Targeting ON-bipolar cells by AAV gene therapy stably reverses LRIT3-congenital stationary night blindness

通过 AAV 基因治疗靶向 ON-双极细胞可稳定逆转 LRIT3-先天性静止性夜盲症

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作者:Keiko Miyadera, Evelyn Santana, Karolina Roszak, Sommer Iffrig, Meike Visel, Simone Iwabe, Ryan F Boyd, Joshua T Bartoe, Yu Sato, Alexa Gray, Ana Ripolles-Garcia, Valérie L Dufour, Leah C Byrne, John G Flannery, William A Beltran, Gustavo D Aguirre

Abstract

SignificanceCanine models of inherited retinal diseases have helped advance adeno-associated virus (AAV)-based gene therapies targeting specific cells in the outer retina for treating blinding diseases in patients. However, therapeutic targeting of diseases such as congenital stationary night blindness (CSNB) that exhibit defects in ON-bipolar cells (ON-BCs) of the midretina remains underdeveloped. Using a leucine-rich repeat, immunoglobulin-like and transmembrane domain 3 (LRIT3) mutant canine model of CSNB exhibiting ON-BC dysfunction, we tested the ability of cell-specific AAV capsids and promotors to specifically target ON-BCs for gene delivery. Subretinal injection of one vector demonstrated safety and efficacy with robust and stable rescue of electroretinography signals and night vision up to 1 y, paving the way for clinical trials in patients.

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