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Published on: March 5, 2017
Genetic correction of Huntington's disease phenotypes in induced pluripotent stem cells
Mahru C An1, Ningzhe Zhang, Gary Scott
1The Buck Institute for Research on Aging, Novato, CA 94945, USA.
Insights
Researchers genetically corrected Huntington's disease (HD) patient cells. Corrected cells developed into neurons, showing normalized disease pathways and reversed phenotypes, offering hope for cell replacement therapy.
Area of Science:
- Neuroscience
- Genetics
- Stem Cell Biology
Background:
- Huntington's disease (HD) is a neurodegenerative disorder caused by a CAG repeat expansion in the huntingtin gene.
- This expansion leads to polyglutamine tract elongation, resulting in striatal neuron cell death in HD patients.
Purpose of the Study:
- To genetically correct human induced pluripotent stem cells (iPSCs) derived from Huntington's disease patients.
- To assess the functional and phenotypic correction of these cells following differentiation into neurons.
- To evaluate the potential of corrected iPSCs for disease modeling and cell replacement therapy.
Main Methods:
- Utilized homologous recombination to replace the expanded CAG repeat in HD patient-derived iPSCs with a normal repeat.
- Differentiated corrected and uncorrected iPSCs into DARPP-32-positive neurons in vitro.
- Assessed neuronal differentiation, signaling pathway normalization (cadherin, TGF-β, BDNF, caspase activation), and mitochondrial bioenergetics in vitro and in vivo.
Main Results:
- Successfully corrected the expanded CAG repeat in HD patient iPSCs, with correction persisting through neuronal differentiation.
- Corrected iPSCs differentiated into DARPP-32-positive neurons that exhibited normalized pathogenic signaling pathways.
- Disease phenotypes, including susceptibility to cell death and altered mitochondrial bioenergetics, were reversed in corrected neural stem cells.
Conclusions:
- Genetically corrected patient-specific iPSCs provide a valuable model for studying Huntington's disease in an identical genetic background.
- Correction of the genetic defect in iPSCs reverses key disease phenotypes and normalizes aberrant signaling pathways.
- This approach represents a critical advancement towards the potential use of genetically corrected iPSCs in Huntington's disease cell replacement therapy.
Abstract:
Huntington's disease (HD) is caused by a CAG expansion in the huntingtin gene. Expansion of the polyglutamine tract in the huntingtin protein results in massive cell death in the striatum of HD patients. We report that human induced pluripotent stem cells (iPSCs) derived from HD patient fibroblasts can be corrected by the replacement of the expanded CAG repeat with a normal repeat using homologous recombination, and that the correction persists in iPSC differentiation into DARPP-32-positive neurons in vitro and in vivo. Further, correction of the HD-iPSCs normalized pathogenic HD signaling pathways (cadherin, TGF-β, BDNF, and caspase activation) and reversed disease phenotypes such as susceptibility to cell death and altered mitochondrial bioenergetics in neural stem cells. The ability to make patient-specific, genetically corrected iPSCs from HD patients will provide relevant disease models in identical genetic backgrounds and is a critical step for the eventual use of these cells in cell replacement therapy.
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