AAV.Dysferlin Overlap Vectors Restore Function in Dysferlinopathy Animal Models
Open accessAbstract
OBJECTIVE: Dysferlinopathies are a family of untreatable muscle disorders caused by mutations in the dysferlin gene. Lack of dysferlin protein results in progressive dystrophy with chronic muscle fiber loss, inflammation, fat replacement, and fibrosis; leading to deteriorating muscle weakness. The objective of this work is to demonstrate efficient and safe restoration of dysferlin expression following gene therapy treatment. METHODS: Traditional gene therapy is restricted by the packaging capacity limit of adeno-associated virus (AAV), however, use of a dual vector strategy allows for delivery of over-sized genes, including dysferlin. The two vector system (AAV.DYSF.DV) packages the dysferlin cDNA utilizing AAV serotype rh.74 through the use of two discrete vectors defined by a 1 kb region of homology. Delivery of AAV.DYSF.DV via intramuscular and vascular delivery routes in dysferlin deficient mice and nonhuman primates was compared for efficiency and safety. RESULTS: Treated muscles were tested for dysferlin expression, overall muscle histology, and ability to repair following injury. High levels of dysferlin overexpression was shown for all muscle groups treated as well as restoration of functional outcome measures (membrane repair ability and diaphragm specific force) to wild-type levels. In primates, strong dysferlin expression was demonstrated with no safety concerns. INTERPRETATION: Treated muscles showed high levels of dysferlin expression with functional restoration with no evidence of toxicity or immune response providing proof of principle for translation to dysferlinopathy patients.
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Overlapping vectors work particularly well in muscle tissue, ameliorating phenotypes linked to Duchenne muscular dystrophy and dysferlinopathies.
“This strategy was shown to work particularly well in muscle tissue, ameliorating phenotypes linked to Duchenne muscular dystrophy (DMD) [43][44][45] and dysferlinopathies [46][47][48].”
From Circumventing the packaging limit of AAV-mediated gene replacement therapy for neurological disorders (2022) · cites this paper as [46]
Two overlapping AAV vectors encoding a dysferlin expression cassette produced high levels of muscle transduction.
“the authors found high levels of muscle transduction with two overlapping AAV vectors encoding a dysferlin expression cassette ( dysferlin has a cDNA size of 6.5 kb and the overlap between the two vectors was * 1kb). 44”
From Expressing Transgenes That Exceed the Packaging Capacity of Adeno-Associated Virus Capsids (2016) · cites this paper as [44]
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“Peripheral blood mononuclear cells (PBMCs) were separated from whole blood samples through density gradient centrifugation, as previously described.(44) Briefly, fresh blood samples are spun in a table-top centrifuge (Sorval Legend RT, Thermo Scientific) and the top plasma layer is removed and stored in 80°C freezer.”
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“provided another example of the successful use of an overlapping vector system to overexpress genes that exceed the packaging capacity of a single AAV vector.(44) In this study, the authors found high levels of muscle transduction with two overlapping AAV vectors encoding a dysferlin expression cassette (dysferlin has…”
BackgroundMethodCurrent clinical applications of AAV-mediated gene therapy
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“115 This paved the way for an open-label, phase 1, single dose, intravenous gene transfer study of rAAVrh74.”
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Murphy, A. P., & Straub, V. W. (2015) · Journal of Neuromuscular Diseases · doi:10.3233/jnd-150105 · Cited by 114 · see citing works
Defective membrane fusion and repair in Anoctamin5 -deficient muscular dystrophy
Griffin, D. A., Johnson, R. W., Whitlock, J. M., Pozsgai, E. R., Heller, K. N., Grose, W. E., Arnold, W. D., Sahenk, Z., Hartzell, H. C., & Rodino‐Klapac, L. R. (2016) · Human Molecular Genetics · doi:10.1093/hmg/ddw063 · Cited by 103 · see citing works
“Membrane damage was assessed by accumulation of FM1-43, a membrane-impermeant styryl cationic dye that is not fluorescent in aqueous solution but fluoresces brightly in a lipid environment and has been used extensively to studymembrane repair (9,33,34).”
