rAAV.PHP.B Vector Transducing Cochlear Cells for Hearing Loss
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Solution Overview
Problem
Current gene therapy approaches for treating hereditary hearing loss, such as Usher syndrome, face challenges in effectively targeting and transducing cochlear cells across species, including humans, due to limited vector efficacy and postnatal hair cell degeneration, which complicates clinical translation.
Innovation Solution
Development of a recombinant adeno-associated virus (rAAV) vector, rAAV.PHP.B, capable of delivering transgenes to all cochlear cells, including inner and outer hair cells, and fibrocytes across multiple species, using a capsid protein with enhanced tropism for the ear and eye, along with specific promoters to express clarin-1 or GJB2 proteins.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If conventional AAV vectors are used for gene therapy, then some cochlear cells can be transduced, but not all cochlear cells are effectively targeted
Solution Approach 1:
The patent modifies the capsid protein parameters of AAV vectors to create variants with enhanced cochlear tropism. By changing physical-chemical properties of the viral capsid, the vector achieves universal transduction of all cochlear cell types including hair cells, supporting cells, and neurons, resolving the limitation of partial cell targeting
2Reliability
If gene therapy is performed in neonatal mice, then hearing rescue is achieved, but translational potential to humans is unknown
Solution Approach 1:
The patent develops AAV vectors with universal cochlear transduction capability that functions across multiple species including mice, non-human primates, and potentially humans. The modified capsid provides species-independent tropism for cochlear cells, enabling the same vector to achieve hearing rescue in diverse mammalian models
3Loss of time
If postnatal gene therapy is performed, then treatment can be applied later in development, but hair cell targets may have already degenerated
Solution Approach 1:
The patent enables gene delivery to cochlear cells at postnatal stages by using AAV vectors with enhanced tropism that can effectively transduce hair cells and supporting cells even after birth. This preliminary establishment of functional gene expression before complete hair cell degeneration occurs allows for effective treatment timing
Data Source
AI summary
Aspects of the disclosure relate to compositions and methods useful for treating hereditary hearing loss, for example, Usher syndrome type 3A or nonsyndromic hearing loss and deafness (DFNB1). In some embodiments, the disclosure provides isolated nucleic acids, vectors, and rAAV.9.PHP.B comprising a transgene encoding a Clarin-1 or a GJB2, and methods of treating hearing loss using the same.


