Please wait a minute...

中国生物工程杂志

China Biotechnology
China Biotechnology  2022, Vol. 42 Issue (7): 24-34    DOI: 10.13523/j.cb.2202040
    
AAV Vector Mediated Gene Therapy in Pompe Model Mice
Zhi-jie WU1,2,Wen-hao MA2,Zhe-yue DONG2,Xiao-bing WU2,**(),Yi-shu YANG1,**(),Wang SHENG1
1. Beijing University of Technology, Beijing 100124,China
2. Beijing GeneCradle Pharmaceutical Co Ltd, Beijing 100176,China
Download: HTML   PDF(6171KB) HTML
Export: BibTeX | EndNote (RIS)      

Abstract  

Objective: Pompe disease is a lysosomal glycogen storage disease caused by acid α-glucosidase (GAA) deficiency, which is characterized by glycogen accumulation in the heart, skeletal muscle, and central nervous system (CNS). AAV vector-mediated gene therapy is expected to be a breakthrough in the treatment of Pompe disease. In this study, AAV9 vector was used to mediate GAA gene transfer in Pompe disease model mice, and the changes of GAA protease activity, glycogen accumulation in tissues and pathological changes in mice after transgenic intervention were evaluated. Methods: Codon optimized GAA gene (coGAA) was carried by AAV9 vector, and the AAV vector was packaged by baculovirus production process. Adult Pompe model mice were given a single intravenous injection at the dose of 1.1×1013, 3.0×1013, 1.2×1014 vg/kg, and aged Pompe model mice were given a single intravenous injection at the dose of 3.0×1013 vg/kg. After reaching the end point of the experiment, the mice were euthanized, GAA protease activity was determined by fluorescence spectrophotometry, glycogen accumulation was observed by PAS staining, and pathological changes were detected by HE staining. Results: Five weeks after administration, GAA protein was widely expressed in all tissues of adult model mice, with higher expression levels in heart and liver, and lower expression levels in brain and spinal cord. After rAAV9-coGAA treatment, glycogen content in myocardium, skeletal muscle and brain decreased, and vacuolar degeneration in myocardium and skeletal muscle decreased significantly. After treatment, the tissue enzyme activity of the aged animals was significantly increased compared with that of the model mice. The vacuolar degeneration and inflammatory cell infiltration of the myocardium were decreased, but the pathological improvement of skeletal muscle was limited. Conclusion: A single intravenous injection of rAAV9-coGAA can enhance GAA enzyme activity, reduce glycogen accumulation and improve pathology in Pompe model mice. The therapeutic effect was dose-dependent, and the injection also had certain therapeutic effect on aged animals. This study laid a theoretical foundation for the clinical application of AAV9 mediated gene therapy via intravenous route in Pompe disease.



Key wordsPompe disease      Lysosomal acid alpha-glucosidase      Gene therapy      AAV9      Model mice     
Received: 24 February 2022      Published: 03 August 2022
ZTFLH:  Q819  
Corresponding Authors: Xiao-bing WU,Yi-shu YANG     E-mail: wuxiaobing@bj;yishu-y@bjut.edu.cn
Cite this article:

Zhi-jie WU,Wen-hao MA,Zhe-yue DONG,Xiao-bing WU,Yi-shu YANG,Wang SHENG. AAV Vector Mediated Gene Therapy in Pompe Model Mice. China Biotechnology, 2022, 42(7): 24-34.

URL:

https://manu60.magtech.com.cn/biotech/10.13523/j.cb.2202040     OR     https://manu60.magtech.com.cn/biotech/Y2022/V42/I7/24

