Use of an adeno-associated virus serotype Anc80 to provide durable cure of phenylketonuria in a mouse model

Phenylketonuria (PKU) is the most common inborn error of metabolism of the liver, and results from mutations of both alleles of the phenylalanine hydroxylase gene (PAH). As such, it is a suitable target for gene therapy via gene delivery with a recombinant adeno-associated virus (AAV) vector. Here w...

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Autores: Kaiser, R.A. (Robert A.)|||/items/6afaab0e-3d47-4541-a40f-947f73ea3b45, Weber, N.D. (Nicholas D.)|||/items/e84412f9-7e7c-4020-b16d-668a3fb5ee6a, Trigueros-Motos, L. (Laia)|||/items/89a0169c-ea93-47f8-8ddc-3cc131ddf8ff, Allen, K.L. (Kari L.)|||/items/c26aec3c-708d-4b93-8b93-bbd4bb96efb6, Martinez, M. (Michael)|||/items/dd67ec2e-30a3-4713-9ded-add0d05bc93f, Cao, W. (William)|||/items/7fbfad2f-27f3-41ce-8305-ac2ec305b263, VanLith, C.J. ( Caitlin J.)|||/items/3dac9023-ec85-431e-8501-97e2a68abb5f, Hillin, L.G. (Lori G.)|||/items/aa6fe4bd-dfd9-46fe-90cf-e4636dabe3ae, Douar, A. (Anne)|||/items/a33dbbfb-3e78-4cfa-8f99-0652529ecd64, González-Aseguinolaza, G. (Gloria)|||/items/cb28732d-02bf-4339-ab60-ff738ee191ac, Aldabe, R. (Rafael)|||/items/ef60614f-7fda-4565-bd52-0ace35b55292, Lillegard, J.B. (Joseph B.)|||/items/d2ed228b-2b19-4910-a1bf-7f690782040a
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/114668
Acceso en línea:https://hdl.handle.net/10171/114668
Access Level:acceso abierto
Palabra clave:Anc80
Adeno-associated virus (AAV) vector
Gene therapy
Inborn error of metabolism
Phenylketonuria
Descripción
Sumario:Phenylketonuria (PKU) is the most common inborn error of metabolism of the liver, and results from mutations of both alleles of the phenylalanine hydroxylase gene (PAH). As such, it is a suitable target for gene therapy via gene delivery with a recombinant adeno-associated virus (AAV) vector. Here we use the synthetic AAV vector Anc80 via systemic administration to deliver a functional copy of a codon-optimized human PAH gene, with or without an intron spacer, to the Pahenu2 mouse model of PKU. Dose-dependent transduction of the liver and expression of PAH mRNA were present with both vectors, resulting in significant and durable reduction of circulating phenylalanine, reaching near control levels in males. Coat color of treated Pahenu2 mice reflected an increase in pigmentation from brown to the black color of control animals, further indicating functional restoration of phenylalanine metabolism and its byproduct melanin. There were no adverse effects associated with administration of AAV up to 5 × 1012 VG/kg, the highest dose tested. Only minor and/or transient variations in some liver enzymes were observed in some of the AAV-dosed animals which were not associated with pathology findings in the liver. Finally, there was no impact on cell turnover or apoptosis as evaluated by Ki-67 and TUNEL staining, further supporting the safety of this approach. This study demonstrates the therapeutic potential of AAV Anc80 to safely and durably cure PKU in a mouse model, supporting development for clinical consideration.