Intra-amniotic transient transduction of the periderm with a viral vector encoding TGFβ3 prevents cleft palate in

Chadwick Wu1, Masa Endo, Byung H Yang

  • 1Division of Plastic and Reconstructive Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA.

Insights

Intra-amniotic gene transfer of transforming growth factor β3 (TGFβ3) can prevent cleft palate in mouse models. This approach restored palatal fusion by targeting superficial cells, offering potential in utero therapy.

Area of Science:

  • Developmental Biology
  • Regenerative Medicine
  • Gene Therapy

Background:

  • Cleft palate is a congenital defect caused by failed embryonic palatal shelf fusion.
  • Transforming growth factor β3 (TGFβ3) is crucial for palatal fusion during embryonic development (E13-E15 in mice).
  • Tgfβ3-deficient mice exhibit a complete cleft palate phenotype, highlighting TGFβ3's essential role.

Purpose of the Study:

  • To investigate the efficacy of intra-amniotic gene transfer for preventing cleft palate.
  • To determine if restoring TGFβ3 expression can rescue palatal fusion in Tgfβ3(-/-) mouse models.
  • To assess the therapeutic potential of in utero gene therapy for cleft palate.

Main Methods:

  • Adenoviral vectors encoding Tgfβ3 were microinjected into the amniotic sacs of mouse embryos at various developmental stages.
  • Tgfβ3(-/-) mouse model was used to study cleft palate development and treatment.
  • Palatal fusion and mesenchymal confluence were assessed in transduced fetuses.

Main Results:

  • Intra-amniotic Tgfβ3 gene transfer successfully restored palatal fusion in Tgfβ3(-/-) fetuses.
  • High success rates (100% at E12.5 and E13.5, 82% at E14.5, 75% at E15.5) were observed depending on injection timing.
  • Transduction of the superficial peridermal cell layer was sufficient to induce MEE fusion in a cell nonautonomous manner.

Conclusions:

  • Intra-amniotic gene transfer of TGFβ3 is a viable strategy to prevent cleft palate in a mouse model.
  • This approach demonstrates therapeutic potential for in utero treatment of cleft palate, particularly cases involving midline epithelial dysfunction.
  • TGFβ3's role in palatal fusion can be therapeutically targeted via non-invasive gene delivery to embryonic tissues.

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