Fig.1 In vitro expression of GAA by rAAV9-coGAA (a)Structure diagram of recombinant AAV virus vector (b)Western blot of GAA in BHK-21 cells infected with rAAV9-coGAA (c)GAA activity in BHK-21 cells infected with rAAV9-coGAA
Fig.2 GAA activity in Pompe model mice after administration of rAAV9-coGAA (a) GAA activity in adult Pompe model mice (b) GAA activity in aged Pompe model mice GAA-/-:Pompe model mice;WT:Wild-type B6.129 mouse;BQL:Below detection limit
Fig.3 Immunofluorescence staining in adult Pompe model mice at 5 weeks after administration of rAAV9-coGAA GAA-/-:Pompe model mice;PND:Postnatal day;PI:Post-injection; Blue fluorescence: DAPI positive nucleus; Red fluorescence:GAA immunofluorescence
Fig.4 PAS staining in adult Pompe model mice at 5 weeks after administration of rAAV9-coGAA (a)PAS staining in quadriceps femoris (b)PAS staining in heart (c)PAS staining in brain tissue GAA-/-:Pompe model mice;PND:Postnatal day;PI:Post-injection
Fig.5 HE staining in Pompe model mice after administration of rAAV9-coGAA (a)HE staining in heart 5 weeks after administration of rAAV9-coGAA (b)HE staining in quadriceps femoris 5 weeks after administration of rAAV9-coGAA (c) HE staining in aged Pompe model mice 8 weeks after administration GAA-/-:Pompe model mice;PND:Postnatal day;PI:Post-injection
[1]   Kohler L, Puertollano R, Raben N. Pompe disease: from basic science to therapy. Neurotherapeutics, 2018, 15(4): 928-942.
doi: 10.1007/s13311-018-0655-y pmid: 30117059
[2]   Taverna S, Cammarata G, Colomba P, et al. Pompe disease: pathogenesis, molecular genetics and diagnosis. Aging, 2020, 12(15): 15856-15874.
doi: 10.18632/aging.103794
[3]   中华医学会儿科学分会内分泌遗传代谢学组, 中华医学会医学遗传学分会, 中华医学会儿科学分会罕见病学组, 等. 儿童糖原累积病Ⅱ型诊断及治疗中国专家共识. 中华儿科杂志, 2021, 59(6): 439-445.
[3]   The Subspecialty Group of Endocrinologic, Hereditary and Metabolic Diseases, the Society of Pediatrics, Chinese Medical Association; the Society of Medical Genetics, Chinese Medical Association; the Subspecialty Group of Rare Diseases, the Society of Pediatrics, Chinese Medical Association, et al. Chinese experts consensus on diagnosis and treatment of glycogen storage disease type Ⅱ in children. Chinese Journal of Pediatrics, 2021, 59(6): 439-445.
[4]   Colella P, Mingozzi F. Gene therapy for pompe disease: the time is now. Human Gene Therapy, 2019, 30(10): 1245-1262.
doi: 10.1089/hum.2019.109
[5]   Kishnani P S, Hwu W L, Mandel H, et al. A retrospective, multinational, multicenter study on the natural history of infantile-onset Pompe disease. The Journal of Pediatrics, 2006, 148(5): 671-676.e2.
doi: 10.1016/j.jpeds.2005.11.033
[6]   van Capelle C I, van der Meijden J C, van den Hout J M P, et al. Childhood Pompe disease: clinical spectrum and genotype in 31 patients. Orphanet Journal of Rare Diseases, 2016, 11(1): 65.
doi: 10.1186/s13023-016-0442-y pmid: 27189384
[7]   Preisler N, Lukacs Z, Vinge L, et al. Late-onset Pompe disease is prevalent in unclassified limb-girdle muscular dystrophies. Molecular Genetics and Metabolism, 2013, 110(3): 287-289.
doi: 10.1016/j.ymgme.2013.08.005 pmid: 24011652
[8]   Falk D J, Soustek M S, Todd A G, et al. Comparative impact of AAV and enzyme replacement therapy on respiratory and cardiac function in adult Pompe mice. Molecular Therapy - Methods & Clinical Development, 2015, 2: 15007.
