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Updated: Jun 11, 2026

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Optimized AAV5-RPGR ORF15 Gene Therapy Rescues Photoreceptor Structure and Function in XLRP Mouse Model.

Xiang Chen1, Xintong Xu2, Shanshan Cao3

  • 1Senior Department of Ophthalmology, Chinese People's Liberation Army General Hospital & Chinese PLA Medical School.

American Journal of Ophthalmology
|June 9, 2026
PubMed
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This summary is machine-generated.

This study developed a novel gene therapy for X-linked retinitis pigmentosa (XLRP) using an optimized rAAV5-RPGR vector. The therapy successfully preserved photoreceptor structure and function in a mouse model, showing promise for treating XLRP.

Area of Science:

  • Ophthalmology
  • Genetics
  • Gene Therapy

Background:

  • X-linked retinitis pigmentosa (XLRP) is a severe inherited retinal disease caused by mutations in the RPGR gene.
  • The RPGR ORF15 sequence is challenging to clone due to its instability, hindering gene therapy development.
  • Current treatments for XLRP are limited, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To develop and evaluate a recombinant adeno-associated virus serotype 5 (rAAV5) vector carrying an optimized human RPGR ORF15 transgene (rAAV5-RPGR).
  • To address the challenges associated with the unstable wild-type RPGR ORF15 sequence for potential XLRP treatment.
  • To assess the preclinical efficacy and safety of rAAV5-RPGR gene therapy in a mouse model of XLRP.

Main Methods:

  • Designed an optimized RPGR ORF15 sequence to overcome cloning difficulties and improve expression.
Keywords:
AAV5Gene therapyPreclinical studiesRetinal degenerationX-linked retinitis pigmentosa

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  • Validated in vitro expression in HEK 293T and 661W cells.
  • Generated and characterized a complete Rpgr knockout (Rpgr-KO) mouse model.
  • Administered rAAV5-RPGR via subretinal injection at varying doses to Rpgr-KO mice.
  • Evaluated therapeutic effects on photoreceptor structure, function (electroretinography), and safety in mice and rabbits.
  • Main Results:

    • The optimized vector enhanced RPGR protein expression by 3.3-fold in vitro and eliminated truncated isoforms.
    • In Rpgr-KO mice, rAAV5-RPGR demonstrated dose-dependent, photoreceptor-specific transgene expression.
    • High-dose treatment significantly preserved outer nuclear layer thickness, reduced rhodopsin mislocalization, and partially restored retinal function.
    • Electroretinography showed significant improvements in scotopic a-wave and photopic b-wave amplitudes in treated mice.
    • No vector-related toxicity was observed in rabbits.

    Conclusions:

    • rAAV5-RPGR effectively delivered and expressed the optimized RPGR-ORF15 transgene.
    • The gene therapy significantly preserved photoreceptor structure and function in a severe XLRP mouse model.
    • The study provides preclinical proof-of-concept for RPGR-targeted gene replacement therapy for XLRP with a favorable safety profile.