Gene therapy for CNS degeneration
A kind of therapy, transgenic technology, applied in the field of gene therapy of CNS degeneration, can solve few problems such as gene therapy of central nervous system degeneration
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example 1
[0379] Evaluation of Parkin transgenic variants
[0380] A series of plasmid vectors was generated to evaluate the expression of Parkin transgenic variants. expression cassette ( figure 1 ) contains in 5' to 3' order the CMV immediate early (IE) enhancer / promoter and 5'UTR, Parkin transgene 2A linked to enhanced green fluorescent protein (eGFP), 3'UTR and rabbit globin polyadenylation Acidifying sequence (polyA). The wild-type sequence (WT) or one of four codon-optimized variants (CO1 to CO4) of human PRKN were tested against the Parkin transgene. The sequences of wild-type and codon-optimized Parkin transgenes are provided in SEQ ID NO:27, 35, 36, 37 and 38.
[0381] One consideration in the design of codon-optimized CO1 to CO4 is the number of CpG sites. A CpG island is a region of DNA in which cytosine nucleotides are followed by guanine nucleotides in a linear sequence of bases along its 5'→3' direction. CpG islands (which are generally defined as polynucleotide sequ...
example 2
[0389] Selection of CO4 Parkin Transgene Expression Cassette
[0390] To assess other regulatory elements, various AAV expression cassettes were constructed as transfer plasmids for use in the helper-free AAV packaging system. AAV expression cassette ( Figure 7 ) contains in 5' to 3' order the 5'ITR of AAV2, the CMV enhancer (Enh) or no enhancer, a promoter selected from Table 5, a 5' untranslated region (UTR) selected from Table 6, a Parkin transgene Variant CO4 (SEQ ID NO:38), 3' untranslated region selected from Table 7, polyadenylation sequence (polyA) selected from Table 8, and 3'ITR of AAV2. A diagram of the box and various components is provided at Figure 8 middle. For detection of transgene expression in in vitro assays, the polynucleotide sequence (SEQ ID NO:80) encoding the N-terminal FLAG / HA-tag (SEQ ID NO:81) is in each of the sequences listed in Table 10 Inserted after the start codon on the Parkin transgene.
[0391] SH-SY5Y cells were cultured on 24-well ...
example 3
[0400] In vivo and clinical testing of Parkin AAV gene therapy
[0401] AAV vectors were generated by packaging the AAV vector genomes from constructs 1 to 20 in Example 2, specifically constructs 1, 7, 11 and 15 from Table 11. Testing is performed in rats, and one or more constructs are selected for testing in non-human primates (NHPs). Dose finding studies are performed and the starting dose for clinical trials is determined by measuring protein expression and observed toxicity.
[0402] The clinical trial was conducted in subjects identified as having a recessive mutation in the PRKN gene (also known as PRK2). Protein expression and observed toxicity were used to determine optimal doses. Efficacy was assessed using a modification of the Unified Parkinson's Disease Rating Scale (UPDRS).
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