Neonatal gene therapy of glycogen storage disease type Ia using a feline immunodeficiency virus-based vector

Albert Grinshpun1, Reba Condiotti, Simon N Waddington

  • 1Goldyne Savad Institute of Gene Therapy, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Insights

Gene therapy using feline immunodeficiency virus (FIV) vectors shows promise for Glycogen storage disease type Ia (GSD-Ia). A double neonatal administration of G6Pase gene vectors normalized blood glucose and extended survival in a mouse model.

Area of Science:

  • Biochemistry
  • Genetics
  • Gene Therapy

Background:

  • Glycogen storage disease type Ia (GSD-Ia), or von Gierke disease, results from glucose-6-phosphatase-alpha (G6Pase) deficiency, impairing glucose homeostasis.
  • Affected individuals experience severe metabolic disorders and life-threatening complications from birth due to inability to maintain blood glucose levels.

Purpose of the Study:

  • To evaluate the efficacy of feline immunodeficiency virus (FIV) vectors for treating GSD-Ia in a murine model.
  • To assess if gene therapy can attenuate disease symptoms and improve outcomes in GSD-Ia.

Main Methods:

  • Construction of FIV vectors carrying the human G6Pase gene.
  • Administration of FIV vectors to G6Pase-alpha(-/-) mice, comparing single and double neonatal dosing protocols.
  • Assessment of biochemical and pathological phenotypes, including blood glucose levels, body weight, liver glycogen accumulation, and survival rates.

Main Results:

  • A single administration of FIV vectors did not alter the disease phenotype in GSD-Ia mice.
  • A double neonatal administration protocol resulted in normalized blood glucose levels.
  • This protocol significantly extended survival, improved body weight, and reduced liver glycogen accumulation in the GSD-Ia mouse model.

Conclusions:

  • Early and repeated gene therapy with FIV vectors shows potential for treating GSD-Ia.
  • Neonatal administration of G6Pase gene therapy offers a promising strategy to prevent long-term complications of GSD-Ia.