Logo image
Gene Therapy Fully Restores Vision to the All-Cone Nrl(-/-) Gucy2e(-/-) Mouse Model of Leber Congenital Amaurosis-1
Journal article   Open access   Peer reviewed

Gene Therapy Fully Restores Vision to the All-Cone Nrl(-/-) Gucy2e(-/-) Mouse Model of Leber Congenital Amaurosis-1

Sanford L Boye, James J Peterson, Shreyasi Choudhury, Seok Hong Min, Qing Ruan, K Tyler McCullough, Zhonghong Zhang, Elena V Olshevskaya, Igor V Peshenko, William W Hauswirth, …
Human gene therapy, v 26(9), pp 575-592
01 Sep 2015
PMID: 26247368
url
https://europepmc.org/articles/pmc4575531View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Animals Basic-Leucine Zipper Transcription Factors - genetics Dependovirus - genetics Disease Models, Animal Eye Proteins - genetics Genetic Therapy Genetic Vectors Guanylate Cyclase - genetics Guanylate Cyclase - metabolism Injections, Intraocular Leber Congenital Amaurosis - genetics Leber Congenital Amaurosis - pathology Leber Congenital Amaurosis - therapy Mice, Inbred C57BL Mice, Knockout Opsins - genetics Opsins - metabolism Receptors, Cell Surface - genetics Receptors, Cell Surface - metabolism Retinal Cone Photoreceptor Cells - pathology Treatment Outcome Vision, Ocular
Mutations in GUCY2D are the cause of Leber congenital amaurosis type 1 (LCA1). GUCY2D encodes retinal guanylate cyclase-1 (retGC1), a protein expressed exclusively in outer segments of photoreceptors and essential for timely recovery from photoexcitation. Recent clinical data show that, despite a high degree of visual disturbance stemming from a loss of cone function, LCA1 patients retain normal photoreceptor architecture, except for foveal cone outer segment abnormalities and, in some patients, foveal cone loss. These results point to the cone-rich central retina as a target for GUCY2D replacement. LCA1 gene replacement studies thus far have been conducted in rod-dominant models (mouse) or with vectors and organisms lacking clinical translatability. Here we investigate gene replacement in the Nrl(-/-) Gucy2e(-/-) mouse, an all-cone model deficient in retGC1. We show that AAV-retGC1 treatment fully restores cone function, cone-mediated visual behavior, and guanylate cyclase activity, and preserves cones in treated Nrl(-/-) Gucy2e(-/-) mice over the long-term. A novel finding was that retinal function could be restored to levels above that in Nrl(-/-) controls, contrasting results in other models of retGC1 deficiency. We attribute this to increased cyclase activity in treated Nrl(-/-) Gucy2e(-/-) mice relative to Nrl(-/-) controls. Thus, Nrl(-/-) Gucy2e(-/-) mice possess an expanded dynamic range in ERG response to gene replacement relative to other models. Lastly, we show that a candidate clinical vector, AAV5-GRK1-GUCY2D, when delivered to adult Nrl(-/-) Gucy2e(-/-) mice, restores retinal function that persists for at least 6 months. Our results provide strong support for clinical application of a gene therapy targeted to the cone-rich, central retina of LCA1 patients.

Metrics

5 Record Views
35 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Biotechnology & Applied Microbiology
Genetics & Heredity
Medicine, Research & Experimental
Logo image