PMID- 21212183 OWN - NLM STAT- MEDLINE DCOM- 20110615 LR - 20220224 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 52 IP - 5 DP - 2011 Apr TI - Whirlin replacement restores the formation of the USH2 protein complex in whirlin knockout photoreceptors. PG - 2343-51 LID - 10.1167/iovs.10-6141 [doi] AB - PURPOSE: Whirlin is the causative gene for Usher syndrome type IID (USH2D), a condition manifested as both retinitis pigmentosa and congenital deafness. Mutations in this gene cause disruption of the USH2 protein complex composed of USH2A and VLGR1 at the periciliary membrane complex (PMC) in photoreceptors. In this study, the adeno-associated virus (AAV)-mediated whirlin replacement was evaluated as a treatment option. METHODS: Murine whirlin cDNA driven by the human rhodopsin kinase promoter (hRK) was packaged as an AAV2/5 vector and delivered into the whirlin knockout retina through subretinal injection. The efficiency, efficacy, and safety of this treatment were examined using immunofluorescent staining, confocal imaging, immunoelectron microscopy, Western blot analysis, histologic analysis, and electroretinogram. RESULTS: The AAV-mediated whirlin expression started at two weeks, reached its maximum level at 10 weeks, and lasted up to six months post injection. The transgenic whirlin product had a molecular size and an expression level comparable to the wild-type. It was distributed at the PMC in both rod and cone photoreceptors from the central to peripheral retina. Importantly, the transgenic whirlin restored the cellular localization and expression level of both USH2A and VLGR1 and did not cause defects in the retinal histology and function in the whirlin knockout mouse. CONCLUSIONS: Whirlin transgene recruits USH2A and VLGR1 to the PMC and is sufficient for the formation of the USH2 protein complex in photoreceptors. The combined hRK and AAV gene delivery system could be an effective gene therapy approach to treat retinal degeneration in USH2D patients. CI - Copyright 2011 The Association for Research in Vision and Ophthalmology, Inc. FAU - Zou, Junhuang AU - Zou J AD - Department of Ophthalmology and Visual Sciences, Moran Eye Center, University of Utah, Salt Lake City, Utah 84132, USA. FAU - Luo, Ling AU - Luo L FAU - Shen, Zuolian AU - Shen Z FAU - Chiodo, Vince A AU - Chiodo VA FAU - Ambati, Balamurali K AU - Ambati BK FAU - Hauswirth, William W AU - Hauswirth WW FAU - Yang, Jun AU - Yang J LA - eng GR - R01 EY020853/EY/NEI NIH HHS/United States GR - R01 EY08571/EY/NEI NIH HHS/United States GR - P30 EY008571/EY/NEI NIH HHS/United States GR - P30 EY014800-07/EY/NEI NIH HHS/United States GR - P30 EY021721/EY/NEI NIH HHS/United States GR - P30 EY014800/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20110412 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Extracellular Matrix Proteins) RN - 0 (Mass1 protein, mouse) RN - 0 (Membrane Proteins) RN - 0 (Receptors, G-Protein-Coupled) RN - 0 (Ush2a protein, mouse) RN - 0 (Whrn protein, mouse) RN - EC 2.7.11.14 (G-Protein-Coupled Receptor Kinase 1) SB - IM MH - Animals MH - Animals, Newborn MH - Blotting, Western MH - Dependovirus/genetics MH - Electroretinography MH - Extracellular Matrix Proteins/*genetics/metabolism MH - Fluorescent Antibody Technique, Indirect MH - G-Protein-Coupled Receptor Kinase 1/genetics MH - Gene Deletion MH - Gene Expression Regulation/*physiology MH - *Genetic Vectors MH - Membrane Proteins/*genetics/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Microscopy, Confocal MH - Microscopy, Immunoelectron MH - Photoreceptor Cells, Vertebrate/*metabolism MH - Plasmids MH - Polymerase Chain Reaction MH - Promoter Regions, Genetic MH - Receptors, G-Protein-Coupled/genetics/metabolism MH - Transgenes MH - Usher Syndromes/genetics PMC - PMC3081228 EDAT- 2011/01/08 06:00 MHDA- 2011/06/16 06:00 PMCR- 2011/10/01 CRDT- 2011/01/08 06:00 PHST- 2011/01/08 06:00 [entrez] PHST- 2011/01/08 06:00 [pubmed] PHST- 2011/06/16 06:00 [medline] PHST- 2011/10/01 00:00 [pmc-release] AID - iovs.10-6141 [pii] AID - 10-6141 [pii] AID - 10.1167/iovs.10-6141 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2011 Apr 12;52(5):2343-51. doi: 10.1167/iovs.10-6141. Print 2011 Apr.