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Publication : AAV9-DOK7 gene therapy reduces disease severity in Smn<sup>2B/-</sup> SMA model mice.

First Author  Kaifer KA Year  2020
Journal  Biochem Biophys Res Commun Volume  530
Issue  1 Pages  107-114
PubMed ID  32828271 Mgi Jnum  J:304171
Mgi Id  MGI:6694379 Doi  10.1016/j.bbrc.2020.07.031
Citation  Kaifer KA, et al. (2020) AAV9-DOK7 gene therapy reduces disease severity in Smn(2B/-) SMA model mice. Biochem Biophys Res Commun 530(1):107-114
abstractText  Spinal Muscular Atrophy (SMA) is an autosomal recessive neuromuscular disease caused by deletions or mutations in the survival motor neuron (SMN1) gene. An important hallmark of disease progression is the pathology of neuromuscular junctions (NMJs). Affected NMJs in the SMA context exhibit delayed maturation, impaired synaptic transmission, and loss of contact between motor neurons and skeletal muscle. Protection and maintenance of NMJs remains a focal point of therapeutic strategies to treat SMA, and the recent implication of the NMJ-organizer Agrin in SMA pathology suggests additional NMJ organizing molecules may contribute. DOK7 is an NMJ organizer that functions downstream of Agrin. The potential of DOK7 as a putative therapeutic target was demonstrated by adeno-associated virus (AAV)-mediated gene therapy delivery of DOK7 in Amyotrophic Lateral Sclerosis (ALS) and Emery Dreyefuss Muscular Dystrophy (EDMD). To assess the potential of DOK7 as a disease modifier of SMA, we administered AAV-DOK7 to an intermediate mouse model of SMA. AAV9-DOK7 treatment conferred improvements in NMJ architecture and reduced muscle fiber atrophy. Additionally, these improvements resulted in a subtle reduction in phenotypic severity, evidenced by improved grip strength and an extension in survival. These findings reveal DOK7 is a novel modifier of SMA.
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