Non-immunogenic utrophin gene therapy for the treatment of muscular dystrophy animal models
NATURE MEDICINE
Authors: Song, Yafeng; Morales, Leon; Malik, Alock S.; Mead, Andrew F.; Greer, Christopher D.; Mitchell, Marilyn A.; Petrov, Mihail T.; Su, Leonard T.; Choi, Margaret E.; Rosenblum, Shira T.; Lu, Xiangping; VanBelzen, Daniel J.; Krishnankutty, Ranjith K.; Balzer, Frederick J.; Loro, Emanuele; French, Robert; Propert, Kathleen J.; Zhou, Shangzhen; Kozyak, Benjamin W.; Nghiem, Peter P.; Khurana, Tejvir S.; Kornegay, Joe N.; Stedman, Hansell H.
Abstract
The essential product of the Duchenne muscular dystrophy (DMD) gene is dystrophin(1), a rod-like protein(2) that protects striated myocytes from contraction-induced injury(3,4). Dystrophin-related protein (or utrophin) retains most of the structural and protein binding elements of dystrophin(5). Importantly, normal thymic expression in DMD patients(6) should protect utrophin by central immunologic tolerance. We designed a codon-optimized, synthetic transgene encoding a miniaturized utrophin (mu Utro), deliverable by adeno-associated virus (AAV) vectors. Here, we show that mu Utro is a highly functional, non-immunogenic substitute for dystrophin, preventing the most deleterious histological and physiological aspects of muscular dystrophy in small and large animal models. Following systemic administration of an AAV-mu Utro to neonatal dystrophin-deficient mdx mice, histological and biochemical markers of myonecrosis and regeneration are completely suppressed throughout growth to adult weight. In the dystrophin-deficient golden retriever model, mu Utro non-toxically prevented myonecrosis, even in the most powerful muscles. In a stringent test of immunogenicity, focal expression of mu Utro in the deletional-null German shorthaired pointer model produced no evidence of cell-mediated immunity, in contrast to the robust T cell response against similarly constructed mu Dystrophin (mu Dystro). These findings support a model in which utrophin-derived therapies might be used to treat clinical dystrophin deficiency, with a favorable immunologic profile and preserved function in the face of extreme miniaturization.
Genome editing methods in animal models
ANIMAL CELLS AND SYSTEMS
Authors: Lee, Hyunji; Yoon, Da Eun; Kim, Kyoungmi
Abstract
Genetically engineered animal models that reproduce human diseases are very important for the pathological study of various conditions. The development of the clustered regularly interspaced short palindromic repeats (CRISPR) system has enabled a faster and cheaper production of animal models compared with traditional gene-targeting methods using embryonic stem cells. Genome editing tools based on the CRISPR-Cas9 system are a breakthrough technology that allows the precise introduction of mutations at the target DNA sequences. In particular, this accelerated the creation of animal models, and greatly contributed to the research that utilized them. In this review, we introduce various strategies based on the CRISPR-Cas9 system for building animal models of human diseases and describe various in vivo delivery methods of CRISPR-Cas9 that are applied to disease models for therapeutic purposes. In addition, we summarize the currently available animal models of human diseases that were generated using the CRISPR-Cas9 system and discuss future directions.