Development of an AAV-CRISPR-Cas9-based treatment for dominant cone-rod dystrophy 6
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ABSTRACT: Cone-rod dystrophy 6 (CORD6) is caused by gain-of-function mutations in the GUCY2D gene, which encodes retinal guanylate cyclase-1 (RetGC1). There are currently no treatments available for this autosomal dominant disease, which is characterized by severe, early-onset visual impairment. The purpose of our study was to develop an adeno-associated virus (AAV)-CRISPR-Cas9-based approach referred to as “ablate and replace” and evaluate its therapeutic potential in mouse models of CORD6. This two-vector system delivers (1) CRISPR-Cas9 targeted to the early coding sequence of the wild-type and mutant GUCY2D alleles and (2) a CRISPR-Cas9-resistant cDNA copy of GUCY2D (“hardened” GUCY2D). Together, these vectors knock out (“ablate”) expression of endogenous RetGC1 in photoreceptors and supplement (“replace”) a healthy copy of exogenous GUCY2D. First, we confirmed that ablation of mutant R838S GUCY2D was therapeutic in a transgenic mouse model of CORD6. Next, we established a proof of concept for “ablate and replace” and optimized vector doses in Gucy2e+/−:Gucy2f−/− and Gucy2f−/− mice, respectively. Finally, we confirmed that the “ablate and replace” approach stably preserved retinal structure and function in a novel knockin mouse model of CORD6, the RetGC1 (hR838S, hWT) mouse. Taken together, our results support further development of the “ablate and replace” approach for treatment of CORD6. Graphical abstract Boye and colleagues developed an AAV-CRISPR-Cas9-based approach for dominant cone-rod dystrophy 6 (CORD6) where they “ablate” expression of wild-type and mutant GUCY2D alleles and “replace” them with a CRISPR-Cas9-resistant cDNA copy of GUCY2D. Positive results in multiple mouse models support further development of this approach for treatment of CORD6.
SUBMITTER: Mellen R
PROVIDER: S-EPMC10285452 | biostudies-literature | 2023 Jun
REPOSITORIES: biostudies-literature
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