Cited by 246Virus-based gene therapy researchMuscle Physiology and DisordersNeurogenetic and Muscular Disorders Research

Long-term microdystrophin gene therapy is effective in a canine model of Duchenne muscular dystrophy

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Le Guiner, Caroline, Servais, Laurent, Montus, Marie, Larcher, Thibaut, Fraysse, Bodvaël, Moullec, Sophie, Allais, Marine, François, Virginie +27 more·2017·Nature Communications

Abstract

Duchenne muscular dystrophy (DMD) is an incurable X-linked muscle-wasting disease caused by mutations in the dystrophin gene. Gene therapy using highly functional microdystrophin genes and recombinant adeno-associated virus (rAAV) vectors is an attractive strategy to treat DMD. Here we show that locoregional and systemic delivery of a rAAV2/8 vector expressing a canine microdystrophin (cMD1) is effective in restoring dystrophin expression and stabilizing clinical symptoms in studies performed on a total of 12 treated golden retriever muscular dystrophy (GRMD) dogs. Locoregional delivery induces high levels of microdystrophin expression in limb musculature and significant amelioration of histological and functional parameters. Systemic intravenous administration without immunosuppression results in significant and sustained levels of microdystrophin in skeletal muscles and reduces dystrophic symptoms for over 2 years. No toxicity or adverse immune consequences of vector administration are observed. These studies indicate safety and efficacy of systemic rAAV-cMD1 delivery in a large animal model of DMD, and pave the way towards clinical trials of rAAV–microdystrophin gene therapy in DMD patients.

