Abstract
Gene therapy with adeno-associated viral (AAV) vectors is limited by AAV cargo capacity that prevents their application to the inherited retinal diseases (IRDs), such as Stargardt disease (STGD) or Usher syndrome type IB (USH1B), which are due to mutations in genes larger than 5 kb. Trans-splicing or hybrid dual AAV vectors have been successfully exploited to reconstitute large gene expression in the mouse retina. Here, we tested them in the large cone-enriched pig retina that closely mimics the human retina. We found that dual AAV trans-splicing and hybrid vectors transduce pig photoreceptors, the major cell targets for treatment of IRDs, to levels that were about two- to threefold lower than those obtained with a single AAV vector of normal size. This efficiency is significantly higher than that in mice, and is potentially due to the high levels of dual AAV co-transduction we observe in pigs. We also show that subretinal delivery in pigs of dual AAV trans-splicing and hybrid vectors successfully reconstitute, albeit at variable levels, the expression of the large genes ABCA4 and MYO7A mutated in STGD and USH1B, respectively. Our data support the potential of dual AAV vectors for large gene reconstitution in the cone-enriched pig retina that is a relevant preclinical model.
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Acknowledgements
We thank Annamaria Carissimo (Bioinformatics Core, TIGEM, Naples, Italy) for the statistical analyses; Enrico M Surace (TIGEM, Naples, Italy) and Elena Marrocco (TIGEM, Naples, Italy) for support with work in pigs; Monica Doria and Antonella Ferrara (AAV Vector Core, TIGEM, Naples, Italy) for AAV vector production; Mary D Allen (Laboratory for Vision Research, Doheny Eye Institute) and Dr Cheryl MCraft (University of Southern California, Los Angeles, CA) for providing the anti-human CAR antibody; Graciana Diez-Roux (Scientific Office, TIGEM, Naples, Italy) for the critical reading of this manuscript. This work was supported by: the European Research Council/ERC Grant agreement no. 282085 ‘RetGeneTx’; the European Community's Seventh Framework Program [FP7/2007–2013] under Grant agreement no. 242013 ‘Treatrush’; the NIH (grant R24 RY019861-01A); the Italian Telethon Foundation (grant TGM11MT1).
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Colella, P., Trapani, I., Cesi, G. et al. Efficient gene delivery to the cone-enriched pig retina by dual AAV vectors. Gene Ther 21, 450–456 (2014). https://doi.org/10.1038/gt.2014.8
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DOI: https://doi.org/10.1038/gt.2014.8
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