Gene Therapy最新文献

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Characterization of brain transduction capability of a BBB-penetrant AAV vector in mice, rats and macaques reveals differences in expression profiles 在小鼠、大鼠和猕猴体内转导 BBB 穿透型 AAV 向量的能力特征揭示了表达谱的差异。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-07-22 DOI: 10.1038/s41434-024-00466-w
María Bunuales, Angeles Garduno, Miguel Chillon, Assumpció Bosch, Manuela Gonzalez-Aparicio, Maria Espelosin, Marta Garcia-Gomara, Alberto J. Rico, Ana Garcia-Osta, Mar Cuadrado-Tejedor, Jose L. Lanciego, Ruben Hernandez-Alcoceba
{"title":"Characterization of brain transduction capability of a BBB-penetrant AAV vector in mice, rats and macaques reveals differences in expression profiles","authors":"María Bunuales, Angeles Garduno, Miguel Chillon, Assumpció Bosch, Manuela Gonzalez-Aparicio, Maria Espelosin, Marta Garcia-Gomara, Alberto J. Rico, Ana Garcia-Osta, Mar Cuadrado-Tejedor, Jose L. Lanciego, Ruben Hernandez-Alcoceba","doi":"10.1038/s41434-024-00466-w","DOIUrl":"10.1038/s41434-024-00466-w","url":null,"abstract":"Different screening methods are being developed to generate adeno-associated viral vectors (AAV) with the ability to bypass the blood-brain barrier (BBB) upon intravenous administration. Recently, the AAV9P31 stood out as the most efficient version among a library of peptide-displaying capsids selected in C57BL/6 mice using RNA-driven biopanning. In this work we have characterized in detail its biodistribution in different mouse strains (C57BL/6 and Balb/c), as well as in Sprague Dawley rats and non-human primates (Macaca fascicularis). Using GFP and NanoLuc reporter genes, we confirmed homogeneous infection and transgene expression across the CNS of mice injected intravenously with AAV9P31. A more restricted pattern was observed upon either intracerebroventricular or intraparenchymal injection. Following intravenous delivery, region- and cell-specific differential patterns of transduction were observed in the mouse brain, including a preferential transduction of astrocytes and neurons in the cerebral cortex and striatum, whereas neurons were the only transduced cell type in subcortical locations across the hippocampus, thalamus, hypothalamus, mesencephalon, brainstem and cerebellum. Furthermore, transduced microglial cells were never found in any CNS location. Peripheral organs transduced upon intravenous administration included lung, liver, peritoneum, heart and skeletal muscle. However, a comparable performance of AAV9P31 to bypass the BBB in rats and macaques was not observed, although a more limited neuronal transduction was found in the brainstem of rats upon intravenous delivery. Finally, intracerebroventricular delivery in macaques resulted in neuronal transduction in cortical, subcortical structures and cerebellum following a patchy pattern. In conclusion, the widespread CNS transduction obtained in mice upon intravenous delivery of AAV9P31 represents a powerful tool for modeling a wide variety of neurological disorders as well as an appealing choice for the evaluation of gene therapy-based therapeutics.","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41434-024-00466-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Suppression of viral rebound by a Rev-dependent lentiviral particle in SIV-infected rhesus macaques. 在感染 SIV 的猕猴体内,依赖 Rev 的慢病毒颗粒抑制了病毒反弹。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-07-18 DOI: 10.1038/s41434-024-00467-9
Brian Hetrick, Summer Siddiqui, Mark Spear, Jia Guo, Huizhi Liang, Yajing Fu, Zhijun Yang, Lara Doyle-Meyers, Bapi Pahar, Ronald S Veazey, Jason Dufour, Ali Andalibi, Binhua Ling, Yuntao Wu