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  1. Koenig M.. Complete cloning of the Duchenne muscular dystrophy (DMD) cDNA and preliminary genomic organization of the DMD gene in normal and affected individuals. Cell 50, 509– 517 (1987). 3607877
  2. Bonilla E.. Duchenne muscular dystrophy: deficiency of dystrophin at the muscle cell surface. Cell 54, 447– 452 (1988). 3042151
  3. Judge L. M., Haraguchiln M. & Chamberlain J. S. Dissecting the signaling and mechanical functions of the dystrophin-glycoprotein complex. J. Cell Sci. 119, 1537– 1546 (2006). 16569668
  4. Eagle M.. Managing Duchenne muscular dystrophy--the additive effect of spinal surgery and home nocturnal ventilation in improving survival. Neuromuscul. Disord. 17, 470– 475 (2007). 17490881
  5. Ishikawa Y.. Duchenne muscular dystrophy: survival by cardio-respiratory interventions. Neuromuscul. Disord. 21, 47– 51 (2011). 21144751
  6. Xiao X., Li J. & Samulski R. J. Efficient long-term gene transfer into muscle tissue of immunocompetent mice by adeno-associated virus vector. J. Virol. 70, 8098– 8108 (1996). 8892935 PMC190884
  7. Wang Z.. Adeno-associated virus serotype 8 efficiently delivers genes to muscle and heart. Nat. Biotechnol. 23, 321– 328 (2005). 15735640
  8. Blankinship M. J., Gregorevic P. & Chamberlain J. S. Gene therapy strategies for Duchenne muscular dystrophy utilizing recombinant adeno-associated virus vectors. Mol. Ther. 13, 241– 249 (2006). 16361117
  9. Pacak C. A.. Recombinant adeno-associated virus serotype 9 leads to preferential cardiac transduction in vivo. Circ. Res. 99, e3– e9 (2006). 16873720
  10. Zincarelli C., Soltys S., Rengo G. & Rabinowitz J. E. Analysis of AAV serotypes 1-9 mediated gene expression and tropism in mice after systemic injection. Mol. Ther. 16, 1073– 1080 (2008). 18414476
  11. Toromanoff A.. Safety and efficacy of regional intravenous (r.i.) versus intramuscular (i.m.) delivery of rAAV1 and rAAV8 to nonhuman primate skeletal muscle. Mol. Ther. 16, 1291– 1299 (2008). 18461055
  12. Rivera V. M.. Long-term pharmacologically regulated expression of erythropoietin in primates following AAV-mediated gene transfer. Blood 105, 1424– 1430 (2005). 15507527
  13. Jiang H.. Evidence of multiyear factor IX expression by AAV-mediated gene transfer to skeletal muscle in an individual with severe hemophilia B. Mol. Ther. 14, 452– 455 (2006). 16822719
  14. Harper S. Q.. Modular flexibility of dystrophin: implications for gene therapy of Duchenne muscular dystrophy. Nat. Med. 8, 253– 261 (2002). 11875496
  15. Athanasopoulos T., Graham I. R., Foster H. & Dickson G. Recombinant adeno-associated viral (rAAV) vectors as therapeutic tools for Duchenne muscular dystrophy (DMD). Gene Ther. 11, (suppl. 1): S109– S121 (2004). 15454965
  16. Muntoni F., Torelli S. & Ferlini A. Dystrophin and mutations: one gene, several proteins, multiple phenotypes. Lancet Neurol. 2, 731– 740 (2003). 14636778
  17. Wang B., Li J. & Xiao X. Adeno-associated virus vector carrying human minidystrophin genes effectively ameliorates muscular dystrophy in mdx mouse model. Proc. Natl Acad. Sci. USA 97, 13714– 13719 (2000). 11095710 PMC17641
  18. Yoshimura M.. AAV vector-mediated microdystrophin expression in a relatively small percentage of mdx myofibers improved the mdx phenotype. Mol. Ther. 10, 821– 828 (2004). 15509500
  19. Gregorevic P.. rAAV6-microdystrophin preserves muscle function and extends lifespan in severely dystrophic mice. Nat. Med. 12, 787– 789 (2006). 16819550 PMC4244883
  20. Foster H.. Codon and mRNA sequence optimization of microdystrophin transgenes improves expression and physiological outcome in dystrophic mdx mice following AAV2/8 gene transfer. Mol. Ther. 16, 1825– 1832 (2008). 18766174
  21. Li X., Eastman E. M., Schwartz R. J. & Draghia-Akli R. Synthetic muscle promoters: activities exceeding naturally occurring regulatory sequences. Nat. Biotechnol. 17, 241– 245 (1999). 10096290
  22. Koo T.. Delivery of AAV2/9-microdystrophin genes incorporating helix 1 of the coiled-coil motif in the C-terminal domain of dystrophin improves muscle pathology and restores the level of alpha1-syntrophin and alpha-dystrobrevin in skeletal muscles of mdx mice. Hum. Gene Ther. 22, 1379– 1388 (2011). 21453126 PMC3225045
  23. Athanasopoulos T., Foster H., Foster K. & Dickson G. Codon optimization of the microdystrophin gene for Duchene muscular dystrophy gene therapy. Methods Mol. Biol. 709, 21– 37 (2011). 21194019
  24. Koo T.. Long-term functional adeno-associated virus-microdystrophin expression in the dystrophic CXMDj dog. J. Gene Med. 13, 497– 506 (2011). 22144143
  25. Kornegay J. N.. Canine models of Duchenne muscular dystrophy and their use in therapeutic strategies. Mamm. Genome 23, 85– 108 (2012). 22218699 PMC3911884
  26. McGreevy J. W., Hakim C. H., McIntosh M. A. & Duan D. Animal models of Duchenne muscular dystrophy: from basic mechanisms to gene therapy. Dis. Model. Mech. 8, 195– 213 (2015). 25740330 PMC4348559
  27. Wang Z.. Sustained AAV-mediated dystrophin expression in a canine model of Duchenne muscular dystrophy with a brief course of immunosuppression. Mol. Ther. 15, 1160– 1166 (2007). 17426713
  28. Wang Z.. Successful regional delivery and long-term expression of a dystrophin gene in canine muscular dystrophy: a preclinical model for human therapies. Mol. Ther. 20, 1501– 1507 (2012). 22692496 PMC3412492
  29. Shin J. H.. A simplified immune suppression scheme leads to persistent micro-dystrophin expression in Duchenne muscular dystrophy dogs. Hum. Gene Ther. 23, 202– 209 (2012). 21967249 PMC3277733
