Triple Vectors Expand AAV Transfer Capacity in the Retina
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Retinal gene transfer with adeno-associated viral (AAV) vectors holds great promise for the treatment of inherited retinal degenerations (IRDs). One limit of AAV is its transfer capacity of about 5 kb, which can be expanded to about 9 kb, using dual AAV vectors. This strategy would still not suffice for treatment of IRDs such as Usher syndrome type 1D or Alström syndrome type I (ALMS) due to mutations in CDH23 or ALMS1, respectively. To overcome this limitation, we generated triple AAV vectors, with a maximal transfer capacity of about 14 kb. Transcriptomic analysis following triple AAV transduction showed the expected full-length products along a number of aberrant transcripts. However, only the full-length transcripts are efficiently translated in vivo. We additionally showed that approximately 4% of mouse photoreceptors are transduced by triple AAV vectors and showed correct localization of recombinant ALMS1. The low-photoreceptor transduction levels might justify the modest and transient improvement we observe in the retina of a mouse model of ALMS. However, the levels of transduction mediated by triple AAV vectors in pig retina reached 40% of those observed with single vectors, and this bodes well for further improving the efficiency of triple AAV vectors in the retina.
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The same study showed higher transduction efficiency in the pig than in the mouse retina.
“However, the same study showed higher transduction efficiency in the pig than in the mouse retina, suggesting that the combined AAV vector regimen might achieve improved co-infection rates in the subretinal space of larger animals.”
From Circumventing the packaging limit of AAV-mediated gene replacement therapy for neurological disorders (2022) · cites this paper as [106]
Maddalena et al. reported attempting subretinal injections of triple AAV2/8-ALMS1 vectors in Alms1 -/-mice without observing any stable phenotype amelioration.
“Maddalena et al. have reported attempting subretinal injections of triple AAV2/8-ALMS1 vectors in Alms1 -/-mice without observing any stable phenotype amelioration [106].”
From Circumventing the packaging limit of AAV-mediated gene replacement therapy for neurological disorders (2022) · cites this paper as [106]
Subretinal administration of triple AAV vectors could reconstitute the full-length CDH23 in the mouse retina, although protein expression was found to be weak.
“As shown by Maddalena and colleagues, subretinal administration of triple AAV vectors could reconstitute the full-length CDH23 in the mouse retina, although protein expression was found to be weak [106].”
From Circumventing the packaging limit of AAV-mediated gene replacement therapy for neurological disorders (2022) · cites this paper as [106]
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Askou, A. L., Alsing, S., Benckendorff, J. N. E., Holmgaard, A., Mikkelsen, J. G., Aagaard, L., Bek, T., & Corydon, T. J. (2019) · Molecular Therapy - Nucleic Acids · doi:10.1016/j.omtn.2019.01.012 · Cited by 64 · 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
“CDH23 in the mouse retina, although protein expression was found to be weak [106].”
BackgroundAdeno-Associated Virus (AAV) - Based Gene Therapies for Retinal Diseases: Where are We?
Ail, D., Malki, H., Zin, E. A., & Dalkara, D. (2023) · The Application of Clinical Genetics · doi:10.2147/tacg.s383453 · Cited by 40 · see citing works
Focused Update on AAV-Based Gene Therapy Clinical Trials for Inherited Retinal Degeneration
Fuller-Carter, P. I., Basiri, H., Harvey, A. R., & Carvalho, L. S. (2020) · BioDrugs · doi:10.1007/s40259-020-00453-8 · Cited by 41 · see citing works
Tornabene, P., Trapani, I., Centrulo, M., Marrocco, E., Minopoli, R., Lupo, M., Iodice, C., Gesualdo, C., Simonelli, F., Surace, E. M., et al. (2021) · Molecular Therapy - Methods & Clinical Development · doi:10.1016/j.omtm.2021.10.004 · Cited by 25 · see citing works
Self-citationSplit AAV8 Mediated ABCA4 Expression for Gene Therapy of Mouse Stargardt Disease (STGD1)
Li, R., Jing, Q., She, K., Wang, Q., Jin, X., Zhao, Q., Su, J., Song, L., Fu, J., Wu, X., et al. (2023) · Human Gene Therapy · doi:10.1089/hum.2023.017 · Cited by 21 · see citing works
- Authors
- Maddalena, A., Tornabene, P., Tiberi, P., Minopoli, R., Manfredi, A., Mutarelli, M., Rossi, S., Simonelli, F., Naggert, J. K., Cacchiarelli, D., & Auricchio, A.
- Affiliations
- Telethon Institute Of Genetics And Medicine (IT)
- University of Campania "Luigi Vanvitelli" (IT)
- Corresponding author
- Auricchio, Alberto
- ORCID
- Venue
- Molecular Therapy
- Publisher
- Elsevier BV
- Published
- 2018-02
- Volume
- 26
- Issue
- 2
- Pages
- 524-541
- ISSN
- 1525-0016 (ISSN-L)
- PMC
- PMC5835116
- OpenAlex
- W2771095058
- Cited by
- 128
- References
- 15
- Citations by year
- 2026: 8 · 2025: 16 · 2024: 12 · 2023: 13 · 2022: 13 · 2021: 15 · 2020: 22 · 2019: 20 · 2018: 9
- FWCI
- 9.26
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Molecular Therapy (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, cc-by)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- The Mouseion at the JAXlibrary (Jackson Laboratory) (submittedVersion, cc-by)
- Funders
- European Research Council (282085, 694323)
- European Union (FP7 291778 "DTI-IMPORT")
- Italian Telethon Foundation (TGM16MT1)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- adeno-associated virus vectors, transfer capacity, retinal gene transfer, inherited retinal degeneration, ALMS1, CDH23, photoreceptors, aberrant transcripts, pig retina
- MeSH terms
- Dependovirus, Animals, Genetic Vectors, Humans, Recombination, Genetic, Retina, Swine, Transcription, Genetic, Transduction, Genetic, Genetic Therapy, Cadherins, Gene Expression, Gene Expression Regulation, Viral, Genes, Reporter, Gene Transfer Techniques, Mice, Knockout, Transgenes, Mice, HEK293 Cells
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