Development of a rabbit model for adrenoleukodystrophy: A pilot study on gene therapy using rAAV9

肾上腺脑白质营养不良症兔模型的开发:使用 rAAV9 进行基因治疗的初步研究

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作者:Xiaoya Zhou, Chui-Yan Ma, Xiaoxian Zhang, Xianchuan Xu, Fuyu Duan, Meng Kou, Hongsheng Liu, Liang Zeng, Liyan Guo, Shaoxiang Chen, Li Chen, Ziyue Li, Jie Luo, Jieying Wu, Zhejin Li, Zhanjun Li, Tingting Sui, Ping Yuan, Zhijian Lin, Hao Chen, Liangxue Lai, Qizhou Lian1

Abstract

X-linked adrenoleukodystrophy (X-ALD) is a common peroxisomal disorder caused by mutations in the ABCD1 gene, leading to the accumulation of very long-chain fatty acids (VLCFAs). This progressive neurodegenerative disease manifests in three primary forms: childhood-acquired cerebral demyelination (CALD), adult myelopathy (AMN), and primary adrenal cortical insufficiency. Bone marrow transplantation effectively halts disease progression only in the early stages of CALD. A thorough investigation of the pathophysiology of X-ALD has been hampered by the lack of a reliable animal model. Valid animal models of X-ALD are urgently needed. To address this, we used CRISPR-Cas9 technology to knock out the ABCD1 gene and established a novel rabbit model of X-ALD. The mutants exhibited elevated serum levels of hexacosanoic acid (C26:0), lignoceric acid (C24:0), and an increased C26:0/C22:0 ratio, as well as significant white matter demyelination in the brain and spinal cord. We also investigated rAAV9-based gene therapy in this model and found a significant reduction in VLCFAs. This study introduces CRISPR-Cas9-mediated ABCD1 gene knockout rabbits as a novel animal model. It comprehensively evaluates the short-term outcomes and safety of rAAV-based gene therapy for X-ALD, providing a promising approach to explore the molecular and pharmacological mechanisms of the disease.

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