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Pietersz KL, Pouw S, Klima J, Ellederova Z, Bohuslavova B, Chrastina J, Liscak R, Urgosik D, Starek Z, Crha M, Lewis O, Wooley M, Johnson D, Brouwers CC, Evers M, Motlik J, Martens GJM, Konstantinova PS, Blits B. Transduction profiles in minipig following MRI guided delivery of AAV-5 into thalamic and corona radiata areas. J Neurosci Methods 2022; 365:109382. [PMID: 34637809 DOI: 10.1016/j.jneumeth.2021.109382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 10/03/2021] [Accepted: 10/05/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND As a step towards clinical use of AAV-mediated gene therapy, brains of large animals are used to settle delivery parameters as most brain connections, and relative sizes in large animals and primates, are reasonably common. Prior to application in the clinic, approaches that have shown to be successful in rodent models are tested in larger animal species, such as dogs, non-human primates, and in this case, minipigs. NEW METHOD We evaluated alternate delivery routes to target the basal ganglia by injections into the more superficial corona radiata, and, deeper into the brain, the thalamus. Anatomically known connections can be used to predict the expression of the transgene following infusion of AAV5. For optimal control over delivery of the vector with regards to anatomical location in the brain and spread in the tissue, we have used magnetic resonance image-guided convection-enhanced diffusion delivery. RESULTS While the transduction of the cortex was observed, only partial transduction of the basal ganglia was achieved via the corona radiata. Thalamic administration, on the other hand, resulted in widespread transduction from the midbrain to the frontal cortex COMPARISON WITH EXISTING METHODS: Compared to other methods, such as delivery directly to the striatum, thalamic injection may provide an alternative when for instance, injection into the basal ganglia directly is not feasible. CONCLUSIONS The study results suggest that thalamic administration of AAV5 has significant potential for indications where the transduction of specific areas of the brain is required.
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Affiliation(s)
- K L Pietersz
- Department of Research & Development, uniQure Biopharma B.V., Amsterdam, The Netherlands; Department of Molecular Animal Physiology, Donders Institute for Brain, Cognition and Behaviour, Centre for Neuroscience, Faculty of Science, Radboud University, Nijmegen, The Netherlands
| | - S Pouw
- Department of Research & Development, uniQure Biopharma B.V., Amsterdam, The Netherlands
| | - J Klima
- Institute of Animal Physiology and Genetics, Libechov, Czech Republic
| | - Z Ellederova
- Institute of Animal Physiology and Genetics, Libechov, Czech Republic
| | - B Bohuslavova
- Institute of Animal Physiology and Genetics, Libechov, Czech Republic
| | - J Chrastina
- Department of Neurosurgery, St. Anne's University Hospital, Brno, Czech Republic
| | - R Liscak
- Department of Stereotactic Radioneurosurgery, Na Homolce Hospital, Prague, Czech Republic
| | - D Urgosik
- Department of Stereotactic Radioneurosurgery, Na Homolce Hospital, Prague, Czech Republic
| | - Z Starek
- Interventional Cardiac Electrophysiology, St.' Anne's University Hospital, Brno, Czech Republic
| | - M Crha
- Small Animal Clinic, Veterinary and Pharmaceutical University, Brno, Czech Republic
| | - O Lewis
- Renishaw Neuro Solutions (RNS) ltd, Renishaw plc, Gloucestershire, UK
| | - M Wooley
- Renishaw Neuro Solutions (RNS) ltd, Renishaw plc, Gloucestershire, UK
| | - D Johnson
- Renishaw Neuro Solutions (RNS) ltd, Renishaw plc, Gloucestershire, UK
| | - C C Brouwers
- Department of Research & Development, uniQure Biopharma B.V., Amsterdam, The Netherlands
| | - M Evers
- Department of Research & Development, uniQure Biopharma B.V., Amsterdam, The Netherlands
| | - J Motlik
- Institute of Animal Physiology and Genetics, Libechov, Czech Republic
| | - G J M Martens
- Department of Molecular Animal Physiology, Donders Institute for Brain, Cognition and Behaviour, Centre for Neuroscience, Faculty of Science, Radboud University, Nijmegen, The Netherlands
| | - P S Konstantinova
- Department of Research & Development, uniQure Biopharma B.V., Amsterdam, The Netherlands
| | - B Blits
- Department of Research & Development, uniQure Biopharma B.V., Amsterdam, The Netherlands.
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Pietersz KL, Martier RM, Baatje MS, Liefhebber JM, Brouwers CC, Pouw SM, Fokkert L, Lubelski J, Petry H, Martens GJM, van Deventer SJ, Konstantinova P, Blits B. Transduction patterns in the CNS following various routes of AAV-5-mediated gene delivery. Gene Ther 2020; 28:435-446. [PMID: 32801344 DOI: 10.1038/s41434-020-0178-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Revised: 05/12/2020] [Accepted: 07/08/2020] [Indexed: 02/06/2023]
Abstract
Various administration routes of adeno-associated virus (AAV)-based gene therapy have been examined to target the central nervous system to answer the question what the most optimal delivery route is for treatment of the brain with certain indications. In this study, we evaluated AAV5 vector system for its capability to target the central nervous system via intrastriatal, intrathalamic or intracerebroventricular delivery routes in rats. AAV5 is an ideal candidate for gene therapy because of its relatively low level of existing neutralizing antibodies compared to other serotypes, and its broad tissue and cell tropism. Intrastriatal administration of AAV5-GFP resulted in centralized localized vector distribution and expression in the frontal part of the brain. Intrathalamic injection showed transduction and gradient expression from the rostral brain into lumbar spinal cord, while intracerebroventricular administration led to a more evenly, albeit relatively superficially distributed, transduction and expression throughout the central nervous system. To visualize the differences between localized and intra-cerebral spinal fluid administration routes, we compared intrastriatal to intracerebroventricular and intrathecal administration of AAV5-GFP. Together, our results demonstrate that for efficient transgene expression, various administration routes can be applied.
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