  30. Shin J. H.. Microdystrophin ameliorates muscular dystrophy in the canine model of duchenne muscular dystrophy. Mol. Ther. 21, 750– 757 (2013). 23319056 PMC3616540
  31. Wang D., Zhong L., Nahid M. A. & Gao G. The potential of adeno-associated viral vectors for gene delivery to muscle tissue. Expert Opin. Drug Deliv. 11, 345– 364 (2014). 24386892 PMC4098646
  32. Hayashita-Kinoh H.. Intra-amniotic rAAV-mediated microdystrophin gene transfer improves canine X-linked muscular dystrophy and may induce immune tolerance. Mol. Ther. 23, 627– 637 (2015). 25586688 PMC4395797
  33. Le Guiner C.. Forelimb treatment in a large cohort of dystrophic dogs supports delivery of a recombinant AAV for exon skipping in Duchenne patients. Mol. Ther. 22, 1923– 1935 (2014). 25200009 PMC4429735
  34. Fan Z.. Safety and feasibility of high-pressure transvenous limb perfusion with 0.9% saline in human muscular dystrophy. Mol. Ther. 20, 456– 461 (2012). 21772257 PMC3278558
  35. Fan Z.. High-pressure transvenous perfusion of the upper extremity in human muscular dystrophy: a safety study with 0.9% saline. Hum. Gene Ther. 26, 614– 621 (2015). 25953425 PMC4575535
  36. Nguyen F., Cherel Y., Guigand L., Goubault-Leroux I. & Wyers M. Muscle lesions associated with dystrophin deficiency in neonatal golden retriever puppies. J. Comp. Pathol. 126, 100– 108 (2002). 11944998
  37. Dubowitz V., Sewry C. A., Oldfors A. & Russell L. in Muscle Biopsy: A Practical Approach 4th edn. 250-275 (Saunders Co Ltd, Elsevier Health Sciences, 2013).
  38. Thibaud J. L.. Comprehensive longitudinal characterization of canine muscular dystrophy by serial NMR imaging of GRMD dogs. Neuromuscul. Disord. 22, (suppl. 2): S85– S99 (2012). 22980771
  39. Wary C.. Splitting of Pi and other (3)(1)P NMR anomalies of skeletal muscle metabolites in canine muscular dystrophy. NMR Biomed. 25, 1160– 1169 (2012). 22354667
  40. Rouger K.. Systemic delivery of allogenic muscle stem cells induces long-term muscle repair and clinical efficacy in duchenne muscular dystrophy dogs. Am. J. Pathol. 179, 2501– 2518 (2011). 21924229 PMC3204088
  41. Vieira N. M.. Jagged 1 rescues the Duchenne muscular dystrophy phenotype. Cell 163, 1204– 1213 (2015). 26582133 PMC4668935
  42. Barthelemy I.. Gait analysis using accelerometry in dystrophin-deficient dogs. Neuromuscul. Disord. 19, 788– 796 (2009). 19800232
  43. Barthelemy I.. Longitudinal ambulatory measurements of gait abnormality in dystrophin-deficient dogs. BMC Musculoskelet. Disord. 12, 75 (2011). 21489295 PMC3103492
  44. Kobayashi Y. M.. Sarcolemma-localized nNOS is required to maintain activity after mild exercise. Nature 456, 511– 515 (2008). 18953332 PMC2588643
  45. Vulin A.. Muscle function recovery in golden retriever muscular dystrophy after AAV1-U7 exon skipping. Mol. Ther. 20, 2120– 2133 (2012). 22968479 PMC3498802
  46. Larcher T.. Characterization of dystrophin deficient rats: a new model for Duchene muscular dystrophy. PLoS ONE 9, e110371 (2014). 25310701 PMC4195719
  47. Kornegay J. N.. Widespread muscle expression of an AAV9 human mini-dystrophin vector after intravenous injection in neonatal dystrophin-deficient dogs. Mol. Ther. 18, 1501– 1508 (2010). 20517298 PMC2927072
  48. Yue Y.. Safe and bodywide muscle transduction in young adult Duchenne muscular dystrophy dogs with adeno-associated virus. Hum. Mol. Genet. 24, 5880– 5890 (2015). 26264580 PMC4581611
  49. Felsburg P. J. Overview of immune system development in the dog: comparison with humans. Hum. Exp. Toxicol. 21, 487– 492 (2002). 12458905
  50. Haurigot V.. Safety of AAV factor IX peripheral transvenular gene delivery to muscle in hemophilia B dogs. Mol. Ther. 18, 1318– 1329 (2010). 20424599 PMC2911254
  51. Toromanoff A.. Lack of immunotoxicity after regional intravenous (RI) delivery of rAAV to nonhuman primate skeletal muscle. Mol. Ther. 18, 151– 160 (2010). 19888197 PMC2839209
  52. Arruda V. R.. Peripheral transvenular delivery of adeno-associated viral vectors to skeletal muscle as a novel therapy for hemophilia B. Blood 115, 4678– 4688 (2010). 20335222 PMC2890180
  53. Fougerousse F.. Phenotypic correction of alpha-sarcoglycan deficiency by intra-arterial injection of a muscle-specific serotype 1 rAAV vector. Mol. Ther. 15, 53– 61 (2007). 17164775
  54. Arechavala-Gomeza V.. Revertant fibres and dystrophin traces in Duchenne muscular dystrophy: implication for clinical trials. Neuromuscul. Disord. 20, 295– 301 (2010). 20395141
  55. Halbert C. L., Metzger M. J., Lam S. L. & Miller A. D. Capsid-expressing DNA in AAV vectors and its elimination by use of an oversize capsid gene for vector production. Gene Ther. 18, 411– 417 (2011). 21160534 PMC3072450
  56. Wang Z.. Elimination of contaminating cap genes in AAV vector virions reduces immune responses and improves transgene expression in a canine gene therapy model. Gene Ther. 21, 363– 370 (2014). 24500525 PMC3976967
  57. Chicoine L. G.. Plasmapheresis eliminates the negative impact of AAV antibodies on microdystrophin gene expression following vascular delivery. Mol. Ther. 22, 338– 347 (2014). 24196577 PMC3916040
  58. Bartlett R. J.. In vivo targeted repair of a point mutation in the canine dystrophin gene by a chimeric RNA/DNA oligonucleotide. Nat. Biotechnol. 18, 615– 622 (2000). 10835598
  59. Fraysse B.. Gait characterization in golden retriever muscular dystrophy dogs using linear discriminant analysis. BMC Musculoskelet. Disord. 18, 153 (2017). 28403854 PMC5388997
  60. Thomas W. P.. Recommendations for standards in transthoracic two-dimensional echocardiography in the dog and cat. Echocardiography Committee of the Specialty of Cardiology, American College of Veterinary Internal Medicine. J. Vet. Intern. Med. 7, 247– 252 (1993). 8246215