{"title":"Suppression of viral rebound by a Rev-dependent lentiviral particle in SIV-infected rhesus macaques.","authors":"Brian Hetrick, Summer Siddiqui, Mark Spear, Jia Guo, Huizhi Liang, Yajing Fu, Zhijun Yang, Lara Doyle-Meyers, Bapi Pahar, Ronald S Veazey, Jason Dufour, Ali Andalibi, Binhua Ling, Yuntao Wu","doi":"10.1038/s41434-024-00467-9","DOIUrl":"https://doi.org/10.1038/s41434-024-00467-9","url":null,"abstract":"<p><p>Persistence of human immunodeficiency virus (HIV) reservoirs prevents viral eradication, and consequently HIV-infected patients require lifetime treatment with antiretroviral therapy (ART) [1-5]. Currently, there are no effective therapeutics to prevent HIV rebound upon ART cessation. Here we describe an HIV/SIV Rev-dependent lentiviral particle that can be administered to inhibit viral rebound [6-9]. Using simian immunodeficiency virus (SIV)-infected rhesus macaques as a model, we demonstrate that the administration of pre-assembled SIV Rev-dependent lentiviral particles into SIVmac239-infected Indian rhesus macaques can lead to reduction of viral rebound upon ART termination. One of the injected animals, KC50, controlled plasma and CNS viremia to an undetectable level most of the time for over two years after ART termination. Surprisingly, detailed molecular and immunological characterization revealed that viremia control was concomitant with the induction of neutralizing antibodies (nAbs) following the administration of the Rev-dependent vectors. This study emphasizes the importance of neutralizing antibodies (nAbs) for viremia control [10-15], and also provides proof of concept that the Rev-dependent vector can be used to target viral reservoirs, including the CNS reservoirs, in vivo. However, future large-scale in vivo studies are needed to understand the potential mechanisms of viremia control induced by the Rev-dependent vector.</p>","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of heparin and direct thrombin inhibitors on cell-penetrating polymer siRNA transfection 肝素和直接凝血酶抑制剂对细胞穿透聚合物 siRNA 转染的影响
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-07-16 DOI: 10.1038/s41434-024-00460-2
Lucas Mota, Max Zhu, John N. Tomeo, Melina Recarey, Nyah Patel, Leena Pradhan-Nabzdyk, Frank W. LoGerfo, Patric Liang
{"title":"The impact of heparin and direct thrombin inhibitors on cell-penetrating polymer siRNA transfection","authors":"Lucas Mota,&nbsp;Max Zhu,&nbsp;John N. Tomeo,&nbsp;Melina Recarey,&nbsp;Nyah Patel,&nbsp;Leena Pradhan-Nabzdyk,&nbsp;Frank W. LoGerfo,&nbsp;Patric Liang","doi":"10.1038/s41434-024-00460-2","DOIUrl":"10.1038/s41434-024-00460-2","url":null,"abstract":"Gene therapy using siRNA has become a promising strategy to achieve targeted gene knockdown for treatment of cardiovascular pathologies. However, efficient siRNA transfection often relies on cationic delivery vectors such as synthetic cell-penetrating polymers which are susceptible to interference by negatively charged molecules. Anticoagulants such as heparin, which is negatively charged and widely used in cardiovascular applications, may pose a significant barrier to effective siRNA delivery. We therefore conducted in vitro studies utilizing human smooth muscle and endothelial cells transfected with glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and β2-microglobulin (B2M) siRNA in the presence of heparin, argatroban, and bivalirudin in order to determine which anticoagulant therapy is most compatible for siRNA delivery. We observed that while heparin, at clinical doses, decreases the efficiency of siRNA targeted mRNA knockdown, mRNA knockdown is not inhibited in the presence of either argatroban or bivalirudin. Our data suggests that heparin should be avoided during siRNA therapy with cationic transfection agents, and argatroban and bivalirudin should be used in its stead.","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Development of an optimized AAV2/5 gene therapy vector for Leber congenital amaurosis owing to defects in RPE65 更正:开发一种优化的 AAV2/5 基因治疗载体,用于治疗因 RPE65 缺陷导致的 Leber 先天性羊角疯。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-07-12 DOI: 10.1038/s41434-024-00463-z
