Hepatorenal Correction in Murine Glycogen Storage Disease Type I With a Double-stranded Adeno-associated Virus Vector

Glycogen storage disease type Ia (GSD-Ia) is caused by the deficiency of glucose-6-phosphatase (G6Pase). Long-term complications of GSD-Ia include life-threatening hypoglycemia and proteinuria progressing to renal failure. A double-stranded (ds) adeno-associated virus serotype 2 (AAV2) vector encodi...

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Veröffentlicht in:Molecular therapy 2011-11, Vol.19 (11), p.1961-1970
Hauptverfasser: Luo, Xiaoyan, Hall, Gentzon, Li, Songtao, Bird, Andrew, Lavin, Peter J, Winn, Michelle P, Kemper, Alex R, Brown, Talmage T, Koeberl, Dwight D
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container_end_page 1970
container_issue 11
container_start_page 1961
container_title Molecular therapy
container_volume 19
creator Luo, Xiaoyan
Hall, Gentzon
Li, Songtao
Bird, Andrew
Lavin, Peter J
Winn, Michelle P
Kemper, Alex R
Brown, Talmage T
Koeberl, Dwight D
description Glycogen storage disease type Ia (GSD-Ia) is caused by the deficiency of glucose-6-phosphatase (G6Pase). Long-term complications of GSD-Ia include life-threatening hypoglycemia and proteinuria progressing to renal failure. A double-stranded (ds) adeno-associated virus serotype 2 (AAV2) vector encoding human G6Pase was pseudotyped with four serotypes, AAV2, AAV7, AAV8, and AAV9, and we evaluated efficacy in 12-day-old G6pase (−/−) mice. Hypoglycemia during fasting (plasma glucose 6 months by the dsAAV2/7, dsAAV2/8, and dsAAV2/9 vectors. Prolonged fasting for 8 hours revealed normalization of blood glucose following dsAAV2/9 vector administration at the higher dose. The glycogen content of kidney was reduced by >65% with both the dsAAV2/7 and dsAAV2/9 vectors, and renal glycogen content was stably reduced between 7 and 12 months of age for the dsAAV2/9 vector-treated mice. Every vector-treated group had significantly reduced glycogen content in the liver, in comparison with untreated G6pase (−/−) mice. G6Pase was expressed in many renal epithelial cells of with the dsAAV2/9 vector for up to 12 months. Albuminuria and renal fibrosis were reduced by the dsAAV2/9 vector. Hepatorenal correction in G6pase (−/−) mice demonstrates the potential of AAV vectors for the correction of inherited diseases of metabolism.
doi_str_mv 10.1038/mt.2011.126
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subjects Adeno-associated virus
Age
Animals
Cholesterol
Dependovirus - genetics
Disease Models, Animal
Drug dosages
Female
Gene Expression Regulation
Gene therapy
Genetic Therapy
Genetic Vectors - administration & dosage
Genetic Vectors - genetics
Genetics
Glucose
Glucose-6-Phosphatase - genetics
Glycogen Storage Disease Type I - genetics
Glycogen Storage Disease Type I - mortality
Glycogen Storage Disease Type I - therapy
Humans
Hypoglycemia
Hypoglycemia - genetics
Hypoglycemia - therapy
Kaplan-Meier Estimate
Kidney - metabolism
Kidney diseases
Liver - metabolism
Liver cancer
Male
Metabolism
Mice
Mice, Knockout
Original
Pediatrics
Phosphatase
Plasma
Survival analysis
Tumors
Vectors (Biology)
title Hepatorenal Correction in Murine Glycogen Storage Disease Type I With a Double-stranded Adeno-associated Virus Vector
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