AAV gene transfer delays disease onset in a TPP1-deficient canine model of the late infantile form of Batten disease.

Abstract

The most common form of the childhood neurodegenerative disease late infantile neuronal ceroid lipofuscinosis (also called Batten disease) is caused by deficiency of the soluble lysosomal enzyme tripeptidyl peptidase 1 (TPP1) resulting from mutations in the TPP1 gene. We tested whether TPP1 gene transfer to the ependyma, the epithelial lining of the brain ventricular system, in TPP1-deficient dogs would be therapeutically beneficial. A one-time administration of recombinant adeno-associated virus (rAAV) expressing canine TPP1 (rAAV.caTPP1) resulted in high expression of TPP1 predominantly in ependymal cells and secretion of the enzyme into the cerebrospinal fluid leading to clinical benefit. Diseased dogs treated with rAAV.caTPP1 showed delays in onset of clinical signs and disease progression, protection from cognitive decline, and extension of life span. By immunostaining and enzyme assay, recombinant protein was evident throughout the brain and spinal cord, with correction of the neuropathology characteristic of the disease. This study in a naturally occurring canine model of TPP1 deficiency highlights the utility of AAV transduction of ventricular lining cells to accomplish stable secretion of recombinant protein for broad distribution in the central nervous system and therapeutic benefit.

• Authors: Martin L Katz, Luis Tecedor, Yonghong Chen, Baye G Williamson, Elena Lysenko, Fred A Wininger, Whitney M Young, Gayle C Johnson, Rebecca E H Whiting, Joan R Coates, Beverly L Davidson
• Journal: Science translational medicine (Sci Transl Med) Vol. 7 Issue 313 Pg. 313ra180 (Nov 11 2015) ISSN: 1946-6242 [Electronic] United States
• PMID: 26560358 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2015, American Association for the Advancement of Science.

Chemical References

• Tripeptidyl-Peptidase 1
• Serine Proteases
• Aminopeptidases
• Dipeptidyl-Peptidases and Tripeptidyl-Peptidases

Topics

• Aminopeptidases (cerebrospinal fluid, deficiency, genetics)
• Animals
• Cerebral Ventricles (metabolism)
• Dependovirus (genetics)
• Dipeptidyl-Peptidases and Tripeptidyl-Peptidases (cerebrospinal fluid, deficiency, genetics)
• Disease Models, Animal
• Dogs
• Enzyme Replacement Therapy
• Genetic Vectors (administration & dosage)
• Neuronal Ceroid-Lipofuscinoses (genetics, therapy)
• Serine Proteases (cerebrospinal fluid, deficiency, genetics)
• Transduction, Genetic
• Tripeptidyl-Peptidase 1