1. Sustained AAV-mediated dystrophin expression in a canine model of Duchenne muscular dystrophy with a brief course of immunosuppression.
- Author
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Wang Z, Kuhr CS, Allen JM, Blankinship M, Gregorevic P, Chamberlain JS, Tapscott SJ, and Storb R
- Subjects
- Animals, Antilymphocyte Serum pharmacology, Antilymphocyte Serum therapeutic use, Cyclosporine pharmacology, Cyclosporine therapeutic use, Dogs, Drug Therapy, Combination, Dystrophin metabolism, Flow Cytometry, Gene Expression drug effects, Genetic Therapy methods, Genetic Vectors genetics, Immunosuppressive Agents pharmacology, Immunosuppressive Agents therapeutic use, Muscle, Skeletal drug effects, Muscle, Skeletal metabolism, Muscle, Skeletal pathology, Muscular Dystrophy, Animal genetics, Muscular Dystrophy, Animal immunology, Muscular Dystrophy, Animal therapy, Muscular Dystrophy, Duchenne genetics, Muscular Dystrophy, Duchenne immunology, Mycophenolic Acid analogs & derivatives, Mycophenolic Acid pharmacology, Mycophenolic Acid therapeutic use, Dependovirus genetics, Dystrophin genetics, Immunosuppression Therapy methods, Muscular Dystrophy, Duchenne therapy
- Abstract
Adeno-associated virus-based vector (AAV)-mediated gene delivery has been successful in some animal models of human disease such as the mdx mouse model of human Duchenne muscular dystrophy (DMD). However, recent evidence of immune-mediated loss of vector persistence in dogs and humans suggests that immune modulation might be necessary to achieve successful long-term transgene expression in these species. We have previously demonstrated that direct intramuscular injection of AAV2 or AAV6 in wild-type random-bred dogs resulted in a robust immune response to capsid or capsid-associated proteins. We now demonstrate that a brief course of immunosuppression with a combination of anti-thymocyte globulin (ATG), cyclosporine (CSP), and mycophenolate mofetil (MMF) is sufficient to permit long-term and robust expression of a canine micro-dystrophin (c-micro-dys) transgene in the skeletal muscle of a dog model for DMD (canine X-linked muscular dystrophy, or cxmd dog) and that its expression restored localization of components of the dystrophin-associated protein complex at the muscle membrane. This protocol has potential applications to human clinical trials to enhance AAV-mediated therapies.
- Published
- 2007
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