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Published on: March 26, 2016
Global CNS gene transfer for a childhood neurogenetic enzyme deficiency: Canavan disease
P Leone1, C G Janson, S J McPhee
1CNS Gene Therapy Center, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA 19107, USA. Paola.Leone@mail.tju.edu
Abstract:
The neurogenetic prototypic disease on which we chose to test our gene therapy strategy is Canavan disease (CD). CD is an autosomal recessive leukodystrophy associated with spongiform degeneration of the brain. At present the disease is uniformly fatal in affected probands. CD is characterized by mutations in the aspartoacylase (ASPA) gene, resulting in loss of enzyme activity. In this review, recent evidence is summarized on the etiology and possible treatments for CD. In particular, we discuss two gene delivery systems representing recent advances in both viral and liposome technology: a novel cationic liposome-polymer-DNA (LPD) complex, DCChol/DOPE-protamine, as well as recombinant adeno-associated virus (AAV) vectors.
Insights
Canavan disease (CD) is a fatal neurogenetic disorder caused by ASPA gene mutations. Gene therapy using novel liposome-polymer-DNA complexes and adeno-associated virus vectors shows promise for treating this leukodystrophy.
Area of Science:
- Neurogenetics
- Molecular Biology
- Biochemistry
Background:
- Canavan disease (CD) is a fatal autosomal recessive leukodystrophy characterized by spongiform degeneration of the brain.
- CD results from mutations in the aspartoacylase (ASPA) gene, leading to a loss of enzyme activity.
- Current treatment options for CD are limited, with the disease being uniformly fatal.
Purpose of the Study:
- To review the etiology and potential treatments for Canavan disease.
- To discuss advancements in gene therapy strategies for CD.
- To evaluate novel gene delivery systems, including liposome-polymer-DNA complexes and adeno-associated virus vectors.
Main Methods:
- Review of recent scientific literature on Canavan disease.
- Discussion of viral gene delivery systems (adeno-associated virus - AAV).
- Discussion of non-viral gene delivery systems (liposome-polymer-DNA - LPD complex).
Main Results:
- Canavan disease is a severe neurogenetic disorder with no effective treatments.
- Gene therapy presents a potential therapeutic avenue for CD.
- Novel LPD complexes and AAV vectors represent promising advancements in gene delivery for CD.
Conclusions:
- Gene therapy holds significant potential for treating Canavan disease.
- Further research into LPD complexes and AAV vectors is warranted for CD treatment.
- Advancements in gene delivery technologies offer hope for managing this fatal leukodystrophy.
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