A. Georgiadis, Y. Duran, J. Ribeiro, L. Abelleira-Hervas, S. J. Robbie, B. Sünkel-Laing, S. Fourali, A. Gonzalez-Cordero, E. Cristante, M. Michaelides, J. W. B. Bainbridge, A. J. Smith, R. R. Ali
{"title":"Correction: Development of an optimized AAV2/5 gene therapy vector for Leber congenital amaurosis owing to defects in RPE65","authors":"A. Georgiadis,&nbsp;Y. Duran,&nbsp;J. Ribeiro,&nbsp;L. Abelleira-Hervas,&nbsp;S. J. Robbie,&nbsp;B. Sünkel-Laing,&nbsp;S. Fourali,&nbsp;A. Gonzalez-Cordero,&nbsp;E. Cristante,&nbsp;M. Michaelides,&nbsp;J. W. B. Bainbridge,&nbsp;A. J. Smith,&nbsp;R. R. Ali","doi":"10.1038/s41434-024-00463-z","DOIUrl":"10.1038/s41434-024-00463-z","url":null,"abstract":"","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41434-024-00463-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141599102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Dual-targeted NIS polyplexes—a theranostic strategy toward tumors with heterogeneous receptor expression 更正:双靶向 NIS 多聚物--针对受体表达异质性肿瘤的治疗策略。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-07-11 DOI: 10.1038/s41434-024-00464-y
Sarah Urnauer, Kathrin A. Schmohl, Mariella Tutter, Christina Schug, Nathalie Schwenk, Stephan Morys, Sibylle Ziegler, Peter Bartenstein, Dirk-André Clevert, Ernst Wagner, Christine Spitzweg
{"title":"Correction: Dual-targeted NIS polyplexes—a theranostic strategy toward tumors with heterogeneous receptor expression","authors":"Sarah Urnauer,&nbsp;Kathrin A. Schmohl,&nbsp;Mariella Tutter,&nbsp;Christina Schug,&nbsp;Nathalie Schwenk,&nbsp;Stephan Morys,&nbsp;Sibylle Ziegler,&nbsp;Peter Bartenstein,&nbsp;Dirk-André Clevert,&nbsp;Ernst Wagner,&nbsp;Christine Spitzweg","doi":"10.1038/s41434-024-00464-y","DOIUrl":"10.1038/s41434-024-00464-y","url":null,"abstract":"","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41434-024-00464-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Administration and detection of a multi-target rAAV gene doping vector in horses using multiple matrices and molecular techniques 利用多种基质和分子技术对马体内的多靶点 rAAV 基因兴奋剂载体进行管理和检测。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-07-07 DOI: 10.1038/s41434-024-00462-0
Jillian Maniego, Caitlin Harding, Jocelyn Habershon-Butcher, Pamela Hincks, Edward Ryder
{"title":"Administration and detection of a multi-target rAAV gene doping vector in horses using multiple matrices and molecular techniques","authors":"Jillian Maniego,&nbsp;Caitlin Harding,&nbsp;Jocelyn Habershon-Butcher,&nbsp;Pamela Hincks,&nbsp;Edward Ryder","doi":"10.1038/s41434-024-00462-0","DOIUrl":"10.1038/s41434-024-00462-0","url":null,"abstract":"Gene doping, which includes the non-therapeutic use of genes or genetic elements that have the capacity to enhance athletic performance, is prohibited in horseracing and equestrian sports. To provide a comprehensive assessment of matrix and detection techniques, a custom adeno-associated virus serotype 8 vector was designed to include PCR binding sites for multiple target genes and assay types. The vector was injected via an intramuscular route into two Thoroughbred horses and matrices collected at defined timepoints. DNA was analysed using 3 detection methods: qPCR, digital PCR, and NGS. Overall, there was a strong correlation across the different detection methods employed, although digital PCR was less sensitive at lower concentrations. High concentrations of vector were detected at early timepoints in plasma and whole blood, which rapidly dropped after 0.5 d to trace levels by 4 d and 9 d post-administration respectively, following a similar pattern to previous studies. Vector was detected in dried blood spots at lower levels than whole blood, but with a similar detection time. Detection in hair root bulbs in one horse was observed at over a month post-administration, which opens new avenues for future gene doping testing in humans and animals.","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retraction Note: Optimization of oncolytic effect of Newcastle disease virus Clone30 by selecting sensitive tumor host and constructing more oncolytic viruses 撤稿说明:通过选择敏感的肿瘤宿主和构建更多的溶瘤病毒,优化新城疫病毒克隆30的溶瘤效果。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-07-04 DOI: 10.1038/s41434-024-00459-9
