Reduction of retinal ganglion cell death in mouse models of familial dysautonomia using AAV-mediated gene therapy and splicing modulators

Abstract Familial dysautonomia (FD) is a rare neurodevelopmental and neurodegenerative disease caused by a splicing mutation in the Elongator Acetyltransferase Complex Subunit 1 (ELP1) gene. The reduction in ELP1 mRNA and protein leads to the death of retinal ganglion cells (RGCs) and visual impairm...

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Main Authors: Anastasia Schultz, Shun-Yun Cheng, Emily Kirchner, Stephanann Costello, Heini Miettinen, Marta Chaverra, Colin King, Lynn George, Xin Zhao, Jana Narasimhan, Marla Weetall, Susan Slaugenhaupt, Elisabetta Morini, Claudio Punzo, Frances Lefcort
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-45376-w
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author Anastasia Schultz
Shun-Yun Cheng
Emily Kirchner
Stephanann Costello
Heini Miettinen
Marta Chaverra
Colin King
Lynn George
Xin Zhao
Jana Narasimhan
Marla Weetall
Susan Slaugenhaupt
Elisabetta Morini
Claudio Punzo
Frances Lefcort
author_facet Anastasia Schultz
Shun-Yun Cheng
Emily Kirchner
Stephanann Costello
Heini Miettinen
Marta Chaverra
Colin King
Lynn George
Xin Zhao
Jana Narasimhan
Marla Weetall
Susan Slaugenhaupt
Elisabetta Morini
Claudio Punzo
Frances Lefcort
author_sort Anastasia Schultz
collection DOAJ
description Abstract Familial dysautonomia (FD) is a rare neurodevelopmental and neurodegenerative disease caused by a splicing mutation in the Elongator Acetyltransferase Complex Subunit 1 (ELP1) gene. The reduction in ELP1 mRNA and protein leads to the death of retinal ganglion cells (RGCs) and visual impairment in all FD patients. Currently patient symptoms are managed, but there is no treatment for the disease. We sought to test the hypothesis that restoring levels of Elp1 would thwart the death of RGCs in FD. To this end, we tested the effectiveness of two therapeutic strategies for rescuing RGCs. Here we provide proof-of-concept data that gene replacement therapy and small molecule splicing modifiers effectively reduce the death of RGCs in mouse models for FD and provide pre-clinical foundational data for translation to FD patients.
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spelling doaj.art-83a6ea28e4b34dc28cd0386f1edc3e102024-03-05T16:30:46ZengNature PortfolioScientific Reports2045-23222023-10-0113111110.1038/s41598-023-45376-wReduction of retinal ganglion cell death in mouse models of familial dysautonomia using AAV-mediated gene therapy and splicing modulatorsAnastasia Schultz0Shun-Yun Cheng1Emily Kirchner2Stephanann Costello3Heini Miettinen4Marta Chaverra5Colin King6Lynn George7Xin Zhao8Jana Narasimhan9Marla Weetall10Susan Slaugenhaupt11Elisabetta Morini12Claudio Punzo13Frances Lefcort14Department of Microbiology and Cell Biology, Montana State UniversityDepartment of Ophthalmology, Neurobiology and Gene Therapy Center, University of Massachusetts Chan Medical SchoolCenter for Genomic Medicine, Massachusetts General Hospital Research InstituteDepartment of Microbiology and Cell Biology, Montana State UniversityDepartment of Microbiology and Cell Biology, Montana State UniversityDepartment of Microbiology and Cell Biology, Montana State UniversityDepartment of Microbiology and Cell Biology, Montana State UniversityDepartment of Microbiology and Cell Biology, Montana State UniversityPTC Therapeutics, Inc.PTC Therapeutics, Inc.PTC Therapeutics, Inc.Center for Genomic Medicine, Massachusetts General Hospital Research InstituteCenter for Genomic Medicine, Massachusetts General Hospital Research InstituteDepartment of Ophthalmology, Neurobiology and Gene Therapy Center, University of Massachusetts Chan Medical SchoolDepartment of Microbiology and Cell Biology, Montana State UniversityAbstract Familial dysautonomia (FD) is a rare neurodevelopmental and neurodegenerative disease caused by a splicing mutation in the Elongator Acetyltransferase Complex Subunit 1 (ELP1) gene. The reduction in ELP1 mRNA and protein leads to the death of retinal ganglion cells (RGCs) and visual impairment in all FD patients. Currently patient symptoms are managed, but there is no treatment for the disease. We sought to test the hypothesis that restoring levels of Elp1 would thwart the death of RGCs in FD. To this end, we tested the effectiveness of two therapeutic strategies for rescuing RGCs. Here we provide proof-of-concept data that gene replacement therapy and small molecule splicing modifiers effectively reduce the death of RGCs in mouse models for FD and provide pre-clinical foundational data for translation to FD patients.https://doi.org/10.1038/s41598-023-45376-w
spellingShingle Anastasia Schultz
Shun-Yun Cheng
Emily Kirchner
Stephanann Costello
Heini Miettinen
Marta Chaverra
Colin King
Lynn George
Xin Zhao
Jana Narasimhan
Marla Weetall
Susan Slaugenhaupt
Elisabetta Morini
Claudio Punzo
Frances Lefcort
Reduction of retinal ganglion cell death in mouse models of familial dysautonomia using AAV-mediated gene therapy and splicing modulators
Scientific Reports
title Reduction of retinal ganglion cell death in mouse models of familial dysautonomia using AAV-mediated gene therapy and splicing modulators
title_full Reduction of retinal ganglion cell death in mouse models of familial dysautonomia using AAV-mediated gene therapy and splicing modulators
title_fullStr Reduction of retinal ganglion cell death in mouse models of familial dysautonomia using AAV-mediated gene therapy and splicing modulators
title_full_unstemmed Reduction of retinal ganglion cell death in mouse models of familial dysautonomia using AAV-mediated gene therapy and splicing modulators
title_short Reduction of retinal ganglion cell death in mouse models of familial dysautonomia using AAV-mediated gene therapy and splicing modulators
title_sort reduction of retinal ganglion cell death in mouse models of familial dysautonomia using aav mediated gene therapy and splicing modulators
url https://doi.org/10.1038/s41598-023-45376-w
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