MethodSelf-citationAdeno-associated Virus (AAV) Dual Vector Strategies for Gene Therapy Encoding Large Transgenes.
McClements, M. E., & MacLaren, R. E. (2017) · PubMed Central · Cited by 95 · see citing works
Potter, R. A., Griffin, D. A., Heller, K. N., Peterson, E. L., Clark, E. K., Mendell, J. R., & Rodino‐Klapac, L. R. (2021) · Human Gene Therapy · doi:10.1089/hum.2019.255 · Cited by 82 · see citing works
Self-citationDysferlin mediates membrane tubulation and links T-tubule biogenesis to muscular dystrophy
Hofhuis, J., Bersch, K., Büssenschütt, R., Drzymalski, M. A., Liebetanz, D., Nikolaev, V. O., Wagner, S., Maier, L. S., Gärtner, J., Klinge, L., et al. (2017) · Journal of Cell Science · doi:10.1242/jcs.198861 · Cited by 78 · see citing works
“So far, no treatments for the cause of these diseases are available, but recent gene transfer approaches are able to restore proper localization of the dysferlin full-length protein (Escobar et al., 2016; Pryadkina et al., 2015; Sondergaard et al., 2015).”
BackgroundPotter, R. A., Griffin, D. A., Sondergaard, P. C., Johnson, R. W., Pozsgai, E. R., Heller, K. N., Peterson, E. L., Lehtimäki, K. K., Windish, H. P., Mittal, P., et al. (2017) · Human Gene Therapy · doi:10.1089/hum.2017.062 · Cited by 78 · see citing works
“9,11 The 5 ¢ cassette contains the MHCK7 promoter, the chimeric intron, and the first 3370 bp of the dysferlin cDNA flanked by AAV2 inverted terminal repeats.”
InfluentialSelf-citationKodippili, K., Hakim, C. H., Pan, X., Yang, H. T., Yue, Y., Zhang, Y., Shin, J., Yang, N. N., & Duan, D. (2017) · Human Gene Therapy · doi:10.1089/hum.2017.095 · Cited by 80 · see citing works
Pozsgai, E. R., Griffin, D. A., Heller, K. N., Mendell, J. R., & Rodino-Klapac, L. R. (2017) · Molecular Therapy · doi:10.1016/j.ymthe.2017.02.013 · Cited by 76 · see citing works
Self-citationCárdenas, A. M., González‐Jamett, A. M., Cea, L. A., Bevilacqua, J. A., & Caviedes, P. A. (2016) · Experimental Neurology · doi:10.1016/j.expneurol.2016.06.026 · Cited by 73 · see citing works
Gushchina, L. V., Bhattacharya, S., McElhanon, K. E., Choi, J. H., Manring, H. R., Beck, E. X., Alloush, J., & Weisleder, N. L. (2017) · Molecular Therapy · doi:10.1016/j.ymthe.2017.06.025 · Cited by 70 · see citing works
Genome engineering: a new approach to gene therapy for neuromuscular disorders
Nelson, C. E., Robinson-Hamm, J. N., & Gersbach, C. A. (2017) · Nature Reviews Neurology · doi:10.1038/nrneurol.2017.126 · Cited by 71 · see citing works
Progress and prospects of gene therapy clinical trials for the muscular dystrophies
Bengtsson, N. E., Seto, J. T., Hall, J. K., Chamberlain, J. S., & Odom, G. L. (2015) · Human Molecular Genetics · doi:10.1093/hmg/ddv420 · Cited by 70 · see citing works
“Recent studies optimizing rAAV-mediated delivery of full-length human dysferlin in dysferlin-null mice suggest promising future therapies for LGMD2B,MiyoshiMyopathy (MM1) and distal anterior compartment myopathy (33).”
BackgroundThe Limb–Girdle Muscular Dystrophies: Is Treatment on the Horizon?
Chu, M. L., & Moran, E. S. (2018) · Neurotherapeutics · doi:10.1007/s13311-018-0648-x · Cited by 66 · see citing works
“of membrane repair ability with no apparent toxicity or systemic immune rejection [29].”