Tianyan Liu, Yu Zhang, Yukai Cao, Shan Jiang, Rui Sun, Jiechao Yin, Zhenqiu Gao, Guiping Ren, Zhenzhong Wang, Qingzhong Yu, Guangchao Sui, Xu Sun, Wenying Sun, Wei Xiao, Deshan Li
{"title":"Retraction Note: Optimization of oncolytic effect of Newcastle disease virus Clone30 by selecting sensitive tumor host and constructing more oncolytic viruses","authors":"Tianyan Liu,&nbsp;Yu Zhang,&nbsp;Yukai Cao,&nbsp;Shan Jiang,&nbsp;Rui Sun,&nbsp;Jiechao Yin,&nbsp;Zhenqiu Gao,&nbsp;Guiping Ren,&nbsp;Zhenzhong Wang,&nbsp;Qingzhong Yu,&nbsp;Guangchao Sui,&nbsp;Xu Sun,&nbsp;Wenying Sun,&nbsp;Wei Xiao,&nbsp;Deshan Li","doi":"10.1038/s41434-024-00459-9","DOIUrl":"10.1038/s41434-024-00459-9","url":null,"abstract":"","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41434-024-00459-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stable inhibition of choroidal neovascularization by adeno-associated virus 2/8-vectored bispecific molecules 腺相关病毒 2/8 接种双特异性分子对脉络膜新生血管的稳定抑制。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-07-03 DOI: 10.1038/s41434-024-00461-1
Tinghui Bai, Bohao Cui, Man Xing, Siyue Chen, Yanfang Zhu, Dongxue Lin, Yingying Guo, Mei Du, Xiaohong Wang, Dongming Zhou, Hua Yan
{"title":"Stable inhibition of choroidal neovascularization by adeno-associated virus 2/8-vectored bispecific molecules","authors":"Tinghui Bai,&nbsp;Bohao Cui,&nbsp;Man Xing,&nbsp;Siyue Chen,&nbsp;Yanfang Zhu,&nbsp;Dongxue Lin,&nbsp;Yingying Guo,&nbsp;Mei Du,&nbsp;Xiaohong Wang,&nbsp;Dongming Zhou,&nbsp;Hua Yan","doi":"10.1038/s41434-024-00461-1","DOIUrl":"10.1038/s41434-024-00461-1","url":null,"abstract":"Neovascular age-related macular degeneration (nAMD) causes severe visual impairment. Pigment epithelium-derived factor (PEDF), soluble CD59 (sCD59), and soluble fms-like tyrosine kinase-1 (sFLT-1) are potential therapeutic agents for nAMD, which target angiogenesis and the complement system. Using the AAV2/8 vector, two bi-target gene therapy agents, AAV2/8-PEDF-P2A-sCD59 and AAV2/8-sFLT-1-P2A-sCD59, were generated, and their therapeutic efficacy was investigated in laser-induced choroidal neovascularization (CNV) and Vldlr−/− mouse models. After a single injection, AAV2/8-mediated gene expression was maintained at high levels in the retina for two months. Both AAV2/8-PEDF-P2A-sCD59 and AAV2/8-sFLT-1-P2A-sCD59 significantly reduced CNV development for an extended period without side effects and provided efficacy similar to two injections of current anti-vascular endothelial growth factor monotherapy. Mechanistically, these agents suppressed the extracellular signal-regulated kinase and nuclear factor-κB pathways, resulting in anti-angiogenic activity. This study demonstrated the safety and long-lasting effects of AAV2/8-PEDF-P2A-sCD59 and AAV2/8-sFLT-1-P2A-sCD59 in CNV treatment, providing a promising therapeutic strategy for nAMD.","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41434-024-00461-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141497848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Highly efficient and specific regulation of gene expression using enhanced CRISPR-Cas12f system 利用增强型 CRISPR-Cas12f 系统高效特异地调控基因表达。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-06-25 DOI: 10.1038/s41434-024-00458-w
Yeounsun Oh, Lee Wha Gwon, Hyomin K. Lee, Junho K. Hur, Kwang-Hyun Park, Kee-Pyo Kim, Seung Hwan Lee
