉着症模型。载体 AAV9-P3-NP 包括人 NEU1 启动子、NEU1 cDNA、IRES 和 CTSA cDNA。未经处理的Neu1-/-小鼠神经系统(包括大脑、脊髓和背根神经节)中出现星形胶质细胞增多和小胶质细胞LAMP1聚集,同时运动功能受损。通过脑室内注射在新生 Neu1-/- 小鼠体内共表达 NEU1 和保护性蛋白/胰蛋白酶 A(PPCA),并通过面部静脉注射降低其效果。面静脉注射还能提高 Neu1-/- 小鼠的握力和存活率。因此,脑脊液输送AAV9-P3-NP可纠正sialidosis小鼠的神经功能缺陷,是治疗sialidosis I型患者的一种合适方法。然后,受 PPCA 保护的 NEU1 被送往溶酶体,β-Gal 与该复合物结合形成多酶复合物,以执行其功能。
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引用次数: 0
Preclinical dose response study shows NR2E3 can attenuate retinal degeneration in the retinitis pigmentosa mouse model RhoP23H+/− 临床前剂量反应研究显示,NR2E3 可减轻视网膜色素变性小鼠模型 RhoP23H+/ 的视网膜变性。
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-26 DOI: 10.1038/s41434-024-00440-6
Shannon M. McNamee, Natalie P. Chan, Monica Akula, Marielle O. Avola, Maiya Whalen, Kaden Nystuen, Pushpendra Singh, Arun K. Upadhyay, Margaret M. DeAngelis, Neena B. Haider
Retinitis pigmentosa (RP) is a heterogeneous disease and the main cause of vision loss within the group of inherited retinal diseases (IRDs). IRDs are a group of rare disorders caused by mutations in one or more of over 280 genes which ultimately result in blindness. Modifier genes play a key role in modulating disease phenotypes, and mutations in them can affect disease outcomes, rate of progression, and severity. Our previous studies have demonstrated that the nuclear hormone receptor 2 family e, member 3 (Nr2e3) gene reduced disease progression and loss of photoreceptor cell layers in RhoP23H−/− mice. This follow up, pharmacology study evaluates a longitudinal NR2E3 dose response in the clinically relevant heterozygous RhoP23H mouse. Reduced retinal degeneration and improved retinal morphology was observed 6 months following treatment evaluating three different NR2E3 doses. Histological and immunohistochemical analysis revealed regions of photoreceptor rescue in the treated retinas of RhoP23H+/− mice. Functional assessment by electroretinogram (ERG) showed attenuated photoreceptor degeneration with all doses. This study demonstrates the effectiveness of different doses of NR2E3 at reducing retinal degeneration and informs dose selection for clinical trials of RhoP23H-associated RP.
视网膜色素变性(RP)是一种异质性疾病,也是遗传性视网膜疾病(IRD)中导致视力丧失的主要原因。遗传性视网膜疾病(IRDs)是一组罕见疾病,由 280 多个基因中的一个或多个基因突变引起,最终导致失明。修饰基因在调节疾病表型方面起着关键作用,它们的突变会影响疾病的结果、进展速度和严重程度。我们之前的研究已经证明,核荷尔蒙受体 2 家族 e 成员 3(Nr2e3)基因可以减少 RhoP23H-/- 小鼠的疾病进展和感光细胞层的丧失。这项后续药理学研究评估了与临床相关的杂合 RhoP23H 小鼠的纵向 NR2E3 剂量反应。在使用三种不同剂量的 NR2E3 治疗 6 个月后,观察到视网膜变性减少,视网膜形态改善。组织学和免疫组化分析显示,治疗后的 RhoP23H+/- 小鼠视网膜中的感光器区域得到了挽救。通过视网膜电图(ERG)进行的功能评估显示,所有剂量的光感受器变性均有所减轻。这项研究证明了不同剂量的NR2E3在减少视网膜变性方面的有效性,并为RhoP23H相关RP临床试验的剂量选择提供了参考。
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引用次数: 0
Development of a stable Sf9 insect cell line to produce VSV-G pseudotyped baculoviruses 开发稳定的 Sf9 昆虫细胞系以生产 VSV-G 假型杆状病毒。
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-26 DOI: 10.1038/s41434-024-00442-4
María del Pilar Plastine, Sabrina Amalfi, María Gabriela López, María José Gravisaco, Oscar Taboga, Victoria Alfonso
Baculoviruses have shown great potential as gene delivery vectors in mammals, although their effectiveness in transferring genes varies across different cell lines. A widely employed strategy to improve transduction efficiency is the pseudotyping of viral vectors. In this study, we aimed to develop a stable Sf9 insect cell line that inducibly expresses the G-protein of the vesicular stomatitis virus to pseudotype budded baculoviruses. It was obtained by inserting the VSV-G gene under the control of the very strong and infection-inducible pXXL promoter and was subsequently diluted to establish oligoclonal lines, which were selected by the fusogenic