1. mRNA Therapy Improves Metabolic and Behavioral Abnormalities in a Murine Model of Citrin Deficiency
- Author
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Andrea Frassetto, Gilles Besin, Jordan Santana, Joshua R. Schultz, Kimberly Ann Coughlan, Timothy Salerno, Edward J. Miracco, Lin T. Guey, Cosmin Mihai, Jenny Zhuo, Marianne Eybye, Jingsong Cao, Paloma H. Giangrande, Shi Liang, Ding An, E. Sathyajith Kumarasinghe, Mikel Galduroz, Aki Funahashi, Takeyori Saheki, Tatsuhiko Furukawa, Eishi Kuroda, Staci Sabnis, Paolo Martini, Patrick Finn, Christine Lukacs, Kerry Benenato, and Becca Levy
- Subjects
medicine.medical_treatment ,Genetic enhancement ,Pharmacology ,Liver transplantation ,Mitochondrial Membrane Transport Proteins ,chemistry.chemical_compound ,Gene Knockout Techniques ,Mice ,0302 clinical medicine ,Drug Delivery Systems ,Loss of Function Mutation ,Drug Discovery ,Citrulline ,Mice, Knockout ,0303 health sciences ,Citrullinemia ,biology ,Behavior, Animal ,Immunogenicity ,Immunosuppression ,Hep G2 Cells ,Lipids ,Mitochondria ,Treatment Outcome ,030220 oncology & carcinogenesis ,Molecular Medicine ,Original Article ,Glucosephosphate Dehydrogenase ,Transfection ,03 medical and health sciences ,Open Reading Frames ,Protein replacement therapy ,Genetics ,medicine ,Animals ,Humans ,RNA, Messenger ,Molecular Biology ,030304 developmental biology ,business.industry ,Therapeutic effect ,Genetic Therapy ,Mice, Inbred C57BL ,Disease Models, Animal ,Citrin ,chemistry ,biology.protein ,Nanoparticles ,business ,HeLa Cells - Abstract
Citrin deficiency is an autosomal recessive disorder caused by loss-of-function mutations in SLC25A13, encoding the liver-specific mitochondrial aspartate/glutamate transporter. It has a broad spectrum of clinical phenotypes, including life-threatening neurological complications. Conventional protein replacement therapy is not an option for these patients because of drug delivery hurdles, and current gene therapy approaches (e.g., AAV) have been hampered by immunogenicity and genotoxicity. Although dietary approaches have shown some benefits in managing citrin deficiency, the only curative treatment option for these patients is liver transplantation, which is high-risk and associated with long-term complications because of chronic immunosuppression. To develop a new class of therapy for citrin deficiency, codon-optimized mRNA encoding human citrin (hCitrin) was encapsulated in lipid nanoparticles (LNPs). We demonstrate the efficacy of hCitrin-mRNA-LNP therapy in cultured human cells and in a murine model of citrin deficiency that resembles the human condition. Of note, intravenous (i.v.) administration of the hCitrin-mRNA resulted in a significant reduction in (1) hepatic citrulline and blood ammonia levels following oral sucrose challenge and (2) sucrose aversion, hallmarks of hCitrin deficiency. In conclusion, mRNA-LNP therapy could have a significant therapeutic effect on the treatment of citrin deficiency and other mitochondrial enzymopathies with limited treatment options.
- Published
- 2018