{"title":"Highly efficient and specific regulation of gene expression using enhanced CRISPR-Cas12f system","authors":"Yeounsun Oh,&nbsp;Lee Wha Gwon,&nbsp;Hyomin K. Lee,&nbsp;Junho K. Hur,&nbsp;Kwang-Hyun Park,&nbsp;Kee-Pyo Kim,&nbsp;Seung Hwan Lee","doi":"10.1038/s41434-024-00458-w","DOIUrl":"10.1038/s41434-024-00458-w","url":null,"abstract":"The recently developed CRISPR activator (CRISPRa) system uses a CRISPR-Cas effector-based transcriptional activator to effectively control the expression of target genes without causing DNA damage. However, existing CRISPRa systems based on Cas9/Cas12a necessitate improvement in terms of efficacy and accuracy due to limitations associated with the CRISPR-Cas module itself. To overcome these limitations and effectively and accurately regulate gene expression, we developed an efficient CRISPRa system based on the small CRISPR-Cas effector Candidatus Woesearchaeota Cas12f (CWCas12f). By engineering the CRISPR-Cas module, linking activation domains, and using various combinations of linkers and nuclear localization signal sequences, the optimized eCWCas12f-VPR system enabled effective and target-specific regulation of gene expression compared with that using the existing CRISPRa system. The eCWCas12f-VPR system developed in this study has substantial potential for controlling the transcription of endogenous genes in living organisms and serves as a foundation for future gene therapy and biological research.","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41434-024-00458-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gene replacement therapy for spinal muscular atrophy: safety and preliminary efficacy in a Brazilian cohort 脊髓性肌萎缩症的基因替代疗法:巴西队列的安全性和初步疗效。
IF 4.6 3区 医学
Gene Therapy Pub Date : 2024-06-05 DOI: 10.1038/s41434-024-00456-y
Rodrigo Holanda Mendonça, Adriana Banzzatto Ortega, Ciro Matsui Jr, Vanessa van der Linden, Marcelo Kerstenetzky, Luis Fernando Grossklauss, Elizabeth L. Silveira-Lucas, Graziela Jorge Polido, Edmar Zanoteli
{"title":"Gene replacement therapy for spinal muscular atrophy: safety and preliminary efficacy in a Brazilian cohort","authors":"Rodrigo Holanda Mendonça,&nbsp;Adriana Banzzatto Ortega,&nbsp;Ciro Matsui Jr,&nbsp;Vanessa van der Linden,&nbsp;Marcelo Kerstenetzky,&nbsp;Luis Fernando Grossklauss,&nbsp;Elizabeth L. Silveira-Lucas,&nbsp;Graziela Jorge Polido,&nbsp;Edmar Zanoteli","doi":"10.1038/s41434-024-00456-y","DOIUrl":"10.1038/s41434-024-00456-y","url":null,"abstract":"Spinal muscular atrophy (SMA) is a motor neuron disease associated with progressive muscle weakness, ventilatory failure, and reduced survival. Onasemnogene abeparvovec is the first gene replacement therapy (GT) approved to treat this condition. An observational retrospective study was conducted to assess adverse events and efficacy of GT in SMA patients. Forty-one patients with SMA (58.5% females and 80.1% SMA type 1) were included. The mean age at GT dosing was 18 (±6.4) months. Thirty-six patients (87.8%) were under previous treatment with nusinersen, and 10 (24.4%) continued nusinersen after GT. Mean CHOP-INTEND increased 13 points after 6 months and this finding did not differ between groups according to nusinersen maintenance after GT (p = 0.949). Among SMA type 1 patients, 14 (46.6%) reached the ability to sit alone. Liver transaminases elevation at least two times higher than the upper limit of normal value occurred in 29 (70.7%) patients. Thrombocytopenia occurred in 13 (31.7%) patients, and one presented thrombotic microangiopathy. Older age (&gt;2 years) was associated with more prolonged use of corticosteroids (p = 0.021). GT is effective in SMA patients, combined nusinersen after GT did not appear to add gain in motor function and older age is associated with prolonged corticosteroid use.","PeriodicalId":12699,"journal":{"name":"Gene Therapy","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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