properties of VSV-G and its expression levels in infected cells and purified budded virions. Next, to enhance the performance of the cell line, the infection conditions under which functional pseudotyped baculoviruses are obtained were optimized. Finally, different baculoviruses were pseudotyped and the expression of the transgene was quantified in mammalian cells of diverse origins using flow cytometry. The transduction efficiency of pseudotyped baculovirus consistently increased across all tested mammalian cell lines compared with control viruses. These findings demonstrate the feasibility and advantages of improving gene delivery performance without the need to insert the pseudotyping gene into the baculoviral genomes.
杆状病毒在哺乳动物中作为基因传递载体已显示出巨大的潜力,尽管它们在不同细胞系中传递基因的效果各不相同。提高转导效率的一种广泛采用的策略是对病毒载体进行伪型化。在本研究中,我们旨在开发一种稳定的 Sf9 昆虫细胞系,它能诱导表达水泡性口炎病毒的 G 蛋白,从而伪造出芽杆状病毒。它是通过将 VSV-G 基因插入强感染诱导型 pXXL 启动子控制下获得的,随后稀释建立寡克隆品系,并根据 VSV-G 的致熔特性及其在感染细胞和纯化的芽胞病毒中的表达水平进行筛选。接下来,为了提高细胞系的性能,对获得功能性假型杆状病毒的感染条件进行了优化。最后,对不同的杆状病毒进行了伪型,并利用流式细胞术对不同来源的哺乳动物细胞中转基因的表达进行了量化。与对照病毒相比,伪型杆状病毒在所有测试的哺乳动物细胞系中的转导效率都持续提高。这些发现证明了无需在杆状病毒基因组中插入伪型基因就能提高基因递送性能的可行性和优势。
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引用次数: 0
Correction: Preclinical safety and biodistribution of CRISPR targeting SIV in non-human primates 更正:以 SIV 为靶标的 CRISPR 在非人灵长类动物中的临床前安全性和生物分布。
IF 4.6 3区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-12 DOI: 10.1038/s41434-023-00438-6
Tricia H. Burdo, Chen Chen, Rafal Kaminski, Ilker K. Sariyer, Pietro Mancuso, Martina Donadoni, Mandy D. Smith, Rahsan Sariyer, Maurizio Caocci, Shuren Liao, Hong Liu, Wenwen Huo, Huaqing Zhao, John Misamore, Mark G. Lewis, Vahan Simonyan, Elaine E. Thompson, Ethan Y. Xu, Thomas J. Cradick, Jennifer Gordon, Kamel Khalili
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引用次数: 0
AAV2 vector optimization for retinal ganglion cell-targeted delivery of therapeutic genes 用于视网膜神经节细胞靶向传递治疗基因的 AAV2 载体优化。
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-10 DOI: 10.1038/s41434-023-00436-8
Brahim Chaqour, Thu T. Duong, Jipeng Yue, Tehui Liu, David Camacho, Kimberly E. Dine, Julian Esteve-Rudd, Scott Ellis, Jean Bennett, Kenneth S. Shindler, Ahmara G. Ross
Recombinant adeno-associated virus (AAV)-2 has significant potential as a delivery vehicle of therapeutic genes to retinal ganglion cells (RGCs), which are key interventional targets in optic neuropathies. Here we show that when injected intravitreally, AAV2 engineered with a reporter gene driven by cytomegalovirus (CMV) enhancer and chicken β-actin (CBA) promoters, displays ubiquitous and high RGC expression, similar to its synthetic derivative AAV8BP2. A novel AAV2 vector combining the promoter of the human RGC-selective γ-synuclein (hSNCG) gene and woodchuck hepatitis post-transcriptional regulatory element (WPRE) inserted upstream and downstream of a reporter gene, respectively, induces widespread transduction and strong transgene expression in RGCs. High transduction efficiency and selectivity to RGCs is further achieved by incorporating in the vector backbone a leading CMV enhancer and an SV40 intron at the 5’ and 3’ ends, respectively, of the reporter gene. As a delivery vehicle of hSIRT1, a 2.2-kb therapeutic gene with anti-apoptotic, anti-inflammatory and anti-oxidative stress properties, this recombinant vector displayed improved transduction efficiency, a strong, widespread and selective RGC expression of hSIRT1, and increased RGC survival following optic nerve crush. Thus, AAV2 vector carrying hSNCG promoter with additional regulatory sequences may offer strong potential for enhanced effects of candidate gene therapies targeting RGCs.
