Gene Therapy for Mucopolysaccharidosis Type II—A Review of the Current Possibilities

Mucopolysaccharidosis type II (MPS II) is a lysosomal storage disorder based on a mutation in the <i>IDS</i> gene that encodes iduronate 2-sulphatase. As a result, there is an accumulation of glycosaminoglycans—heparan sulphate and dermatan sulphate—in almost all body tissues, which lead...

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Main Authors: Paweł Zapolnik, Antoni Pyrkosz
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/11/5490
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author Paweł Zapolnik
Antoni Pyrkosz
author_facet Paweł Zapolnik
Antoni Pyrkosz
author_sort Paweł Zapolnik
collection DOAJ
description Mucopolysaccharidosis type II (MPS II) is a lysosomal storage disorder based on a mutation in the <i>IDS</i> gene that encodes iduronate 2-sulphatase. As a result, there is an accumulation of glycosaminoglycans—heparan sulphate and dermatan sulphate—in almost all body tissues, which leads to their dysfunction. Currently, the primary treatment is enzyme replacement therapy, which improves the course of the disease by reducing somatic symptoms, including hepatomegaly and splenomegaly. The enzyme, however, does not cross the blood–brain barrier, and no improvement in the function of the central nervous system has been observed in patients with the severe form of the disease. An alternative method of treatment that solves typical problems of enzyme replacement therapy is gene therapy, i.e., delivery of the correct gene to target cells through an appropriate vector. Much progress has been made in applying gene therapy for MPS II, from cellular models to human clinical trials. In this article, we briefly present the history and basics of gene therapy and discuss the current state of knowledge about the methods of this therapy in mucopolysaccharidosis type II.
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spelling doaj.art-c30dba310f2b4c50986473f73ec048ab2023-11-21T20:59:36ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-05-012211549010.3390/ijms22115490Gene Therapy for Mucopolysaccharidosis Type II—A Review of the Current PossibilitiesPaweł Zapolnik0Antoni Pyrkosz1Students’ Scientific Association of Clinical Genetics, Department of Clinical Genetics, Medical College, University of Rzeszów, 35-959 Rzeszów, PolandDepartment of Clinical Genetics, Medical College, University of Rzeszów, 35-959 Rzeszów, PolandMucopolysaccharidosis type II (MPS II) is a lysosomal storage disorder based on a mutation in the <i>IDS</i> gene that encodes iduronate 2-sulphatase. As a result, there is an accumulation of glycosaminoglycans—heparan sulphate and dermatan sulphate—in almost all body tissues, which leads to their dysfunction. Currently, the primary treatment is enzyme replacement therapy, which improves the course of the disease by reducing somatic symptoms, including hepatomegaly and splenomegaly. The enzyme, however, does not cross the blood–brain barrier, and no improvement in the function of the central nervous system has been observed in patients with the severe form of the disease. An alternative method of treatment that solves typical problems of enzyme replacement therapy is gene therapy, i.e., delivery of the correct gene to target cells through an appropriate vector. Much progress has been made in applying gene therapy for MPS II, from cellular models to human clinical trials. In this article, we briefly present the history and basics of gene therapy and discuss the current state of knowledge about the methods of this therapy in mucopolysaccharidosis type II.https://www.mdpi.com/1422-0067/22/11/5490mucopolysaccharidosis IIHunter syndromeadeno-associated virusesgenetic therapygene editingreview
spellingShingle Paweł Zapolnik
Antoni Pyrkosz
Gene Therapy for Mucopolysaccharidosis Type II—A Review of the Current Possibilities
International Journal of Molecular Sciences
mucopolysaccharidosis II
Hunter syndrome
adeno-associated viruses
genetic therapy
gene editing
review
title Gene Therapy for Mucopolysaccharidosis Type II—A Review of the Current Possibilities
title_full Gene Therapy for Mucopolysaccharidosis Type II—A Review of the Current Possibilities
title_fullStr Gene Therapy for Mucopolysaccharidosis Type II—A Review of the Current Possibilities
title_full_unstemmed Gene Therapy for Mucopolysaccharidosis Type II—A Review of the Current Possibilities
title_short Gene Therapy for Mucopolysaccharidosis Type II—A Review of the Current Possibilities
title_sort gene therapy for mucopolysaccharidosis type ii a review of the current possibilities
topic mucopolysaccharidosis II
Hunter syndrome
adeno-associated viruses
genetic therapy
gene editing
review
url https://www.mdpi.com/1422-0067/22/11/5490
work_keys_str_mv AT pawełzapolnik genetherapyformucopolysaccharidosistypeiiareviewofthecurrentpossibilities
AT antonipyrkosz genetherapyformucopolysaccharidosistypeiiareviewofthecurrentpossibilities