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AAV9-mediated Schwann cell-targeted gene therapy rescues a model of demyelinating neuropathy.

Alexia Kagiava | Christos Karaiskos | Jan Richter | Christina Tryfonos | Matthew J Jennings | Amanda J Heslegrave | Irene Sargiannidou | Marina Stavrou | Henrik Zetterberg | Mary M Reilly | Christina Christodoulou | Rita Horvath | Kleopas A Kleopa
Gene therapy | 2021

Mutations in the GJB1 gene, encoding the gap junction (GJ) protein connexin32 (Cx32), cause X-linked Charcot-Marie-Tooth disease (CMT1X), an inherited demyelinating neuropathy. We developed a gene therapy approach for CMT1X using an AAV9 vector to deliver the GJB1/Cx32 gene under the myelin protein zero (Mpz) promoter for targeted expression in Schwann cells. Lumbar intrathecal injection of the AAV9-Mpz.GJB1 resulted in widespread biodistribution in the peripheral nervous system including lumbar roots, sciatic and femoral nerves, as well as in Cx32 expression in the paranodal non-compact myelin areas of myelinated fibers. A pre-, as well as post-onset treatment trial in Gjb1-null mice, demonstrated improved motor performance and sciatic nerve conduction velocities along with improved myelination and reduced inflammation in peripheral nerve tissues. Blood biomarker levels were also significantly ameliorated in treated mice. This study provides evidence that a clinically translatable AAV9-mediated gene therapy approach targeting Schwann cells could potentially treat CMT1X.

Pubmed ID: 33692503

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Associated grants

  • Agency: Medical Research Council, United Kingdom
    Id: MR/N010035/1
  • Agency: Medical Research Council, United Kingdom
    Id: G1000848
  • Agency: Medical Research Council, United Kingdom
    Id: MR/N025431/2
  • Agency: Wellcome Trust, United Kingdom
    Id: 109915/Z/15/Z
  • Agency: Medical Research Council, United Kingdom
    Id: MR/V009346/1
  • Agency: Medical Research Council, United Kingdom
    Id: MR/N025431/1
  • Agency: Medical Research Council, United Kingdom
    Id: MR/K000608/1

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NIS-Elements (tool)

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Microscope imaging software suite used with Nikon products. NIS-Elements includes software applications for advanced and standard research, documentation, confocal microscopy, and high-content analysis.

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