重组腺相关病毒(AAV)-2 作为向视网膜神经节细胞(RGC)输送治疗基因的载体具有巨大的潜力,而视网膜神经节细胞是视神经病变的关键干预目标。在这里,我们展示了在玻璃体内注射由巨细胞病毒(CMV)增强子和鸡β-肌动蛋白(CBA)启动子驱动的报告基因的 AAV2 时,其 RGC 的表达无处不在且很高,与其合成衍生物 AAV8BP2 相似。一种新型 AAV2 载体结合了人 RGC 选择性γ-突触核蛋白(hSNCG)基因启动子和木鸭肝炎转录后调控元件(WPRE),分别插入报告基因的上游和下游,可在 RGC 中诱导广泛的转导和强烈的转基因表达。通过在载体骨架中分别在报告基因的 5' 和 3' 端加入 CMV 增强子和 SV40 内含子,进一步实现了对 RGC 的高转导效率和选择性。hSIRT1是一个2.2kb的治疗基因,具有抗凋亡、抗炎症和抗氧化应激的特性,作为hSIRT1的载体,这种重组载体提高了转导效率,在RGC上强效、广泛和选择性地表达了hSIRT1,并提高了视神经挤压后RGC的存活率。因此,携带hSNCG启动子和附加调控序列的AAV2载体可能为增强针对RGC的候选基因疗法的效果提供强大的潜力。
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引用次数: 0
Analysis and comparative evaluation of expedited programs for gene therapy products: insights from the United States, the European Union, Japan, and South Korea 基因治疗产品加速计划的分析和比较评估:美国、欧盟、日本和韩国的见解
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-10 DOI: 10.1038/s41434-023-00437-7
Hyeokgyo Jeong, Sujata Purja, Eunyoung Kim
Gene therapy products (GTPs) used for incurable diseases can be expedited for early commercialization to fulfill unmet needs. This study analyzed the expedited programs available for GTPs in the US, EU, Japan, and South Korea using their regulatory authorities’ websites, related regulations, and documents. In total, there were five expedited programs available for GTPs in the US, four in the EU, and three in both Japan and South Korea, of which four are tailored for GTPs. These programs, sharing similar objectives, can be categorized as those expediting drug development, review, and approval. However, variations are observed in eligibility criteria, specific benefits, and post-marketing study conditions across regulatory authorities. Additionally, the criteria for orphan drug designation for a rare disease differs in prevalence thresholds, incentive offered, and marketing exclusivity period. Overall, 19 GTPs were approved–13 in the US, 14 in the EU, eight in Japan, and three in South Korea–with majority obtaining regulatory approval through at least one expedited program. Therefore, future studies can analyze whether acquiring multiple expedited programs accelerates the drug development and commercialization of GTPs compared with when only one expedited program is processed. Additionally, inter-authority scientific discussion is encouraged for harmonization of expedited program requirements.