BackgroundLimb–Girdle Muscular Dystrophies Classification and Therapies
Bouchard, C., & Tremblay, J. P. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12144769 · Cited by 67 · see citing works
Design of AAV Vectors for Delivery of Large or Multiple Transgenes
Patel, A., Zhao, J., Duan, D., & Lai, Y. (2019) · Methods in molecular biology · doi:10.1007/978-1-4939-9139-6_2 · Cited by 64 · see citing works
Fichna, J. P., Macias, A., Piechota, M., Korostyński, M., Potulska‐Chromik, A., Rędowicz, M. J., & Żekanowski, C. (2018) · Human Genomics · doi:10.1186/s40246-018-0167-1 · Cited by 57 · see citing works
Marrone, L., Marchi, P. M., & Azzouz, M. (2022) · Expert Opinion on Biological Therapy · doi:10.1080/14712598.2022.2012148 · Cited by 56 · see citing works
Structure-Based Designed Nano-Dysferlin Significantly Improves Dysferlinopathy in BLA/J Mice
Llanga, T., Nagy, N., Conatser, L., Dial, C. F., Sutton, R. B., & Hirsch, M. L. (2017) · Molecular Therapy · doi:10.1016/j.ymthe.2017.05.013 · Cited by 52 · see citing works
“Despite these two major concerns with AAV large gene transduction, preclinical data in a dysferlin-deficient mouse have led to recruitment of dysferlinopathy patients for a phase 1 clinical trial proposing the use of AAV-oversized transduction for the treatment of dysferlinopathy.(6,17) Notably, this will be the first…”
BackgroundMethodResultInfluentialKolesnik, V. V., Nurtdinov, R. F., Oloruntimehin, E. S., Karabelsky, A. V., & Malogolovkin, A. S. (2024) · Clinical and Translational Medicine · doi:10.1002/ctm2.1607 · Cited by 51 · see citing works
“86,91 101 Several approaches can be successfully used to assemble large transgene in multiple AAV vectors.”
BackgroundSellers, S., Milad, N., White, Z. R., Pascoe, C. D., Chan, R., Payne, G. W., Seow, C. Y., Rossi, F. M. V., Seidman, M. A., & Bernatchez, P. N. (2017) · Journal of Lipid Research · doi:10.1194/jlr.m079459 · Cited by 47 · see citing works
“is that contrary to studies that found significant impairment of locomotor function (38, 39) and muscle function ex vivo”
ResultDual and triple AAV delivery of large therapeutic gene sequences into the inner ear
Akil, O. (2020) · Hearing Research · doi:10.1016/j.heares.2020.107912 · Cited by 47 · see citing works
Systemic delivery of full-length dystrophin in Duchenne muscular dystrophy mice
Zhou, Y., Zhang, C., Xiao, W., Herzog, R. W., & Han, R. (2024) · Nature Communications · doi:10.1038/s41467-024-50569-6 · Cited by 46 · see citing works
Exon 32 Skipping of Dysferlin Rescues Membrane Repair in Patients’ Cells
Barthélémy, F., Blouin, C. M., Wein, N., Mouly, V., Courrier, S., Dionnet, E., Kergourlay, V., Mathieu, Y., Garcı́a, L., Butler-Browne, G. S., et al. (2015) · Journal of Neuromuscular Diseases · doi:10.3233/jnd-150109 · Cited by 43 · see citing works
“As for some muscular dystrophies, several therapeutic strategies are currently being evaluated for dysferlinopathies, including gene therapy approaches [6, 16–19].”
BackgroundCalcium Mechanisms in Limb-Girdle Muscular Dystrophy with CAPN3 Mutations
Lasa-Elgarresta, J., Mosqueira‐Martín, L., Naldaiz‐Gastesi, N., Sáenz, A., de Munaín, A. L., & Vallejo‐Illarramendi, A. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20184548 · Cited by 43 · see citing works
“This vector has been previously used in other gene therapy programs targeting Duchenne Muscular Dystrophy and five other LGMDs [143,144].”
