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Publication : Gene therapy provides long-term visual function in a pre-clinical model of retinitis pigmentosa.

First Author  Wert KJ Year  2013
Journal  Hum Mol Genet Volume  22
Issue  3 Pages  558-67
PubMed ID  23108158 Mgi Jnum  J:191119
Mgi Id  MGI:5461079 Doi  10.1093/hmg/dds466
Citation  Wert KJ, et al. (2013) Gene therapy provides long-term visual function in a pre-clinical model of retinitis pigmentosa. Hum Mol Genet 22(3):558-67
abstractText  Approximately 36 000 cases of simplex and familial retinitis pigmentosa (RP) worldwide are caused by a loss in phosphodiesterase (PDE6) function. In the preclinical Pde6alpha(nmf363) mouse model of this disease, defects in the alpha-subunit of PDE6 result in a progressive loss of photoreceptors and neuronal function. We hypothesized that increasing PDE6alpha levels using an AAV2/8 gene therapy vector could improve photoreceptor survival and retinal function. We utilized a vector with the cell-type-specific rhodopsin (RHO) promoter: AAV2/8(Y733F)-Rho-Pde6alpha, to transduce Pde6alpha(nmf363) retinas and monitored its effects over a 6-month period (a quarter of the mouse lifespan). We found that a single injection enhanced survival of photoreceptors and improved retinal function. At 6 months of age, the treated eyes retained photoreceptor cell bodies, while there were no detectable photoreceptors remaining in the untreated eyes. More importantly, the treated eyes demonstrated functional visual responses even after the untreated eyes had lost all vision. Despite focal rescue of the retinal structure adjacent to the injection site, global functional rescue of the entire retina was observed. These results suggest that RP due to PDE6alpha deficiency in humans, in addition to PDE6beta deficiency, is also likely to be treatable by gene therapy.
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