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Recombinant adeno-associated virus mediated gene transfer in a mouse model for homocystinuria
Eun-Sook Park1, Hyun-Jeong Oh, Warren D Kruger
1Brain Korea 21 Project for Medical Science, Yonsei University, Seoul 120-752, Korea.
Insights
Gene therapy using adeno-associated virus vectors effectively reduced homocysteine levels in a mouse model of homocystinuria (CBS deficiency), offering a promising new treatment approach.
Area of Science:
- Biochemistry
- Genetics
- Medical Research
Background:
- Homocystinuria is a metabolic disorder resulting from cystathionine beta-synthase (CBS) deficiency.
- Clinical manifestations include intellectual disability, lens dislocation, vascular disease, and skeletal deformities.
- Current treatments like pyridoxine or methionine restriction are insufficient for long-term homocysteine level management.
Purpose of the Study:
- To investigate the potential of gene therapy as a novel treatment for homocystinuria.
- To evaluate the efficacy of a recombinant adeno-associated virus vector carrying human CBS cDNA (rAAV-hCBS) in a mouse model.
Main Methods:
- CBS-/- mice were administered rAAV-hCBS via intramuscular (IM) and intraperitoneal (IP) injections.
- Serum homocysteine levels were measured two weeks post-treatment.
- Lifespan and vector distribution/gene expression in organs were assessed.
Main Results:
- Serum homocysteine concentrations were significantly reduced in treated mice compared to controls.
- A modest increase in lifespan (3-7 days) was observed in treated CBS-/- mice.
- The rAAV-hCBS vector successfully transduced various organs, with detectable CBS gene expression in the liver.
Conclusions:
- Gene delivery via AAV vectors is effective in a mouse model of homocystinuria.
- AAV-mediated gene transfer demonstrates potential for treating homocystinuria.
- This study highlights gene therapy as a viable therapeutic strategy for this metabolic disorder.
Abstract:
Homocystinuria is a metabolic disorder caused by a deficiency of cystathionine beta-synthase (CBS). The major clinical symptoms of this disease are mental retardation, lens dislocation, vascular disease with life-threatening thromboembolisms, and skeletal deformities. The major treatments for CBS deficiency include pharmacologic doses of pyridoxine or dietary restriction of methionine. There is currently no effective long-term treatment to lower the elevated plasma levels of homocysteine. However, gene therapy could be an effective novel approach for the treatment of homocystinuria. A recombinant adeno- associated virus vector carrying human CBS cDNA (rAAV-hCBS) was constructed and administered to CBS-/- mice by intramuscular (IM) and intraperitoneal (IP) injections. Serum homocysteine concentrations significantly decreased in treated mice compared with age-matched controls two weeks after treatment. The treated CBS-/- mice had life spans 3-7 days longer compared with untreated CBS-/- mice. In CBS-/- mice treated with rAAV-hCBS via IP injection, the vector was detected in all organs examined including liver, spleen, and kidney, and CBS gene expression was observed by immunohistochemical staining in the liver. These results indicate the efficacy of gene delivery and demonstrate the possibility of gene therapy mediated by AAV gene transfer in this mouse model of homocystinuria.
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