Mendell, J. R., Proud, C. M., Zaidman, C. M., Mason, S., Darton, E., Wang, S., Wandel, C., Murphy, A. P., Mercuri, E. M., Francesco Muntoni, A., et al. (2024) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2024.01.003 · Cited by 42 · see citing works
Self-citationPotter, R. A., Peterson, E. L., Griffin, D., Cooper-Olson, G., Lewis, S., Cochran, K., Mendell, J. R., & Rodino‐Klapac, L. R. (2024) · Molecular Therapy — Methods & Clinical Development · doi:10.1016/j.omtm.2024.101195 · Cited by 40 · see citing works
“30 34 A quantitative polymerase chain reaction (qPCR)-based titration method based on a supercoiled plasmid standard was used to determine an encapsulated vg titer using a Prism 7500 Fast TaqMan detector system (PE Applied Biosystems, Foster City, CA).”
MethodSelf-citationMyoediting: Toward Prevention of Muscular Dystrophy by Therapeutic Genome Editing
Zhang, Y., Long, C., Bassel‐Duby, R., & Olson, E. N. (2018) · Physiological Reviews · doi:10.1152/physrev.00046.2017 · Cited by 40 · see citing works
“After administration of the dual recombinant AAV vectors, fulllength dysferlin transcripts were shown to be produced by either trans-splicing or homologous recombination (133, 232, 370).”
BackgroundUnmet Needs and Evolving Treatment for Limb Girdle Muscular Dystrophies
Pozsgai, E. R., Griffin, D., Potter, R. A., Sahenk, Z., Lehman, K. J., Rodino‐Klapac, L. R., & Mendell, J. R. (2021) · Neurodegenerative Disease Management · doi:10.2217/nmt-2020-0066 · Cited by 37 · see citing works
Self-citationRescue of GSDIII Phenotype with Gene Transfer Requires Liver- and Muscle-Targeted GDE Expression
Vidal, P., Pagliarani, S., Colella, P., Verdera, H. C., Jauze, L., Gjorgjieva, M., Puzzo, F., Marmier, S., Collaud, F., Sola, M. S., et al. (2017) · Molecular Therapy · doi:10.1016/j.ymthe.2017.12.019 · Cited by 37 · see citing works
Goedeker, N. L., Dharia, S. D., Griffin, D. A., Coy, J., Truesdale, T., Parikh, R., Whitehouse, K., Santra, S., Asher, D. R., & Zaidman, C. M. (2023) · Therapeutic Advances in Neurological Disorders · doi:10.1177/17562864221149781 · Cited by 37 · see citing works
Self-citationGene therapy for genetic diseases: challenges and future directions
Beibei, Q. I. E., Tuo, J., Chen, F., Ding, H., & Lyu, L. (2025) · MedComm · doi:10.1002/mco2.70091 · Cited by 37 · see citing works
Hip region muscular dystrophy and emergence of motor deficits in dysferlin‐deficient Bla/J mice
Nagy, N., Nonneman, R. J., Llanga, T., Dial, C. F., Riddick, N. V., Hampton, T. G., Moy, S. S., Lehtimäki, K. K., Ahtoniemi, T., Puoliväli, J. T., et al. (2017) · Physiological Reports · doi:10.14814/phy2.13173 · Cited by 32 · see citing works
“…investigation for which relevant representative animal models, showing patientlike pathologies, are necessary to determine efficacy (Krahn et al. 2009; Lostal et al. 2010; Wein et al. 2010; Grose et al. 2012; Hirsch et al. 2013; Dominov et al. 2014; Pryadkina et al. 2015; Sondergaard et al. 2015).”
Portrait of Dysferlinopathy: Diagnosis and Development of Therapy
Bouchard, C., & Tremblay, J. P. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12186011 · Cited by 31 · see citing works
“The study was first conducted on mice and non-human primates and showed restored dysferlin expression in all muscle groups, as well as a restored function measured by membrane repair and diaphragm strength [87].”
