A Five-Repeat Micro-Dystrophin Gene Ameliorated Dystrophic Phenotype in the Severe DBA/2J-mdx Model of Duchenne Muscular Dystrophy

Micro-dystrophins are highly promising candidates for treating Duchenne muscular dystrophy, a lethal muscle disease caused by dystrophin deficiency. Here, we report robust disease rescue in the severe DBA/2J-mdx model with a neuronal nitric oxide synthase (nNOS)-binding micro-dystrophin vector. 2 ×...

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Main Authors: Chady H. Hakim, Nalinda B. Wasala, Xiufang Pan, Kasun Kodippili, Yongping Yue, Keqing Zhang, Gang Yao, Brittney Haffner, Sean X. Duan, Julian Ramos, Joel S. Schneider, N. Nora Yang, Jeffrey S. Chamberlain, Dongsheng Duan
Format: Article
Language:English
Published: Elsevier 2017-09-01
Series:Molecular Therapy: Methods & Clinical Development
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050117300815
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author Chady H. Hakim
Nalinda B. Wasala
Xiufang Pan
Kasun Kodippili
Yongping Yue
Keqing Zhang
Gang Yao
Brittney Haffner
Sean X. Duan
Julian Ramos
Joel S. Schneider
N. Nora Yang
Jeffrey S. Chamberlain
Dongsheng Duan
author_facet Chady H. Hakim
Nalinda B. Wasala
Xiufang Pan
Kasun Kodippili
Yongping Yue
Keqing Zhang
Gang Yao
Brittney Haffner
Sean X. Duan
Julian Ramos
Joel S. Schneider
N. Nora Yang
Jeffrey S. Chamberlain
Dongsheng Duan
author_sort Chady H. Hakim
collection DOAJ
description Micro-dystrophins are highly promising candidates for treating Duchenne muscular dystrophy, a lethal muscle disease caused by dystrophin deficiency. Here, we report robust disease rescue in the severe DBA/2J-mdx model with a neuronal nitric oxide synthase (nNOS)-binding micro-dystrophin vector. 2 × 1013 vector genome particles/mouse of the vector were delivered intravenously to 10-week-old mice and were evaluated at 6 months of age. Saturated micro-dystrophin expression was detected in all skeletal muscles and the heart and restored the dystrophin-associated glycoprotein complex and nNOS. In skeletal muscle, therapy substantially reduced fibrosis and calcification and significantly attenuated inflammation. Centronucleation was significantly decreased in the tibialis anterior (TA) and extensor digitorum longus (EDL) muscles but not in the quadriceps. Muscle function was normalized in the TA and significantly improved in the EDL muscle. Heart histology and function were also evaluated. Consistent with the literature, DBA/2J-mdx mice showed myocardial calcification and fibrosis and cardiac hemodynamics was compromised. Surprisingly, similar myocardial pathology and hemodynamic defects were detected in control DBA/2J mice. As a result, interpretation of the cardiac data proved difficult due to the confounding phenotype in control DBA/2J mice. Our results support further development of this microgene vector for clinical translation. Further, DBA/2J-mdx mice are not good models for Duchenne cardiomyopathy.