用于治疗不治之症的基因治疗产品(GTP)可以加快早期商业化进程,以满足尚未满足的需求。本研究利用美国、欧盟、日本和韩国监管机构的网站、相关法规和文件,对这些国家的基因治疗产品加速计划进行了分析。美国共有五项全球贸易点加速计划,欧盟有四项,日本和韩国各有三项,其中四项是为全球贸易点量身定制的。这些计划的目标相似,可归类为加快药物开发、审评和审批的计划。不过,各监管机构在资格标准、具体福利和上市后研究条件方面存在差异。此外,罕见病孤儿药的指定标准在患病率阈值、提供的激励措施和市场独占期方面也有所不同。总体而言,共有 19 种 GTP 获得批准--13 种在美国,14 种在欧盟,8 种在日本,3 种在韩国--其中大多数通过至少一种快速方案获得监管批准。因此,未来的研究可以分析,与只处理一个快速程序相比,获得多个快速程序是否会加速 GTPs 的药物开发和商业化。此外,我们还鼓励机构间进行科学讨论,以协调快速项目的要求。
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引用次数: 0
Retraction Note: Long noncoding RNA RBMS3-AS3 acts as a microRNA-4534 sponge to inhibit the progression of prostate cancer by upregulating VASH1 撤稿说明:长非编码 RNA RBMS3-AS3 可作为 microRNA-4534 的海绵,通过上调 VASH1 抑制前列腺癌的进展。
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-09 DOI: 10.1038/s41434-023-00439-5
Zhenming Jiang, Yuxi Zhang, Xi Chen, Pingeng Wu, Dong Chen
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引用次数: 0
Ghrelin mediated cardioprotection using in vitro models of oxidative stress 利用体外氧化应激模型研究胃泌素介导的心脏保护作用
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-04 DOI: 10.1038/s41434-023-00435-9
Cindy Y. Kok, George Ghossein, Sindhu Igoor, Renuka Rao, Tracy Titus, Shinya Tsurusaki, James JH. Chong, Eddy Kizana
Ghrelin is commonly known as the ‘hunger hormone’ due to its role in stimulating food intake in humans. However, the roles of ghrelin extend beyond regulating hunger. Our aim was to investigate the ability of ghrelin to protect against hydrogen peroxide (H2O2), a reactive oxygen species commonly associated with cardiac injury. An in vitro model of oxidative stress was developed using H2O2 injured H9c2 cells. Despite lentiviral ghrelin overexpression, H9c2 cell viability and mitochondrial function were not protected following H2O2 injury. We found that H9c2 cells lack expression of the preproghrelin cleavage enzyme prohormone convertase 1 (encoded by PCSK1), required to convert ghrelin to its active form. In contrast, we found that primary rat cardiomyocytes do express PCSK1 and were protected from H2O2 injury by lentiviral ghrelin overexpression. In conclusion, we have shown that ghrelin expression can protect primary rat cardiomyocytes against H2O2, though this effect was not observed in other cell types tested.
胃泌素通常被称为 "饥饿激素",因为它能刺激人类摄入食物。然而,胃泌素的作用并不局限于调节饥饿。我们的目的是研究胃泌素抵御过氧化氢(H2O2)的能力。我们使用 H2O2 损伤的 H9c2 细胞建立了氧化应激体外模型。尽管慢病毒过表达胃泌素,但 H9c2 细胞的活力和线粒体功能在 H2O2 损伤后并没有得到保护。我们发现,H9c2 细胞缺乏将胃泌素转化为活性形式所需的前胃泌素裂解酶 1(由 PCSK1 编码)的表达。与此相反,我们发现原代大鼠心肌细胞确实表达 PCSK1,并且慢病毒胃泌素过表达可保护其免受 H2O2 损伤。总之,我们已经证明,表达胃泌素可以保护原代大鼠心肌细胞免受 H2O2 的伤害,尽管在其他测试细胞类型中没有观察到这种效果。
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引用次数: 0
Correction: Cost of gene therapy 更正:基因治疗的成本。
IF 5.1 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-04 DOI: 10.1038/s41434-023-00432-y
Patrick T. Harrison, Theodore Friedmann
{"title":"Correction: Cost of gene therapy","authors":"Patrick T. Harrison, Theodore Friedmann","doi":"10.1038/s41434-023-00432-y","DOIUrl":"10.1038/s41434-023-00432-y","url":null,"abstract":"","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41434-023-00432-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139086495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Gene Therapy
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