Mucopolysaccharidosis type IIIB: a current review and exploration of the AAV therapy landscape

Mucopolysaccharidoses type IIIB is a rare genetic disorder caused by mutations in the gene that encodes for N-acetyl-alpha-glucosaminidase. This results in the aggregation of heparan sulfate polysaccharides within cell lysosomes that leads to progressive and severe debilitating neurological dysfunct...

Full description

Bibliographic Details
Main Authors: Courtney J Rouse, Victoria N Jensen, Coy D Heldermon
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2024;volume=19;issue=2;spage=355;epage=359;aulast=
_version_ 1797738445390479360
author Courtney J Rouse
Victoria N Jensen
Coy D Heldermon
author_facet Courtney J Rouse
Victoria N Jensen
Coy D Heldermon
author_sort Courtney J Rouse
collection DOAJ
description Mucopolysaccharidoses type IIIB is a rare genetic disorder caused by mutations in the gene that encodes for N-acetyl-alpha-glucosaminidase. This results in the aggregation of heparan sulfate polysaccharides within cell lysosomes that leads to progressive and severe debilitating neurological dysfunction. Current treatment options are expensive, limited, and presently there are no approved cures for mucopolysaccharidoses type IIIB. Adeno-associated virus gene therapy has significantly advanced the field forward, allowing researchers to successfully design, enhance, and improve potential cures. Our group recently published an effective treatment using a codon-optimized triple mutant adeno-associated virus 8 vector that restores N-acetyl-alpha-glucosaminidase levels, auditory function, and lifespan in the murine model for mucopolysaccharidoses type IIIB to that seen in healthy mice. Here, we review the current state of the field in relation to the capsid landscape, adeno-associated virus gene therapy and its successes and challenges in the clinic, and how novel adeno-associated virus capsid designs have evolved research in the mucopolysaccharidoses type IIIB field.
first_indexed 2024-03-12T13:43:52Z
format Article
id doaj.art-3462cc9ebe0b46fb87a8578f8a9699cf
institution Directory Open Access Journal
issn 1673-5374
language English
last_indexed 2024-03-12T13:43:52Z
publishDate 2024-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Neural Regeneration Research
spelling doaj.art-3462cc9ebe0b46fb87a8578f8a9699cf2023-08-23T09:46:18ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53742024-01-0119235535910.4103/1673-5374.377606Mucopolysaccharidosis type IIIB: a current review and exploration of the AAV therapy landscapeCourtney J RouseVictoria N JensenCoy D HeldermonMucopolysaccharidoses type IIIB is a rare genetic disorder caused by mutations in the gene that encodes for N-acetyl-alpha-glucosaminidase. This results in the aggregation of heparan sulfate polysaccharides within cell lysosomes that leads to progressive and severe debilitating neurological dysfunction. Current treatment options are expensive, limited, and presently there are no approved cures for mucopolysaccharidoses type IIIB. Adeno-associated virus gene therapy has significantly advanced the field forward, allowing researchers to successfully design, enhance, and improve potential cures. Our group recently published an effective treatment using a codon-optimized triple mutant adeno-associated virus 8 vector that restores N-acetyl-alpha-glucosaminidase levels, auditory function, and lifespan in the murine model for mucopolysaccharidoses type IIIB to that seen in healthy mice. Here, we review the current state of the field in relation to the capsid landscape, adeno-associated virus gene therapy and its successes and challenges in the clinic, and how novel adeno-associated virus capsid designs have evolved research in the mucopolysaccharidoses type IIIB field.http://www.nrronline.org/article.asp?issn=1673-5374;year=2024;volume=19;issue=2;spage=355;epage=359;aulast=adeno-associated virus; central nervous system; gene therapy; heparan sulfate; immune response; mucopolysaccharidoses type iiib; n-acetyl-alpha-glucosaminidase; newborn screening
spellingShingle Courtney J Rouse
Victoria N Jensen
Coy D Heldermon
Mucopolysaccharidosis type IIIB: a current review and exploration of the AAV therapy landscape
Neural Regeneration Research
adeno-associated virus; central nervous system; gene therapy; heparan sulfate; immune response; mucopolysaccharidoses type iiib; n-acetyl-alpha-glucosaminidase; newborn screening
title Mucopolysaccharidosis type IIIB: a current review and exploration of the AAV therapy landscape
title_full Mucopolysaccharidosis type IIIB: a current review and exploration of the AAV therapy landscape
title_fullStr Mucopolysaccharidosis type IIIB: a current review and exploration of the AAV therapy landscape
title_full_unstemmed Mucopolysaccharidosis type IIIB: a current review and exploration of the AAV therapy landscape
title_short Mucopolysaccharidosis type IIIB: a current review and exploration of the AAV therapy landscape
title_sort mucopolysaccharidosis type iiib a current review and exploration of the aav therapy landscape
topic adeno-associated virus; central nervous system; gene therapy; heparan sulfate; immune response; mucopolysaccharidoses type iiib; n-acetyl-alpha-glucosaminidase; newborn screening
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2024;volume=19;issue=2;spage=355;epage=359;aulast=
work_keys_str_mv AT courtneyjrouse mucopolysaccharidosistypeiiibacurrentreviewandexplorationoftheaavtherapylandscape
AT victorianjensen mucopolysaccharidosistypeiiibacurrentreviewandexplorationoftheaavtherapylandscape
AT coydheldermon mucopolysaccharidosistypeiiibacurrentreviewandexplorationoftheaavtherapylandscape