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Authors
Le Guiner, C., Servais, L., Montus, M., Larcher, T., Fraysse, B., Moullec, S., Allais, M., François, V., Dutilleul, M., Malerba, A., Koo, T., Thibaut, J.-L., Matot, B., Devaux, M., Le Duff, J., Deschamps, J.-Y., Barthelemy, I., Blot, S., Testault, I., Wahbi, K., Ederhy, S., Martin, S., Veron, P., Georger, C., Athanasopoulos, T., Masurier, C., Mingozzi, F., Carlier, P., Gjata, B., Hogrel, J.-Y., Adjali, O., Mavilio, F., Voit, T., Moullier, P., & Dickson, G.
Affiliations
  • Hôpital Armand-Trousseau (FR)
  • Genethon (France) (FR)
  • Oniris (FR)
  • Inserm (FR)
  • University of London (GB)
  • École Nationale Vétérinaire d'Alfort (FR)
  • Commissariat à l'Énergie Atomique et aux Énergies Alternatives (FR)
  • Sorbonne Paris Cité (FR)
  • University of Wolverhampton (GB)
  • Institut de Myologie (FR)
Corresponding author
Moullier, Philippe
Venue
Nature Communications
Published
2017-07-25
Volume
8
Issue
1
Pages
16105-16105
ISSN
2041-1723 (ISSN-L)
OpenAlex
W2736939674
Cited by
246
References
2
Citations by year
2026: 13 · 2025: 25 · 2024: 14 · 2023: 29 · 2022: 26 · 2021: 37 · 2020: 31 · 2019: 41 · 2018: 26 · 2017: 4
FWCI
18.52
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
  • HAL (submittedVersion, other-oa)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • UCL Discovery (University College London) (submittedVersion)
  • ORBi (University of Liège) (submittedVersion, other-oa)
Funders
  • Muscular Dystrophy UK
  • Agence Nationale de la Recherche (ANR-14-CE15-0015)
  • Institut National de la Santé et de la Recherche Médicale
  • Institut National de la Recherche Agronomique
  • Université de Nantes
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
  • Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
Keywords
Duchenne muscular dystrophy, microdystrophin, gene therapy, recombinant adeno-associated virus, canine model, golden retriever muscular dystrophy, dystrophin expression, long-term safety, large animal model
MeSH terms
Dependovirus, Animals, Disease Models, Animal, Dogs, Genetic Vectors, Male, Muscular Dystrophy, Animal, Genetic Therapy, Dystrophin, Gene Transfer Techniques, Muscle, Skeletal, Transgenes, Muscular Dystrophy, Duchenne, Administration, Intravenous

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