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Sai H, Ollington B, Rezek FO, Chai N, Lane A, Georgiadis T, Bainbridge J, Michaelides M, Sacristan-Reviriego A, Perdigão PR, Leung A, van der Spuy J. Effective AAV-mediated gene replacement therapy in retinal organoids modeling AIPL1-associated LCA4. Mol Ther Nucleic Acids 2024; 35:102148. [PMID: 38439910 PMCID: PMC10910061 DOI: 10.1016/j.omtn.2024.102148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 02/12/2024] [Indexed: 03/06/2024]
Abstract
Biallelic variations in the aryl hydrocarbon receptor interacting protein-like 1 (AIPL1) gene cause Leber congenital amaurosis subtype 4 (LCA4), an autosomal recessive early-onset severe retinal dystrophy that leads to the rapid degeneration of retinal photoreceptors and the severe impairment of sight within the first few years of life. Currently, there is no treatment or cure for AIPL1-associated LCA4. In this study, we investigated the potential of adeno-associated virus-mediated AIPL1 gene replacement therapy in two previously validated human retinal organoid (RO) models of LCA4. We report here that photoreceptor-specific AIPL1 gene replacement therapy, currently being tested in a first-in-human application, effectively rescued molecular features of AIPL1-associated LCA4 in these models. Notably, the loss of retinal phosphodiesterase 6 was rescued and elevated cyclic guanosine monophosphate (cGMP) levels were reduced following treatment. Transcriptomic analysis of untreated and AAV-transduced ROs revealed transcriptomic changes in response to elevated cGMP levels and viral infection, respectively. Overall, this study supports AIPL1 gene therapy as a promising therapeutic intervention for LCA4.
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Affiliation(s)
- Hali Sai
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
| | - Bethany Ollington
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
| | - Farah O. Rezek
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
| | - Niuzheng Chai
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
| | | | | | - James Bainbridge
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
- NIHR Moorfields Biomedical Research Centre, London EC1V 2PD, UK
| | - Michel Michaelides
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
- NIHR Moorfields Biomedical Research Centre, London EC1V 2PD, UK
| | - Almudena Sacristan-Reviriego
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
- Institute of Clinical Trials and Methodology, University College London, London WC1V 6LJ, UK
| | - Pedro R.L. Perdigão
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
- Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Amy Leung
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
| | - Jacqueline van der Spuy
- University College London Institute of Ophthalmology, University College London, London EC1V 9EL, UK
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Corral-Serrano JC, Sladen PE, Ottaviani D, Rezek FO, Jovanovic K, Athanasiou D, van der Spuy J, Mansfield BC, Cheetham ME. Eupatilin improves cilia defects in human CEP290 ciliopathy models. bioRxiv 2023:2023.04.12.536565. [PMID: 37205323 PMCID: PMC10187159 DOI: 10.1101/2023.04.12.536565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
The photoreceptor outer segment is a highly specialized primary cilium essential for phototransduction and vision. Biallelic pathogenic variants in the cilia-associated gene CEP290 cause non-syndromic Leber congenital amaurosis 10 (LCA10) and syndromic diseases, where the retina is also affected. While RNA antisense oligonucleotides and gene editing are potential treatment options for the common deep intronic variant c.2991+1655A>G in CEP290 , there is a need for variant-independent approaches that could be applied to a broader spectrum of ciliopathies. Here, we generated several distinct human models of CEP290 -related retinal disease and investigated the effects of the flavonoid eupatilin as a potential treatment. Eupatilin improved cilium formation and length in CEP290 LCA10 patient-derived fibroblasts, in gene-edited CEP290 knockout (CEP290 KO) RPE1 cells, and in both CEP290 LCA10 and CEP290 KO iPSCs-derived retinal organoids. Furthermore, eupatilin reduced rhodopsin retention in the outer nuclear layer of CEP290 LCA10 retinal organoids. Eupatilin altered gene transcription in retinal organoids, by modulating the expression of rhodopsin, and by targeting cilia and synaptic plasticity pathways. This work sheds light into the mechanism of action of eupatilin, and supports its potential as a variant-independent approach for CEP290 -associated ciliopathies. Abstract Figure
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Affiliation(s)
- JC Corral-Serrano
- UCL Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL UK
| | - PE Sladen
- UCL Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL UK
| | - D Ottaviani
- UCL Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL UK
- Department of Biology, University of Padova, Padova, Italy
| | - FO Rezek
- UCL Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL UK
| | - K Jovanovic
- UCL Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL UK
| | - D Athanasiou
- UCL Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL UK
| | - J van der Spuy
- UCL Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL UK
| | - BC Mansfield
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD USA
| | - ME Cheetham
- UCL Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL UK
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