371 Fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retina

OBJECTIVES/GOALS: Retinal inflammation caused by the activation of resident macrophages (microglia) during diabetes exacerbates glial cell dysfunction, resulting in neuronal loss. The goal is to use rAAV gene therapy to deliver neuronal-derived fractalkine (FKN), minimizing inflammation and vascular...

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Main Authors: Derek Rodriguez, Kaira A. Church, Alicia N. Pietramale, Sandra M. Cardona, Difernando Vanegas, Isabel A. Muzzio, Kevin R. Nash, Astrid E. Cardona
Format: Article
Language:English
Published: Cambridge University Press 2023-04-01
Series:Journal of Clinical and Translational Science
Online Access:https://www.cambridge.org/core/product/identifier/S2059866123004090/type/journal_article
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author Derek Rodriguez
Kaira A. Church
Alicia N. Pietramale
Sandra M. Cardona
Difernando Vanegas
Isabel A. Muzzio
Kevin R. Nash
Astrid E. Cardona
author_facet Derek Rodriguez
Kaira A. Church
Alicia N. Pietramale
Sandra M. Cardona
Difernando Vanegas
Isabel A. Muzzio
Kevin R. Nash
Astrid E. Cardona
author_sort Derek Rodriguez
collection DOAJ
description OBJECTIVES/GOALS: Retinal inflammation caused by the activation of resident macrophages (microglia) during diabetes exacerbates glial cell dysfunction, resulting in neuronal loss. The goal is to use rAAV gene therapy to deliver neuronal-derived fractalkine (FKN), minimizing inflammation and vascular damage in the diabetic retina. METHODS/STUDY POPULATION: The human microglial receptor (CX3CR1) binds to FKN, a protein that is expressed on neuronal membranes (mFKN), and undergoes constitutive cleavage to release a soluble domain (sFKN). Deficiencies in CX3CR1 or FKN showed increased microglial activation and elevated retinal pathology. To understand the mechanism by which mFKN and sFKN regulate microglia function, recombinant adeno-associated viruses (rAAVs) expressing mFKN or sFKN were delivered to intact retinas during diabetes. Markers of neuronal loss, vascular damage, and inflammation were analyzed. We hypothesize that the administration of rAAV-sFKN but not rAAV-mFKN will prevent vascular and neuronal damage, and improve visual function. RESULTS/ANTICIPATED RESULTS: rAAV-sFKN minimized microglial activation, blood vessel rupture, fibrinogen deposition, and prevented neuronal loss, compared to mice treated with rAAV-mFKN in a mouse model of diabetic retinopathy (DR). rAAV-sFKN treated mice showed improved visual acuity using a two-choice discrimination task through learning-based behavior. rAAV-sFKN treatment correlated with the success rate of the mice finding the reward based on their ability to distinguish visual cues. Future studies will test the effects of rAAV-sFKN and rAAV-mFKN on microglia inflammatory cytokine release, optic nerve damage and synaptic neurotransmission, peripheral immune responses, and transcriptomic changes in microglia during diabetes. DISCUSSION/SIGNIFICANCE: Current therapies for DR are ineffective in restoring vision. rAAVs-sFKN delivery appears to act as a neuroprotective approach in the diabetic retina. sFKN serves as an alternative pathway to implement translational and therapeutic approaches, minimizing pathology and improving visual function.
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spelling doaj.art-c2fac7f1510f4ef6a6005c67729c6bef2023-04-24T05:55:54ZengCambridge University PressJournal of Clinical and Translational Science2059-86612023-04-01711011010.1017/cts.2023.409371 Fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retinaDerek Rodriguez0Kaira A. Church1Alicia N. Pietramale2Sandra M. Cardona3Difernando Vanegas4Isabel A. Muzzio5Kevin R. Nash6Astrid E. Cardona7University of Texas at San AntonioUniversity of Texas at San Antonio(Dartmouth College)University of Texas at San AntonioUniversity of Texas at San Antonio(University of Iowa)(University of South Florida)University of Texas at San AntonioOBJECTIVES/GOALS: Retinal inflammation caused by the activation of resident macrophages (microglia) during diabetes exacerbates glial cell dysfunction, resulting in neuronal loss. The goal is to use rAAV gene therapy to deliver neuronal-derived fractalkine (FKN), minimizing inflammation and vascular damage in the diabetic retina. METHODS/STUDY POPULATION: The human microglial receptor (CX3CR1) binds to FKN, a protein that is expressed on neuronal membranes (mFKN), and undergoes constitutive cleavage to release a soluble domain (sFKN). Deficiencies in CX3CR1 or FKN showed increased microglial activation and elevated retinal pathology. To understand the mechanism by which mFKN and sFKN regulate microglia function, recombinant adeno-associated viruses (rAAVs) expressing mFKN or sFKN were delivered to intact retinas during diabetes. Markers of neuronal loss, vascular damage, and inflammation were analyzed. We hypothesize that the administration of rAAV-sFKN but not rAAV-mFKN will prevent vascular and neuronal damage, and improve visual function. RESULTS/ANTICIPATED RESULTS: rAAV-sFKN minimized microglial activation, blood vessel rupture, fibrinogen deposition, and prevented neuronal loss, compared to mice treated with rAAV-mFKN in a mouse model of diabetic retinopathy (DR). rAAV-sFKN treated mice showed improved visual acuity using a two-choice discrimination task through learning-based behavior. rAAV-sFKN treatment correlated with the success rate of the mice finding the reward based on their ability to distinguish visual cues. Future studies will test the effects of rAAV-sFKN and rAAV-mFKN on microglia inflammatory cytokine release, optic nerve damage and synaptic neurotransmission, peripheral immune responses, and transcriptomic changes in microglia during diabetes. DISCUSSION/SIGNIFICANCE: Current therapies for DR are ineffective in restoring vision. rAAVs-sFKN delivery appears to act as a neuroprotective approach in the diabetic retina. sFKN serves as an alternative pathway to implement translational and therapeutic approaches, minimizing pathology and improving visual function.https://www.cambridge.org/core/product/identifier/S2059866123004090/type/journal_article
spellingShingle Derek Rodriguez
Kaira A. Church
Alicia N. Pietramale
Sandra M. Cardona
Difernando Vanegas
Isabel A. Muzzio
Kevin R. Nash
Astrid E. Cardona
371 Fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retina
Journal of Clinical and Translational Science
title 371 Fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retina
title_full 371 Fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retina
title_fullStr 371 Fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retina
title_full_unstemmed 371 Fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retina
title_short 371 Fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retina
title_sort 371 fractalkine isoforms using gene therapy differentially regulate microglia activation and vascular damage in the diabetic retina
url https://www.cambridge.org/core/product/identifier/S2059866123004090/type/journal_article
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