[9]   Costa-Verdera H, Collaud F, Riling C R, et al. Hepatic expression of GAA results in enhanced enzyme bioavailability in mice and non-human Primates. Nature Communications, 2021, 12: 6393.
doi: 10.1038/s41467-021-26744-4 pmid: 34737297
[10]   Zincarelli C, Soltys S, Rengo G, et al. Analysis of AAV serotypes 1-9 mediated gene expression and tropism in mice after systemic injection. Molecular Therapy, 2008, 16(6): 1073-1080.
doi: 10.1038/mt.2008.76 pmid: 18414476
[11]   Yu Z, Zhou S, Luo N, et al. Three-phase partitioning combined with density gradient ultracentrifugation as an economic and universal process for large scale purification of AAV vectors. Molecular Therapy - Methods & Clinical Development, 2019, 17:34-48.
[12]   Werling N J, Satkunanathan S, Thorpe R, et al. Systematic comparison and validation of quantitative real-time PCR methods for the quantitation of adeno-associated viral products. Human Gene Therapy Methods, 2015, 26(3): 82-92.
doi: 10.1089/hgtb.2015.013
[13]   Raben N, Nagaraju K, Lee E, et al. Targeted disruption of the acid alpha-glucosidase gene in mice causes an illness with critical features of both infantile and adult human glycogen storage disease type II. The Journal of Biological Chemistry, 1998, 273(30): 19086-19092.
doi: 10.1074/jbc.273.30.19086
[14]   马文豪, 章嫣, 董哲岳, 等. 携带CAR启动子的重组AAV9病毒在小鼠体内表达分布特性研究. 病毒学报, 2019, 35(3): 423-430.
[14]   Ma W H, Zhang Y, Dong Z Y, et al. Biodistribution of adeno-associated virus 9-mediated gene expression with a CAR promoter in mice. Chinese Journal of Virology, 2019, 35(3): 423-430.
[15]   Kishnani P S, Nicolino M, Voit T, et al. Chinese hamster ovary cell-derived recombinant human acid α-glucosidase in infantile-onset Pompe disease. The Journal of Pediatrics, 2006, 149(1): 89-97.
doi: 10.1016/j.jpeds.2006.02.035
[16]   Chan J, Desai A K, Kazi Z B, et al. The emerging phenotype of late-onset Pompe disease: a systematic literature review. Molecular Genetics and Metabolism, 2017, 120(3): 163-172.
doi: 10.1016/j.ymgme.2016.12.004
[17]   Samulski R J, Muzyczka N. AAV-mediated gene therapy for research and therapeutic purposes. Annual Review of Virology, 2014, 1(1): 427-451.
doi: 10.1146/annurev-virology-031413-085355 pmid: 26958729
[18]   Verdera H C, Kuranda K, Mingozzi F. AAV vector immunogenicity in humans: a long journey to successful gene transfer. Molecular Therapy, 2020, 28(3): 723-746.
doi: S1525-0016(20)30003-4 pmid: 31972133
[19]   Weber T. Anti-AAV antibodies in AAV gene therapy: current challenges and possible solutions. Frontiers in Immunology, 2021, 12: 658399.
doi: 10.3389/fimmu.2021.658399
[20]   Salabarria S M, Nair J, Clement N, et al. Advancements in AAV-mediated gene therapy for pompe disease. Journal of Neuromuscular Diseases, 2020, 7(1): 15-31.
doi: 10.3233/JND-190426 pmid: 31796685
[21]   ElMallah M K, Falk D J, Nayak S, et al. Sustained correction of motoneuron histopathology following intramuscular delivery of AAV in pompe mice. Molecular Therapy, 2014, 22(4): 702-712.
doi: 10.1038/mt.2013.282
[22]   Falk D J, Mah C S, Soustek M S, et al. Intrapleural administration of AAV9 improves neural and cardiorespiratory function in Pompe disease. Molecular Therapy, 2013, 21(9): 1661-1667.
doi: 10.1038/mt.2013.96
