Gene therapy in a humanized mouse model of familial hypercholesterolemia leads to marked regression of atherosclerosis

Familial hypercholesterolemia (FH) is an autosomal codominant disorder caused by mutations in the low-density lipoprotein receptor (LDLR) gene. Homozygous FH patients (hoFH) have severe hypercholesterolemia leading to life threatening atherosclerosis in childhood and adolescence. Mice with germ line...

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Veröffentlicht in:PloS one 2010-10, Vol.5 (10), p.e13424-e13424
Hauptverfasser: Kassim, Sadik H, Li, Hui, Vandenberghe, Luk H, Hinderer, Christian, Bell, Peter, Marchadier, Dawn, Wilson, Aisha, Cromley, Debra, Redon, Valeska, Yu, Hongwei, Wilson, James M, Rader, Daniel J
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container_start_page e13424
container_title PloS one
container_volume 5
creator Kassim, Sadik H
Li, Hui
Vandenberghe, Luk H
Hinderer, Christian
Bell, Peter
Marchadier, Dawn
Wilson, Aisha
Cromley, Debra
Redon, Valeska
Yu, Hongwei
Wilson, James M
Rader, Daniel J
description Familial hypercholesterolemia (FH) is an autosomal codominant disorder caused by mutations in the low-density lipoprotein receptor (LDLR) gene. Homozygous FH patients (hoFH) have severe hypercholesterolemia leading to life threatening atherosclerosis in childhood and adolescence. Mice with germ line interruptions in the Ldlr and Apobec1 genes (Ldlr(-/-)Apobec1(-/-)) simulate metabolic and clinical aspects of hoFH, including atherogenesis on a chow diet. In this study, vectors based on adeno-associated virus 8 (AAV8) were used to deliver the gene for mouse Ldlr (mLDLR) to the livers of Ldlr(-/-)Apobec1(-/-) mice. A single intravenous injection of AAV8.mLDLR was found to significantly reduce plasma cholesterol and non-HDL cholesterol levels in chow-fed animals at doses as low as 3×10(9) genome copies/mouse. Whereas Ldlr(-/-)Apobec1(-/-) mice fed a western-type diet and injected with a control AAV8.null vector experienced a further 65% progression in atherosclerosis over 2 months compared with baseline mice, Ldlr(-/-)Apobec1(-/-) mice treated with AAV8.mLDLR realized an 87% regression of atherosclerotic lesions after 3 months compared to baseline mice. Immunohistochemical analyses revealed a substantial remodeling of atherosclerotic lesions. Collectively, the results presented herein suggest that AAV8-based gene therapy for FH may be feasible and support further development of this approach. The pre-clinical data from these studies will enable for the effective translation of gene therapy into the clinic for treatment of FH.
doi_str_mv 10.1371/journal.pone.0013424
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1932-6203
language eng
recordid cdi_plos_journals_1292194354
source Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adeno-associated virus
Adolescence
Adolescents
Analysis
Animals
Antigens
Arteriosclerosis
Atherogenesis
Atherosclerosis
Atherosclerosis - therapy
Base Sequence
Blood cholesterol
Cardiovascular Disorders
Children
Cholesterol
Clinical aspects
Computer simulation
Disease Models, Animal
DNA Primers
Epidemiology
Gastroenterology and Hepatology/Hepatology
Gene therapy
Genes
Genetic aspects
Genetic Therapy
Genetics and Genomics/Gene Therapy
Genetics and Genomics/Genetics of Disease
Genomes
Hemophilia
High density lipoprotein
House mouse
Humans
Hypercholesterolemia
Hyperlipoproteinemia Type II - therapy
Immunohistochemistry
Intravenous administration
Laboratories
Lesions
Low density lipoprotein receptors
Low density lipoproteins
Lymphocytes
Male
Medicine
Metabolism
Mice
Mice, Inbred C57BL
Mutation
Pathology
Receptor density
Receptors, LDL - genetics
Regression analysis
Translation (Genetics)
Vectors (Biology)
Viruses
title Gene therapy in a humanized mouse model of familial hypercholesterolemia leads to marked regression of atherosclerosis
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