Pathologically Responsive Mitochondrial Gene Therapy in an Allotopic Expression-Independent Manner Cures Leber's Hereditary Optic Neuropathy

© 2021 Wiley-VCH GmbH..

Leber's hereditary optic neuropathy (LHON) is a rare inherited blindness caused by mutations in the mitochondrial DNA (mtDNA). The disorder is untreatable and tricky, as the existing chemotherapeutic agent Idebenone alleviates symptoms rather than overcoming the underlying cause. Although some studies have made progress on allotopic expression for LHON, in situ mitochondrial gene therapy remains challenging, which may simplify delivery procedures to be a promising therapeutic for LHON. LHON becomes more difficult to manage in the changed mitochondrial microenvironment, including increasing reactive oxygen species (ROS) and decreasing mitochondrial membrane potential (MMP). Herein, a pathologically responsive mitochondrial gene delivery vector named [triphenylphosphine-terminated poly(sulfur-containing thioketal undecafluorohexylamine histamine) and Ide-terminated poly(sulfur-containing thioketal undecafluorohexylamine histamine)] (TISUH) is reported to facilitate commendable in situ mitochondrial gene therapy for LHON. TISUH directly targets diseased mitochondria via triphenylphosphine and fluorination addressing the decreasing MMP. In addition, TISUH can be disassembled by high mitochondrial ROS levels to release functional genes for enhancing gene transfection efficiency and fundamentally correcting genetic abnormalities. In both traditional and gene-mutation-induced LHON mouse models, TISUH-mediated gene therapy shows satisfactory curative effect through the sustained therapeutic protein expression in vivo. This work proposes a novel pathologically responsive in situ mitochondrial delivery platform and provides a promising approach for refractory LHON as well as other mtDNA mutated diseases treatments.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Advanced materials (Deerfield Beach, Fla.) - 33(2021), 41 vom: 02. Okt., Seite e2103307

Sprache:

Englisch

Beteiligte Personen:

Wang, Yi [VerfasserIn]
Hu, Li-Fan [VerfasserIn]
Cui, Peng-Fei [VerfasserIn]
Qi, Lian-Yu [VerfasserIn]
Xing, Lei [VerfasserIn]
Jiang, Hu-Lin [VerfasserIn]

Links:

Volltext

Themen:

1339-63-5
9007-49-2
DNA
DNA, Mitochondrial
EC 7.1.1.2
Electron Transport Complex I
Fluorescent Dyes
Fluorination
HB6PN45W4J
Idebenone
In situ mitochondrial gene therapy
Journal Article
Leber's hereditary optic neuropathy
Pathologically responsive polymers
Polymers
Protein Subunits
Reactive Oxygen Species
Ubiquinone

Anmerkungen:

Date Completed 07.02.2022

Date Revised 07.02.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/adma.202103307

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329747851