Gene therapy for Lafora disease in the Epm2a-/- mouse model

Lafora disease is a rare and fatal form of progressive myoclonic epilepsy typically occurring early in adolescence. The disease results from mutations in the EPM2A gene, encoding laforin, or the EPM2B gene, encoding malin. Laforin and malin work together in a complex to control glycogen synthesis an...

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Autores: Zafra-Puerta, Luis, Iglesias-Cabeza, Nerea, Burgos, Daniel F., Sciaccaluga, Miriam, González-Fernández, Juan, Bellingacci, Laura, Canonichesi, Jacopo, Sánchez-Martín, Gema, Costa, Cinzia, Sánchez, Marina P., Serratosa, José M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/396187
Acceso en línea:http://hdl.handle.net/10261/396187
https://api.elsevier.com/content/abstract/scopus_id/85196057293
Access Level:acceso abierto
Palabra clave:Epm2a(−/−) knockout mouse
Gene therapy
Laforin
polyglucosans
Progressive myoclonic epilepsy
rAAV
http://metadata.un.org/sdg/3
Ensure healthy lives and promote well-being for all at all ages
id ES_f009b28f1ec1536ff30bd4dca59d96bf
oai_identifier_str oai:digital.csic.es:10261/396187
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Gene therapy for Lafora disease in the Epm2a-/- mouse model
title Gene therapy for Lafora disease in the Epm2a-/- mouse model
spellingShingle Gene therapy for Lafora disease in the Epm2a-/- mouse model
Zafra-Puerta, Luis
Epm2a(−/−) knockout mouse
Gene therapy
Laforin
polyglucosans
Progressive myoclonic epilepsy
rAAV
http://metadata.un.org/sdg/3
Ensure healthy lives and promote well-being for all at all ages
title_short Gene therapy for Lafora disease in the Epm2a-/- mouse model
title_full Gene therapy for Lafora disease in the Epm2a-/- mouse model
title_fullStr Gene therapy for Lafora disease in the Epm2a-/- mouse model
title_full_unstemmed Gene therapy for Lafora disease in the Epm2a-/- mouse model
title_sort Gene therapy for Lafora disease in the Epm2a-/- mouse model
dc.creator.none.fl_str_mv Zafra-Puerta, Luis
Iglesias-Cabeza, Nerea
Burgos, Daniel F.
Sciaccaluga, Miriam
González-Fernández, Juan
Bellingacci, Laura
Canonichesi, Jacopo
Sánchez-Martín, Gema
Costa, Cinzia
Sánchez, Marina P.
Serratosa, José M.
author Zafra-Puerta, Luis
author_facet Zafra-Puerta, Luis
Iglesias-Cabeza, Nerea
Burgos, Daniel F.
Sciaccaluga, Miriam
González-Fernández, Juan
Bellingacci, Laura
Canonichesi, Jacopo
Sánchez-Martín, Gema
Costa, Cinzia
Sánchez, Marina P.
Serratosa, José M.
author_role author
author2 Iglesias-Cabeza, Nerea
Burgos, Daniel F.
Sciaccaluga, Miriam
González-Fernández, Juan
Bellingacci, Laura
Canonichesi, Jacopo
Sánchez-Martín, Gema
Costa, Cinzia
Sánchez, Marina P.
Serratosa, José M.
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Ministerio de Economía y Competitividad (España)
Fundación Tatiana Pérez de Guzmán el Bueno
Centro de Investigación Biomédica en Red Enfermedades Raras (España)
BIRD Foundation
National Institute of Neurological Disorders and Stroke (US)
CSIC - Instituto de Biomedicina de Valencia (IBV)
Hospital Universitario Fundación Jiménez Díaz
Zafra-Puerta, Luis [0000-0002-1807-7538]
Serratosa, José M. [0000-0003-2239-8948]
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv Epm2a(−/−) knockout mouse
Gene therapy
Laforin
polyglucosans
Progressive myoclonic epilepsy
rAAV
http://metadata.un.org/sdg/3
Ensure healthy lives and promote well-being for all at all ages
topic Epm2a(−/−) knockout mouse
Gene therapy
Laforin
polyglucosans
Progressive myoclonic epilepsy
rAAV
http://metadata.un.org/sdg/3
Ensure healthy lives and promote well-being for all at all ages
description Lafora disease is a rare and fatal form of progressive myoclonic epilepsy typically occurring early in adolescence. The disease results from mutations in the EPM2A gene, encoding laforin, or the EPM2B gene, encoding malin. Laforin and malin work together in a complex to control glycogen synthesis and prevent the toxicity produced by misfolded proteins via the ubiquitin-proteasome system. Disruptions in either protein cause alterations in this complex, leading to the formation of Lafora bodies containing abnormal, insoluble, and hyperphosphorylated forms of glycogen. We used the Epm2a-/- knockout mouse model of Lafora disease to apply gene therapy by administering intracerebroventricular injections of a recombinant adeno-associated virus carrying the human EPM2A gene. We evaluated the effects of this treatment through neuropathological studies, behavioral tests, video-electroencephalography, electrophysiological recordings, and proteomic/phosphoproteomic analysis. Gene therapy ameliorated neurological and histopathological alterations, reduced epileptic activity and neuronal hyperexcitability, and decreased the formation of Lafora bodies. Moreover, differential quantitative proteomics and phosphoproteomics revealed beneficial changes in various molecular pathways altered in Lafora disease. Our results represent proof of principle for gene therapy with the coding region of the human EPM2A gene as a treatment for EPM2A-related Lafora disease.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/396187
https://api.elsevier.com/content/abstract/scopus_id/85196057293
url http://hdl.handle.net/10261/396187
https://api.elsevier.com/content/abstract/scopus_id/85196057293
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv #PLACEHOLDER_PARENT_METADATA_VALUE#
info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/RTI2018-095784-B-I00
The underlying dataset has been published as supplementary material of the article in the publisher platform at DOI https://doi.org/10.1016/j.ymthe.2024.05.032
https://doi.org/10.1016/j.ymthe.2024.05.032

dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cell Press
publisher.none.fl_str_mv Cell Press
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Gene therapy for Lafora disease in the Epm2a-/- mouse modelZafra-Puerta, LuisIglesias-Cabeza, NereaBurgos, Daniel F.Sciaccaluga, MiriamGonzález-Fernández, JuanBellingacci, LauraCanonichesi, JacopoSánchez-Martín, GemaCosta, CinziaSánchez, Marina P.Serratosa, José M.Epm2a(−/−) knockout mouseGene therapyLaforinpolyglucosansProgressive myoclonic epilepsyrAAVhttp://metadata.un.org/sdg/3Ensure healthy lives and promote well-being for all at all agesLafora disease is a rare and fatal form of progressive myoclonic epilepsy typically occurring early in adolescence. The disease results from mutations in the EPM2A gene, encoding laforin, or the EPM2B gene, encoding malin. Laforin and malin work together in a complex to control glycogen synthesis and prevent the toxicity produced by misfolded proteins via the ubiquitin-proteasome system. Disruptions in either protein cause alterations in this complex, leading to the formation of Lafora bodies containing abnormal, insoluble, and hyperphosphorylated forms of glycogen. We used the Epm2a-/- knockout mouse model of Lafora disease to apply gene therapy by administering intracerebroventricular injections of a recombinant adeno-associated virus carrying the human EPM2A gene. We evaluated the effects of this treatment through neuropathological studies, behavioral tests, video-electroencephalography, electrophysiological recordings, and proteomic/phosphoproteomic analysis. Gene therapy ameliorated neurological and histopathological alterations, reduced epileptic activity and neuronal hyperexcitability, and decreased the formation of Lafora bodies. Moreover, differential quantitative proteomics and phosphoproteomics revealed beneficial changes in various molecular pathways altered in Lafora disease. Our results represent proof of principle for gene therapy with the coding region of the human EPM2A gene as a treatment for EPM2A-related Lafora disease.This work was supported by grants from the Spanish Ministry of Economy (Rti2018-095784b-100SAF MCI/AEI/FEDER, UE) to J.M.S. and M.P.S.; from the Tatiana Perez de Guzman el Bueno Foundation to M.P.S. and J.M.S.; from the Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (ACCI 2020, 23 - U744) to M.P.S.; from the Fondazione Malattie Rare Mauro Baschirotto BIRD Onlus to M.P.S., C.C., M.S., and L.Z.P.; and a grant from the National Institute of Neurological Disorders and Stroke of the National Institutes of Health (P01NS097197), which established the Lafora Epilepsy Cure Initiative (LECI), to J.M.S. and M.P.S. We thank Pascual Sanz Bigorra (Institute of Biomedicine of Valencia [IBV]) and Manuel Soto Catalán (Instituto de Investigación Sanitaria-Fundación Jiménez Díaz) for their generous gift of GS, BiP, and cleaved caspase-3 antibodies, and to Miguel Chillón Rodríguez (Viral Vector Production Unit or UPV-UAB-VHIR) for the generation of rAAVs and technical advice. We also thank Juan Antonio López del Olmo (CNIC Proteomics Unit), Ariadna Martín Blázquez (Instituto de Investigación Sanitaria-Fundación Jiménez Díaz), and the Animal Facility of Instituto de Investigación Sanitaria-Fundación Jiménez Díaz for their technical assistance.Peer reviewedCell PressMinisterio de Economía y Competitividad (España)Fundación Tatiana Pérez de Guzmán el BuenoCentro de Investigación Biomédica en Red Enfermedades Raras (España)BIRD FoundationNational Institute of Neurological Disorders and Stroke (US)CSIC - Instituto de Biomedicina de Valencia (IBV)Hospital Universitario Fundación Jiménez DíazZafra-Puerta, Luis [0000-0002-1807-7538]Serratosa, José M. [0000-0003-2239-8948]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202520252024info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/396187https://api.elsevier.com/content/abstract/scopus_id/85196057293reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Inglés#PLACEHOLDER_PARENT_METADATA_VALUE#info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/RTI2018-095784-B-I00The underlying dataset has been published as supplementary material of the article in the publisher platform at DOI https://doi.org/10.1016/j.ymthe.2024.05.032https://doi.org/10.1016/j.ymthe.2024.05.032Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/3961872026-05-22T06:33:51Z
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