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spelling doaj.art-a968d82e3a484f8cb6cd48ebc8ad7bec2022-12-22T02:47:33ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012017-09-016C21623010.1016/j.omtm.2017.06.006A Five-Repeat Micro-Dystrophin Gene Ameliorated Dystrophic Phenotype in the Severe DBA/2J-mdx Model of Duchenne Muscular DystrophyChady H. Hakim0Nalinda B. Wasala1Xiufang Pan2Kasun Kodippili3Yongping Yue4Keqing Zhang5Gang Yao6Brittney Haffner7Sean X. Duan8Julian Ramos9Joel S. Schneider10N. Nora Yang11Jeffrey S. Chamberlain12Dongsheng Duan13Department of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USADepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USADepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USADepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USADepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USADepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USADepartment of Bioengineering, University of Missouri, Columbia, MO 65212, USADepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USADepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USADepartment of Neurology, Wellstone Muscular Dystrophy Research Center, University of Washington, Seattle, WA 98105, USASolid Biosciences, LLC, Cambridge, MA 02142, USANational Center for Advancing Translational Sciences (NCATS), Bethesda, MD 20892, USADepartment of Neurology, Wellstone Muscular Dystrophy Research Center, University of Washington, Seattle, WA 98105, USADepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USAMicro-dystrophins are highly promising candidates for treating Duchenne muscular dystrophy, a lethal muscle disease caused by dystrophin deficiency. Here, we report robust disease rescue in the severe DBA/2J-mdx model with a neuronal nitric oxide synthase (nNOS)-binding micro-dystrophin vector. 2 × 1013 vector genome particles/mouse of the vector were delivered intravenously to 10-week-old mice and were evaluated at 6 months of age. Saturated micro-dystrophin expression was detected in all skeletal muscles and the heart and restored the dystrophin-associated glycoprotein complex and nNOS. In skeletal muscle, therapy substantially reduced fibrosis and calcification and significantly attenuated inflammation. Centronucleation was significantly decreased in the tibialis anterior (TA) and extensor digitorum longus (EDL) muscles but not in the quadriceps. Muscle function was normalized in the TA and significantly improved in the EDL muscle. Heart histology and function were also evaluated. Consistent with the literature, DBA/2J-mdx mice showed myocardial calcification and fibrosis and cardiac hemodynamics was compromised. Surprisingly, similar myocardial pathology and hemodynamic defects were detected in control DBA/2J mice. As a result, interpretation of the cardiac data proved difficult due to the confounding phenotype in control DBA/2J mice. Our results support further development of this microgene vector for clinical translation. Further, DBA/2J-mdx mice are not good models for Duchenne cardiomyopathy.http://www.sciencedirect.com/science/article/pii/S2329050117300815AAVDMDmicro-dystrophinmdxDBA/2JnNOScardiomyopathysystemic gene therapyDuchenne muscular dystrophyadeno-associated virus
spellingShingle Chady H. Hakim
Nalinda B. Wasala
Xiufang Pan
Kasun Kodippili
Yongping Yue
Keqing Zhang
Gang Yao
Brittney Haffner
Sean X. Duan
Julian Ramos
Joel S. Schneider
N. Nora Yang
Jeffrey S. Chamberlain
Dongsheng Duan
A Five-Repeat Micro-Dystrophin Gene Ameliorated Dystrophic Phenotype in the Severe DBA/2J-mdx Model of Duchenne Muscular Dystrophy
Molecular Therapy: Methods & Clinical Development
AAV
DMD
micro-dystrophin
mdx
DBA/2J
nNOS
cardiomyopathy
systemic gene therapy
Duchenne muscular dystrophy
adeno-associated virus
title A Five-Repeat Micro-Dystrophin Gene Ameliorated Dystrophic Phenotype in the Severe DBA/2J-mdx Model of Duchenne Muscular Dystrophy
title_full A Five-Repeat Micro-Dystrophin Gene Ameliorated Dystrophic Phenotype in the Severe DBA/2J-mdx Model of Duchenne Muscular Dystrophy
title_fullStr A Five-Repeat Micro-Dystrophin Gene Ameliorated Dystrophic Phenotype in the Severe DBA/2J-mdx Model of Duchenne Muscular Dystrophy
title_full_unstemmed A Five-Repeat Micro-Dystrophin Gene Ameliorated Dystrophic Phenotype in the Severe DBA/2J-mdx Model of Duchenne Muscular Dystrophy
title_short A Five-Repeat Micro-Dystrophin Gene Ameliorated Dystrophic Phenotype in the Severe DBA/2J-mdx Model of Duchenne Muscular Dystrophy
title_sort five repeat micro dystrophin gene ameliorated dystrophic phenotype in the severe dba 2j mdx model of duchenne muscular dystrophy
topic AAV
DMD
micro-dystrophin
mdx
DBA/2J
nNOS
cardiomyopathy
systemic gene therapy
Duchenne muscular dystrophy
adeno-associated virus
url http://www.sciencedirect.com/science/article/pii/S2329050117300815
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