Systemic delivery of genes to striated muscles using adeno-associated viral vectors
Open accessAbstract
A major obstacle limiting gene therapy for diseases of the heart and skeletal muscles is an inability to deliver genes systemically to muscles of an adult organism. Systemic gene transfer to striated muscles is hampered by the vascular endothelium, which represents a barrier to distribution of vectors via the circulation. Here we show the first evidence of widespread transduction of both cardiac and skeletal muscles in an adult mammal, after a single intravenous administration of recombinant adeno-associated virus pseudotype 6 vectors. The inclusion of vascular endothelium growth factor/vascular permeability factor, to achieve acute permeabilization of the peripheral microvasculature, enhanced tissue transduction at lower vector doses. This technique enabled widespread muscle-specific expression of a functional micro-dystrophin in the skeletal muscles of dystrophin-deficient mdx mice, which model Duchenne muscular dystrophy. We propose that these methods may be applicable for systemic delivery of a wide variety of genes to the striated muscles of adult mammals.
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Early research conducted in murine and canine models of DMD paved the way for clinical investigation.
“Early research conducted in murine and canine models of DMD [119-121] paved the way for clinical investigation.”
From Circumventing the packaging limit of AAV-mediated gene replacement therapy for neurological disorders (2022) · cites this paper as [120]
The Results describe gene-delivery experiments in mdx mice, a murine model of DMD, and the Discussion identifies potential clinical applications. Our copy does not describe research in a canine DMD model or establish that this work paved the way for clinical investigation; its mention of canine subjects concerns other AAV research. (LLM, conf=0.87)
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- Authors
- Gregorevic, P., Blankinship, M. J., Allen, J. M., Crawford, R. W., Meuse, L., Miller, D. G., Russell, D. W., & Chamberlain, J. S.
- Affiliations
- University of Washington (US)
- Corresponding author
- Chamberlain, Jeffrey S
- Venue
- Nature Medicine
- Published
- 2004-07-25
- Volume
- 10
- Issue
- 8
- Pages
- 828-834
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC1365046
- OpenAlex
- W1966493859
- Cited by
- 620
- References
- 1
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 8 · 2023: 15 · 2022: 18 · 2021: 20 · 2020: 15 · 2019: 22 · 2018: 20 · 2017: 22 · 2016: 25 · 2015: 36 · 2014: 26 · 2013: 21 · 2012: 36
- FWCI
- 23.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (P01AG015434)
- National Institute of Diabetes and Digestive and Kidney Diseases (K08DK062100, R01DK055759)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
- Keywords
- adeno-associated virus vectors, systemic gene delivery, striated muscle, vascular endothelium, vascular endothelial growth factor, myocardium, skeletal muscle, dystrophin, Duchenne muscular dystrophy, mdx mice, intravenous administration, vector dose
- MeSH terms
- Animals, Capillary Permeability, Chromatography, Affinity, Disease Models, Animal, Endothelium, Genetic Vectors, Injections, Intravenous, Mice, Inbred C57BL, Microscopy, Fluorescence, Muscle Contraction, Genetic Therapy, Dystrophin, DNA Primers, Parvovirus, Muscle, Skeletal, Muscular Dystrophy, Duchenne, Vascular Endothelial Growth Factor A, Mice
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