BackgroundEscobar, H., Schoewel, V., Spuler, S., Marg, A., & Izsvák, Z. (2016) · Molecular Therapy — Nucleic Acids · doi:10.1038/mtna.2015.52 · Cited by 30 · see citing works
Ferlin Overview: From Membrane to Cancer Biology
Peulen, O., Rademaker, G., Anania, S., Turtoï, A., Bellahcène, A., & Castronovo, V. (2019) · Cells · doi:10.3390/cells8090954 · Cited by 27 · see citing works
Correction of pseudoexon splicing caused by a novel intronic dysferlin mutation
Dominov, J. A., Uyan, Ö., McKenna-Yasek, D. M., Nallamilli, B. R. R., Kergourlay, V., Bartoli, M., Lévy, N., Hudson, J. A., Evangelista, T., Lochmüller, H., et al. (2019) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.738 · Cited by 24 · see citing works
Griffin, D. A., Pozsgai, E. R., Heller, K. N., Potter, R. A., Peterson, E. L., & Rodino‐Klapac, L. R. (2020) · Human Gene Therapy · doi:10.1089/hum.2019.199 · Cited by 23 · see citing works
Self-citationSerum exosomes can restore cellular function in vitro and be used for diagnosis in dysferlinopathy
Dong, X., Gao, X., Dai, Y., Ran, N., & Yin, H. (2018) · Theranostics · doi:10.7150/thno.22856 · Cited by 22 · see citing works
“Although adeno-associated virus (AAV) vector systems have been developed to deliver full-length or nano-sized dysferlin genes into dysferlin-deficient mice and non-human primates with encouraging results [9, 10], AAV can trigger immune response that limits its therapeutic efficacy upon repeat treatment.”
BackgroundNitzahn, M., Allegri, G., Khoja, S., Truong, B., Makris, G., Häberle, J., & Lipshutz, G. S. (2020) · Molecular Therapy · doi:10.1016/j.ymthe.2020.04.011 · Cited by 19 · see citing works
In vivo Dominant-Negative Effect of an SCN5A Brugada Syndrome Variant
Doisne, N., Grauso, M., Mougenot, N., Clergue, M., Souil, C., Coulombe, A., Guicheney, P., & Neyroud, N. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.661413 · Cited by 18 · see citing works
Seo, Y.-E., Baine, S. H., Kempton, A. N., Rogers, O. C., Lewis, S., Adegboye, K., Haile, A., Griffin, D. A., Peterson, E. L., Pozsgai, E. R., et al. (2023) · Molecular Therapy — Methods & Clinical Development · doi:10.1016/j.omtm.2023.01.004 · Cited by 18 · see citing works
“The hSGCG expression cassette was cloned between AAV2 ITRs, and the cassette was packaged into an rAAVrh74 vector using a triple transfection method in the Vector Manufacturing Facility in the Center for Gene Therapy at Nationwide Children’s Hospital, as previously described.(13,40,41)”
MethodSelf-citationAnwar, S., & Yokota, T. (2024) · Biomolecules · doi:10.3390/biom14030256 · Cited by 18 · see citing works
Mitrani-Rosenbaum, S., Yakovlev, L., Becker‐Cohen, M., Argov, Z., Fellig, Y., & Harazi, A. (2021) · Journal of Neuromuscular Diseases · doi:10.3233/jnd-210755 · Cited by 18 · see citing works
The Dysferlin Transcript Containing the Alternative Exon 40a is Essential for Myocyte Functions
Ballouhey, O., Courrier, S., Kergourlay, V., Gorokhova, S., Cérino, M., Krahn, M., Lévy, N., & Bartoli, M. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.754555 · Cited by 17 · see citing works
“Currently, the therapeutic studies conducted only restored the main transcript of dysferlin (transcript 1) (Lostal et al., 2010; Sondergaard et al., 2015; Potter et al., 2018).”
