2015
DOI: 10.1089/hgtb.2015.086
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Progress with Recombinant Adeno-Associated Virus Vectors for Gene Therapy of Alpha-1 Antitrypsin Deficiency

Abstract: The pathway to a clinical gene therapy product often involves many changes of course and strategy before obtaining successful results. Here we outline the methodologies, both clinical and preclinical, that went into developing a gene therapy approach to the treatment of alpha-1 antitrypsin deficiency lung disease using muscle-targeted recombinant adeno-associated virus. From initial gene construct development in mouse models through multiple rounds of safety and biodistribution studies in rodents, rabbits, and… Show more

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Cited by 13 publications
(3 citation statements)
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“…They determined the long-term (up to 49 weeks) expression of LacZ in mice, with better outcomes being recorded when employing the CMV promoter. Despite the different gene therapy studies carried out in primates, most of them [ 136 , 137 ] have employed viral vectors to transfer genes to skeletal muscle and liver. However, the ethical implications, the lack of clinical response (possibly limited by viral particle size) and the difficulty of working with this animal model have limited its use and researchers have focused especially on pigs.…”
Section: Translation Of the Hydrodynamic Method: From Mouse To Larmentioning
confidence: 99%
“…They determined the long-term (up to 49 weeks) expression of LacZ in mice, with better outcomes being recorded when employing the CMV promoter. Despite the different gene therapy studies carried out in primates, most of them [ 136 , 137 ] have employed viral vectors to transfer genes to skeletal muscle and liver. However, the ethical implications, the lack of clinical response (possibly limited by viral particle size) and the difficulty of working with this animal model have limited its use and researchers have focused especially on pigs.…”
Section: Translation Of the Hydrodynamic Method: From Mouse To Larmentioning
confidence: 99%
“…13,24 Thus, Rec2 vector provides an alternative route for systemic gene therapy of genetic diseases currently targeting liver such as hemophilia B, α-1 antitrypsin deficiency, ornithine transcarbamylase deficiency, phenylketonuria, and lysosomal storage disorders. [25][26][27][28][29][30][31][32] Hepatic-restricted expression can be achieved by using liver-specific promoters, e.g., a minimal promoter region of α-1antitrypsin coupled with the enhancer element of the ApoE gene. 33…”
Section: Discussionmentioning
confidence: 99%
“…Researchers have investigated several methods to reduce liver damage caused by the misfolding and aggregation of α1ATZ. These methods include gene therapy with artificial microRNA to suppress transcription of α1ATZ [ 7 , 8 ], induction of autophagy to remove aggregated proteins [ 9 , 10 ] and use of small molecules to block the polymerization of the mutant protein [ 11 , 12 ]. Another interesting strategy to reduce liver toxicity is to reduce the synthesis of α1ATZ by inhibiting its translation, though there has been little focus on utilizing this approach.…”
Section: Introductionmentioning
confidence: 99%