PMID- 17426713 OWN - NLM STAT- MEDLINE DCOM- 20070925 LR - 20220309 IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 15 IP - 6 DP - 2007 Jun TI - Sustained AAV-mediated dystrophin expression in a canine model of Duchenne muscular dystrophy with a brief course of immunosuppression. PG - 1160-6 AB - 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. FAU - Wang, Zejing AU - Wang Z AD - Program in Transplantation Biology, Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA. FAU - Kuhr, Christian S AU - Kuhr CS FAU - Allen, James M AU - Allen JM FAU - Blankinship, Michael AU - Blankinship M FAU - Gregorevic, Paul AU - Gregorevic P FAU - Chamberlain, Jeffrey S AU - Chamberlain JS FAU - Tapscott, Stephen J AU - Tapscott SJ FAU - Storb, Rainer AU - Storb R LA - eng GR - CA15704/CA/NCI NIH HHS/United States GR - U54-HD47175/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20070410 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Antilymphocyte Serum) RN - 0 (Dystrophin) RN - 0 (Immunosuppressive Agents) RN - 83HN0GTJ6D (Cyclosporine) RN - HU9DX48N0T (Mycophenolic Acid) SB - IM CIN - Mol Ther. 2007 Jun;15(6):1040-1. PMID: 17510638 MH - Animals MH - Antilymphocyte Serum/pharmacology/therapeutic use MH - Cyclosporine/pharmacology/therapeutic use MH - Dependovirus/*genetics MH - Dogs MH - Drug Therapy, Combination MH - Dystrophin/*genetics/metabolism MH - Flow Cytometry MH - Gene Expression/drug effects MH - Genetic Therapy/methods MH - Genetic Vectors/genetics MH - Immunosuppression Therapy/*methods MH - Immunosuppressive Agents/pharmacology/therapeutic use MH - Muscle, Skeletal/drug effects/metabolism/pathology MH - Muscular Dystrophy, Animal/genetics/immunology/therapy MH - Muscular Dystrophy, Duchenne/genetics/immunology/*therapy MH - Mycophenolic Acid/analogs & derivatives/pharmacology/therapeutic use EDAT- 2007/04/12 09:00 MHDA- 2007/09/26 09:00 CRDT- 2007/04/12 09:00 PHST- 2007/04/12 09:00 [pubmed] PHST- 2007/09/26 09:00 [medline] PHST- 2007/04/12 09:00 [entrez] AID - S1525-0016(16)31675-6 [pii] AID - 10.1038/sj.mt.6300161 [doi] PST - ppublish SO - Mol Ther. 2007 Jun;15(6):1160-6. doi: 10.1038/sj.mt.6300161. Epub 2007 Apr 10.