BackgroundMolecular diagnosis of muscular diseases in outpatient clinics
Thuriot, F., Gravel, E., Buote, C., Doyon, M., Lapointe, E., Marcoux, L., Larue, S., Nadeau, A., Chénier, S., Waters, P. J., et al. (2020) · Neurology Genetics · doi:10.1212/nxg.0000000000000408 · Cited by 17 · see citing works
CRISPR/Cas correction of muscular dystrophies
Zhang, Y., Nishiyama, T., Olson, E. N., & Bassel‐Duby, R. (2021) · Experimental Cell Research · doi:10.1016/j.yexcr.2021.112844 · Cited by 17 · see citing works
New Therapeutics Options for Pediatric Neuromuscular Disorders
Flotats‐Bastardas, M., & Hahn, A. (2020) · Frontiers in Pediatrics · doi:10.3389/fped.2020.583877 · Cited by 17 · see citing works
Macdonald, J., Marx, J., & Büning, H. (2021) · Human Gene Therapy · doi:10.1089/hum.2021.169 · Cited by 16 · see citing works
Advanced Gene-Targeting Therapies for Motor Neuron Diseases and Muscular Dystrophies
Chamakioti, M., Karantzelis, N., & Taraviras, S. L. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23094824 · Cited by 16 · see citing works
Prospect of gene therapy for cardiomyopathy in hereditary muscular dystrophy
Yue, Y., Binalsheikh, I. M., Leach, S. B., Domeier, T. L., & Duan, D. (2015) · Expert Opinion on Orphan Drugs · doi:10.1517/21678707.2016.1124039 · Cited by 15 · see citing works
Bruge, C., Geoffroy, M., Benabidès, M., Pellier, E., Gicquel, E., Dhiab, J., Hoch, L., Richard, I., & Nissan, X. (2022) · Biomedicines · doi:10.3390/biomedicines10061428 · Cited by 15 · see citing works
Baine, S. H., Wier, C., Lemmerman, L. R., Cooper-Olson, G., Kempton, A. N., Haile, A., Endres, J., Fedoce, A., Nesbit, E., Rodino‐Klapac, L. R., et al. (2024) · Human Gene Therapy · doi:10.1089/hum.2024.013 · Cited by 14 · see citing works
Self-citationWu, F., He, W., Xiao, Y., Wu, Q., Zhang, Q., Zhang, T., Xu, L., & Pang, X. (2025) · Advanced Science · doi:10.1002/advs.202408397 · Cited by 12 · see citing works
DNA-Mediated Gene Therapy in a Mouse Model of Limb Girdle Muscular Dystrophy 2B
Ma, J., Pichavant, C., du Bois, H., Bhakta, M. S., & Calos, M. P. (2017) · Molecular Therapy — Methods & Clinical Development · doi:10.1016/j.omtm.2017.10.005 · Cited by 12 · see citing works
Begam, M., Collier, A. F., Mueller, A. L., Roche, R., Galen, S. S., & Roche, J. A. (2018) · Physiological Reports · doi:10.14814/phy2.13727 · Cited by 11 · see citing works
Therapeutic advances in musculoskeletal AAV targeting approaches
Bulaklak, K., & Xiao, X. (2017) · Current Opinion in Pharmacology · doi:10.1016/j.coph.2017.07.001 · Cited by 12 · see citing works
Limb Girdle Muscular Dystrophy Type 2B (LGMD2B): Diagnosis and Therapeutic Possibilities
Poudel, B. H., Fletcher, S., Wilton, S. D., & Aung-Htut, M. T. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25115572 · Cited by 11 · see citing works
“A similar preclinical study was performed by Sondergaard and colleagues the dual-vector system to package the DYSF cDNA into AAV serotype rh.74 using discrete vectors with a 1 Kb region of homology [68].”
MethodRescue of lysosomal acid lipase deficiency in mice by rAAV8 liver gene transfer
Laurent, M., Harb, R., Jenny, C., Oustelandt, J., Jimenez, S., Cosette, J., Landini, F., Ferrante, A., Corre, G., Vujić, N., et al. (2025) · Communications Medicine · doi:10.1038/s43856-025-00816-8 · Cited by 13 · see citing works
“TheauthorsusedtherAAVh74serotype,whichhasbeenselectedto transducemuscles 56 – 58 and to treat muscular disorders (Dysferlinopathies: NCT02710500, Duchenne Muscular Dystrophy: NCT02704325, NCT02376816, NCT03375164).”
