Disease correction in mucopolysaccharidosis type IIIB mice by intraparenchymal or cisternal delivery of a capsid

Courtney J Rouse1,2, Kimberley Hawkins1, Nadia Kabbej1

  • 1Department of Medicine, University of Florida College of Medicine, Gainesville, FL, USA.

Human Molecular Genetics
|August 23, 2022
PubMed

Insights

Gene therapy using AAVtcm8-coNAGLU in MPS IIIB mice corrected lifespan and auditory deficits. This treatment increased N-acetyl-glucosaminidase (NAGLU) activity in the central nervous system and reduced harmful heparan sulfate storage.

Area of Science:

  • Genetics
  • Neurology
  • Biochemistry

Background:

  • Mucopolysaccharidosis type IIIB (MPS IIIB) is a genetic lysosomal storage disease.
  • Defective N-acetyl-glucosaminidase (NAGLU) causes heparan sulfate buildup and central nervous system (CNS) degeneration.
  • Current treatments face challenges in crossing the blood-brain barrier.

Purpose of the Study:

  • To evaluate the efficacy of AAVtcm8-coNAGLU gene therapy for MPS IIIB.
  • To assess the impact of intracranial and intracisternal magna injections of AAVtcm8-coNAGLU.
  • To determine if this gene therapy can correct CNS and peripheral organ pathology in MPS IIIB mice.

Main Methods:

  • Utilized the MPS IIIB mouse model.
  • Administered AAVtcm8-codon-optimized (co)-NAGLU via intracranial or intracisterna magna injection.
  • Evaluated disease correction through enzyme activity, heparan sulfate levels, CNS lysosomal signals, motor function, hearing, and survival.

Main Results:

  • Both injection methods led to supranormal NAGLU expression in the brain.
  • Significant correction of lifespan and auditory deficits was observed.
  • Reduced heparan sulfate storage and increased CNS NAGLU activity were confirmed.
  • Partial correction of NAGLU activity was noted in peripheral organs.

Conclusions:

  • AAVtcm8-coNAGLU gene therapy effectively corrects key pathological features of MPS IIIB in mice.
  • Intracranial and intracisterna magna delivery methods show promise for CNS gene therapy in MPS IIIB.
  • This approach offers a potential therapeutic strategy for MPS IIIB by restoring NAGLU function and mitigating CNS damage.

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