[23]   Amalfitano A, Mcvie-Wylie A J, Hu H, et al. Systemic correction of the muscle disorder glycogen storage disease type II after hepatic targeting of a modified adenovirus vector encoding human acid-alpha-glucosidase. Proceedings of the National Academy of Sciences of the United States of America, 1999, 96(16): 8861-8866.
[24]   Han S O, Ronzitti G, Arnson B, et al. Low-dose liver-targeted gene therapy for pompe disease enhances therapeutic efficacy of ERT via immune tolerance induction. Molecular Therapy - Methods & Clinical Development, 2017, 4: 126-136.
[25]   Ronzitti G, Collaud F, Laforet P, et al. Progress and challenges of gene therapy for Pompe disease. Annals of Translational Medicine, 2019, 7(13): 287.
doi: 10.21037/atm.2019.04.67
[1] ZHAO Xiao-yu,XU Qi-ling,ZHAO Xiao-dong,AN Yun-fei. Enhancing Lentiviral Vector Transduction Efficiency for Facilitating Gene Therapy[J]. China Biotechnology, 2021, 41(8): 52-58.
[2] XU Ying-yong. Current Status and Challenges of Gene Therapy Products[J]. China Biotechnology, 2020, 40(12): 95-103.
[3] CHEN Qing-yu,WANG Xian-zhong,ZHANG Jiao-jiao. Application of Gene Technology in the Treatment of Type 2 Diabetes Mellitus[J]. China Biotechnology, 2020, 40(11): 73-81.
[4] Ya-li HAN,Guang-heng YANG,Yan-wen CHEN,Xiu-li GONG,Jing-zhi ZHANG. The Optimization of Self-deleting Lentiviral Vector Carrying Human β-globin Gene and Promoter[J]. China Biotechnology, 2018, 38(7): 50-57.
[5] LIU Yi-xuan, BIAN Zhen, MA Hong-mei. Progress and Prospect of Cancer Gene Therapy[J]. China Biotechnology, 2016, 36(5): 106-111.
[6] TAO Chang-li, HUANG Shu-lin. Advances in Research on Optimization of Transgenic TCR Pairing in TCR Gene Therapy[J]. China Biotechnology, 2016, 36(3): 87-92.
[7] LIU Rui-qi, WANG Wei-wei, WU Yong-yan, ZHAO Qiu-yun, WANG Yong-sheng, QING Su-zhu. Research Progress of CRISPR-Cas9 and Its Application in Gene Therapy[J]. China Biotechnology, 2016, 36(10): 72-78.
[8] ZHU Shao-yi, GUAN Li-hong, LIN Jun-tang. CRISPR-Cas9 System and Its Applications in Disease Models[J]. China Biotechnology, 2016, 36(10): 79-85.
[9] XUE Jin-feng, XUE Zhi-gang, CHEN Yi-yao, LI Zhuo, YIN Biao, WU Ling-qian, LIANG De-sheng. In vitro and in vivo Gene Therapy Research of CDTK Genes Drove by Enhanced Tumor-specific Promoter in Liver Cancer[J]. China Biotechnology, 2015, 35(6): 1-7.
[10] XUE Yu-wen, LI Tie-jun, ZHOU Jia-ming, CHEN Li. The Application and Perspectives of Multi-target RNAi in the Research and Development of Gene Therapy[J]. China Biotechnology, 2015, 35(1): 75-81.
[11] MA Bu-yun, HE Wan-wan, ZHOU Li, WANG Yi-gang. The Study on Anticancer Effect of Targeting Gene-Virus ZD55-XAF1 in Liver Cancer Xenograft of Mice and Its Safety[J]. China Biotechnology, 2014, 34(1): 15-20.
[12] FAN Fu, CHEN Jian-guo, REN Hong-wei. Development of Gene Therapy for Parkinson’s Disease And Alzheimer’s Disease[J]. China Biotechnology, 2013, 33(4): 129-135.
[13] LIU Si-ye, XIA Hai-bin. A New Targeted Gene Editing Technology Mediated by CRISPR-Cas System[J]. China Biotechnology, 2013, 33(10): 117-123.
[14] CHEN Feng, YANG Yi-shu, ZENG Yi. Current Development on RNA-based Anti-HIV-1 Gene Therapy[J]. China Biotechnology, 2012, 32(6): 93-97.
[15] DIAO Yong, QIU Fei, XIAO Wei-dong. Package Capacity Limit of Recombinant Adeno-associated Virus Vector[J]. China Biotechnology, 2012, 32(01): 97-102.