Advances in Treatments in Muscular Dystrophies and Motor Neuron Disorders
Roy, B., & Griggs, R. C. (2020) · Neurologic Clinics · doi:10.1016/j.ncl.2020.09.005 · Cited by 11 · see citing works
Plasmid-Mediated Gene Therapy in Mouse Models of Limb Girdle Muscular Dystrophy
Guha, T. K., Pichavant, C., & Calos, M. P. (2019) · Molecular Therapy — Methods & Clinical Development · doi:10.1016/j.omtm.2019.10.002 · Cited by 10 · see citing works
“The <5-kb size limit of the vector makes delivery of large genes or combinations of genes difficult.(10,14,15) Furthermore, the immunogenicity of the AAV capsid raises further problems, since a good percentage of the human population possesses pre-existing immunity to AAV, eliminating many patients’ access to AAV-medi…”
BackgroundMethodRational Design of AAV-rh74, AAV3B, and AAV8 with Limited Liver Targeting
Chan, C. T., Harris, K. K., Zolotukhin, S., & Keeler, G. D. (2023) · Viruses · doi:10.3390/v15112168 · Cited by 10 · see citing works
Gene therapy for primary myopathies: literature review and prospects
Querin, G., & Colella, M. (2023) · Archives de Pédiatrie · doi:10.1016/s0929-693x(23)00223-3 · Cited by 8 · see citing works
Антонович, Я. И., Emelin, A. M., Slesarenko, Y. S., Limaev, I. S., Vetrova, I. A., Belikova, L. D., Grafskaia, E. N., Александрович, Б. П., Pokrovsky, M. V., Kuzubova, E. V., et al. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241713551 · Cited by 7 · see citing works
Dose escalation pre-clinical trial of novel DOK7-AAV in mouse model of DOK7 congenital myasthenia
Cossins, J., Kozma, I., Canzonetta, C., Hawkins, A., Beeson, D., Sepulveda, P. V., & Dong, Y. Y. (2024) · Brain Communications · doi:10.1093/braincomms/fcaf046 · Cited by 5 · see citing works
Targeting Age-Related Neurodegenerative Diseases by AAV-Mediated Gene Therapy
Cagin, U. (2021) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-55035-6_15 · Cited by 5 · see citing works
AAV Vector-Based Gene Therapy, Progress and Current Challenges
Kuranda, K., & Mingozzi, F. (2017) · Springer eBooks · doi:10.1007/978-3-319-53457-2_5 · Cited by 5 · see citing works
Molekulare Therapien: Gegenwart und Zukunft bei neuromuskulären Erkrankungen
Ziegler, A., Walter, M. C., & Schoser, B. E. (2023) · Der Nervenarzt · doi:10.1007/s00115-023-01495-3 · Cited by 5 · see citing works
“Die Verwendung einer dualen Vektorstrategie ermöglicht die Übertragung übergroßer Gene, einschließlich Dysferlin, das 6,9 kb groß ist [36, 49].”
BackgroundPotter, R. A., Griffin, D. A., Heller, K. N., Mendell, J. R., & Rodino‐Klapac, L. R. (2023) · Biology Open · doi:10.1242/bio.059797 · Cited by 4 · see citing works
“Intramuscular delivery was selected to directly compare cassette design using a robust delivery technique with comparable levels of vector genome biodistribution of different constructs (Rodino-Klapac et al., 2010; Sondergaard et al., 2015).”
MethodSelf-citationCurrent Strategies of Muscular Dystrophy Therapeutics: An Overview
Lim, K. R. Q., & Yokota, T. (2022) · Methods in molecular biology · doi:10.1007/978-1-0716-2772-3_1 · Cited by 4 · see citing works
In Vitro Correction of Point Mutations in the DYSF Gene Using Prime Editing
Bouchard, C., Rousseau, J., Lamothe, G., Dubost, M., Bastrenta, L., Ramezani, S., & Tremblay, J. P. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26125647 · Cited by 3 · see citing works
Dysferlin and the Regulation of Ca2+ Release in Skeletal Muscle
Bloch, R. J., Muriel, J. M., & Lukyanenko, V. I. (2025) · Cells · doi:10.3390/cells14211724 · Cited by 4 · see citing works
“This approach has been validated in mice [284–287].”
