Novel MECP2 gene therapy is effective in a multicenter study using two mouse models of Rett syndrome and is safe in non-human primates

Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved..

The AAV9 gene therapy vector presented in this study is safe in mice and non-human primates and highly efficacious without causing overexpression toxicity, a major challenge for clinical translation of Rett syndrome gene therapy vectors to date. Our team designed a new truncated methyl-CpG-binding protein 2 (MECP2) promoter allowing widespread expression of MECP2 in mice and non-human primates after a single injection into the cerebrospinal fluid without causing overexpression symptoms up to 18 months after injection. Additionally, this new vector is highly efficacious at lower doses compared with previous constructs as demonstrated in extensive efficacy studies performed by two independent laboratories in two different Rett syndrome mouse models carrying either a knockout or one of the most frequent human mutations of Mecp2. Overall, data from this multicenter study highlight the efficacy and safety of this gene therapy construct, making it a promising candidate for first-in-human studies to treat Rett syndrome.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

Molecular therapy : the journal of the American Society of Gene Therapy - 31(2023), 9 vom: 06. Sept., Seite 2767-2782

Sprache:

Englisch

Beteiligte Personen:

Powers, Samantha [VerfasserIn]
Likhite, Shibi [VerfasserIn]
Gadalla, Kamal K [VerfasserIn]
Miranda, Carlos J [VerfasserIn]
Huffenberger, Amy J [VerfasserIn]
Dennys, Cassandra [VerfasserIn]
Foust, Kevin D [VerfasserIn]
Morales, Pablo [VerfasserIn]
Pierson, Christopher R [VerfasserIn]
Rinaldi, Federica [VerfasserIn]
Perry, Stephanie [VerfasserIn]
Bolon, Brad [VerfasserIn]
Wein, Nicolas [VerfasserIn]
Cobb, Stuart [VerfasserIn]
Kaspar, Brian K [VerfasserIn]
Meyer, Kathrin C [VerfasserIn]

Links:

Volltext

Themen:

Adeno-associated virus serotype 9, scAAV9
Gene therapy
Journal Article
Methyl-CpG binding protein 2, MECP2
Multicenter Study
P546
Research Support, Non-U.S. Gov't
Rett syndrome

Anmerkungen:

Date Completed 11.09.2023

Date Revised 17.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ymthe.2023.07.013

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359819516