Liver-directed neonatal gene therapy prevents cardiac, bone, ear, and eye disease in mucopolysaccharidosis I mice

Yuli Liu, Lingfei Xu, Anne K. Hennig, Attila Kovacs, Annabel Fu, Sarah Chung, David Lee, Bin Wang, Ramin S. Herati, Judith Mosinger Ogilvie, Shi Rong Cai, Katherine Parker Ponder

Research output: Contribution to journalArticle

65 Scopus citations

Abstract

Mucopolysaccharidosis I (MPS I) due to deficient α-L-iduronidase (IDUA) activity results in accumulation of glycosaminoglycans in many cells. Gene therapy could program liver to secrete enzyme with mannose 6-phosphate (M6P), and enzyme in blood could be taken up by other cells via the M6P receptor. Newborn MPS I mice were injected with 109 (high dose) or 108 (low dose) transducing units/kg of a retroviral vector (RV) expressing canine IDUA. Most animals achieved stable expression of IDUA in serum at 1240 ± 147 and 110 ± 31 units/ml, respectively. At 8 months, untreated MPS I mice had aortic insufficiency, increased bone mineral density (BMD), and reduced responses to sound and light. In contrast, MPS I mice that received high-dose RV had normal echocardiograms, BMD, auditory-evoked brain-stem responses, and electroretinograms. This is the first report of complete correction of these clinical manifestations in any model of mucopolysaccharidosis. Biochemical and pathologic evaluation confirmed that storage was reduced in these organs. Mice that received low-dose RV and achieved 30 units/ml of serum IDUA activity had no or only partial improvement. We conclude that high-dose neonatal gene therapy with an RV reduces some major clinical manifestations of MPS I in mice, but low dose is less effective.

Original languageEnglish
Pages (from-to)35-47
Number of pages13
JournalMolecular Therapy
Volume11
Issue number1
DOIs
StatePublished - Jan 1 2005

Keywords

  • Gene therapy
  • Glycosaminoglycan
  • Liver
  • Lysosomal storage disease
  • Mannose 6-phosphate
  • Mucopolysaccharidosis
  • Neonatal
  • Retroviral vector

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    Liu, Y., Xu, L., Hennig, A. K., Kovacs, A., Fu, A., Chung, S., Lee, D., Wang, B., Herati, R. S., Mosinger Ogilvie, J., Cai, S. R., & Parker Ponder, K. (2005). Liver-directed neonatal gene therapy prevents cardiac, bone, ear, and eye disease in mucopolysaccharidosis I mice. Molecular Therapy, 11(1), 35-47. https://doi.org/10.1016/j.ymthe.2004.08.027