Challenges to Gene Editing Approaches in the Retina
Bonillo, M., Pfromm, J. K., & Fischer, M. D. (2022) · Klinische Monatsblätter für Augenheilkunde · doi:10.1055/a-1757-9810 · Cited by 3 · see citing works
“[34] Sondergaard PC, Griffin DA, Pozsgai ER et al.”
BackgroundThree Novel Immune-deficient Mouse Models of Muscular Dystrophy
Pichavant, C., Bjornson, C. R. R., Gallagher, T., Neal, T. L., du Bois, H., Bhakta, M. S., & Calos, M. P. (2017) · PLoS Currents · doi:10.1371/currents.md.25e9cd5f4740329f2650972a75230188 · Cited by 3 · see citing works
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Human β-NGF gene transferred to cat corneal endothelial cells
Luo, W., Liu, M., Zhao, G., Wang, C., Hu, L., & Liu, X. (2016) · International Journal of Ophthalmology · doi:10.18240/ijo.2016.07.01 · Cited by 2 · see citing works
Mendell, J. R., Rodino‐Klapac, L. R., & Shilling, C. J. (2019) · Springer eBooks · doi:10.1007/978-3-030-03095-7_39 · Cited by 2 · see citing works
Self-citationWicklund, M. (2016) · Neurology Genetics · doi:10.1212/nxg.0000000000000092 · Cited by 2 · see citing works
Pool-packaged AAV libraries exhibit extensive length-dependent and homology-dependent chimerism
Lalanne, J., Huynh, C., Mich, J. K., Hunker, A. C., McDiarmid, T. A., Kim, H., Levi, B. P., Ting, J. T., & Shendure, J. (2026) · Nature Biotechnology · doi:10.1038/s41587-026-03097-1 · Cited by 11 · see citing works
Lukyanenko, V. I., Muriel, J. M., Banford, K. K., Kwiatkowski, T. A., Bulgart, H. R., Weisleder, N. L., & Bloch, R. J. (2026) · The Journal of General Physiology · doi:10.1085/jgp.202513844 · Cited by 1 · see citing works
Антонович, Я. И., Chernova, O. N., Олегович, М. М., Limaev, I. S., Александрович, Б. К., Андреевна, Т. А., Аймалетдинов, А. М., Shaimardanova, A. A., Rizvanov, A. A., Bardakov, S. N., et al. (2023) · Bulletin of Experimental Biology and Medicine · doi:10.1007/s10517-023-05789-z · Cited by 1 · see citing works
“3, e), which can be interpreted as an evidence of enhanced reparative rhabdomyohistogenesis and myotube formation [11].”
BackgroundAnalysis of Exon Skipping Applicability for Dysferlinopathies
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- Authors
- Sondergaard, P. C., Griffin, D. A., Pozsgai, E. R., Johnson, R. W., Grose, W. E., Heller, K. N., Shontz, K. M., Montgomery, C. L., Liu, J., Clark, K. R., Sahenk, Z., Mendell, J. R., & Rodino‐Klapac, L. R.
- Affiliations
- Nationwide Children's Hospital (US)
- Corresponding author
- Rodino‐Klapac, Louise R.
- Venue
- Annals of Clinical and Translational Neurology
- Publisher
- Wiley
- Published
- 2015-01-20
- Volume
- 2
- Issue
- 3
- Pages
- 256-270
- ISSN
- 2328-9503 (ISSN-L)
- PMC
- PMC4369275
- OpenAlex
- W2091504719
- Cited by
- 99
- References
- 57
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 8 · 2023: 11 · 2022: 5 · 2021: 10 · 2020: 7 · 2019: 9 · 2018: 5 · 2017: 18 · 2016: 7 · 2015: 4
- FWCI
- 7.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Annals of Clinical and Translational Neurology (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Jain Foundation (932013)
- Nationwide Children's Hospital
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- dysferlinopathy, dysferlin, adeno-associated virus vectors, muscular dystrophy, muscle regeneration, membrane repair, non-human primates, gene therapy safety, muscle fiber loss
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