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Publication : PABPN1 gene therapy for oculopharyngeal muscular dystrophy.

First Author  Malerba A Year  2017
Journal  Nat Commun Volume  8
Pages  14848 PubMed ID  28361972
Mgi Jnum  J:244740 Mgi Id  MGI:5913519
Doi  10.1038/ncomms14848 Citation  Malerba A, et al. (2017) PABPN1 gene therapy for oculopharyngeal muscular dystrophy. Nat Commun 8:14848
abstractText  Oculopharyngeal muscular dystrophy (OPMD) is an autosomal dominant, late-onset muscle disorder characterized by ptosis, swallowing difficulties, proximal limb weakness and nuclear aggregates in skeletal muscles. OPMD is caused by a trinucleotide repeat expansion in the PABPN1 gene that results in an N-terminal expanded polyalanine tract in polyA-binding protein nuclear 1 (PABPN1). Here we show that the treatment of a mouse model of OPMD with an adeno-associated virus-based gene therapy combining complete knockdown of endogenous PABPN1 and its replacement by a wild-type PABPN1 substantially reduces the amount of insoluble aggregates, decreases muscle fibrosis, reverts muscle strength to the level of healthy muscles and normalizes the muscle transcriptome. The efficacy of the combined treatment is further confirmed in cells derived from OPMD patients. These results pave the way towards a gene replacement approach for OPMD treatment.
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