Gene therapy restores vision and delays degeneration in the CNGB1−/− mouse model of retinitis pigmentosa

S Koch, V Sothilingam, M Garcia Garrido… - Human molecular …, 2012 - academic.oup.com
S Koch, V Sothilingam, M Garcia Garrido, N Tanimoto, E Becirovic, F Koch, C Seide…
Human molecular genetics, 2012academic.oup.com
Retinitis pigmentosa (RP) is a group of genetically heterogeneous, severe retinal diseases
commonly leading to legal blindness. Mutations in the CNGB1a subunit of the rod cyclic
nucleotide-gated (CNG) channel have been found to cause RP in patients. Here, we
demonstrate the efficacy of gene therapy as a potential treatment for RP by means of
recombinant adeno-associated viral (AAV) vectors in the CNGB1 knockout (CNGB1−/−)
mouse model. To enable efficient packaging and rod-specific expression of the relatively …
Abstract
Retinitis pigmentosa (RP) is a group of genetically heterogeneous, severe retinal diseases commonly leading to legal blindness. Mutations in the CNGB1a subunit of the rod cyclic nucleotide-gated (CNG) channel have been found to cause RP in patients. Here, we demonstrate the efficacy of gene therapy as a potential treatment for RP by means of recombinant adeno-associated viral (AAV) vectors in the CNGB1 knockout (CNGB1−/−) mouse model. To enable efficient packaging and rod-specific expression of the relatively large CNGB1a cDNA (∼4 kb), we used an AAV expression cassette with a short rod-specific promoter and short regulatory elements. After injection of therapeutic AAVs into the subretinal space of 2-week-old CNGB1−/− mice, we assessed the restoration of the visual system by analyzing (i) CNG channel expression and localization, (ii) retinal function and morphology and (iii) vision-guided behavior. We found that the treatment not only led to expression of full-length CNGB1a, but also restored normal levels of the previously degraded CNGA1 subunit of the rod CNG channel. Both proteins co-localized in rod outer segments and formed regular CNG channel complexes within the treated area of the CNGB1−/− retina, leading to significant morphological preservation and a delay of retinal degeneration. In the electroretinographic analysis, we also observed restoration of rod-driven light responses. Finally, treated CNGB1−/− mice performed significantly better than untreated mice in a rod-dependent vision-guided behavior test. In summary, this work provides a proof-of-concept for the treatment of rod channelopathy-associated RP by AAV-mediated gene replacement.
Oxford University Press