PMID- 23765441 OWN - NLM STAT- MEDLINE DCOM- 20140429 LR - 20211021 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 21 IP - 10 DP - 2013 Oct TI - Toward RNAi therapy for the polyglutamine disease Machado-Joseph disease. PG - 1898-908 LID - 10.1038/mt.2013.144 [doi] AB - Machado-Joseph disease (MJD) is a dominantly inherited ataxia caused by a polyglutamine-coding expansion in the ATXN3 gene. Suppressing expression of the toxic gene product represents a promising approach to therapy for MJD and other polyglutamine diseases. We performed an extended therapeutic trial of RNA interference (RNAi) targeting ATXN3 in a mouse model expressing the full human disease gene and recapitulating key disease features. Adeno-associated virus (AAV) encoding a microRNA (miRNA)-like molecule, miRATXN3, was delivered bilaterally into the cerebellum of 6- to 8-week-old MJD mice, which were then followed up to end-stage disease to assess the safety and efficacy of anti-ATXN3 RNAi. Despite effective, lifelong suppression of ATXN3 in the cerebellum and the apparent safety of miRATXN3, motor impairment was not ameliorated in treated MJD mice and survival was not prolonged. These results with an otherwise effective RNAi agent suggest that targeting a large extent of the cerebellum alone may not be sufficient for effective human therapy. Artificial miRNAs or other nucleotide-based suppression strategies targeting ATXN3 more widely in the brain should be considered in future preclinical tests. FAU - Costa, Maria do Carmo AU - Costa Mdo C AD - Department of Neurology, University of Michigan, Ann Arbor, Michigan, USA. FAU - Luna-Cancalon, Katiuska AU - Luna-Cancalon K FAU - Fischer, Svetlana AU - Fischer S FAU - Ashraf, Naila S AU - Ashraf NS FAU - Ouyang, Michelle AU - Ouyang M FAU - Dharia, Rahil M AU - Dharia RM FAU - Martin-Fishman, Lucas AU - Martin-Fishman L FAU - Yang, Yemen AU - Yang Y FAU - Shakkottai, Vikram G AU - Shakkottai VG FAU - Davidson, Beverly L AU - Davidson BL FAU - Rodriguez-Lebron, Edgardo AU - Rodriguez-Lebron E FAU - Paulson, Henry L AU - Paulson HL LA - eng GR - N038712/PHS HHS/United States GR - P01 NS050210/NS/NINDS NIH HHS/United States GR - NS067111/NS/NINDS NIH HHS/United States GR - R01 NS085054/NS/NINDS NIH HHS/United States GR - P01 NS50210/NS/NINDS NIH HHS/United States GR - NS072158/NS/NINDS NIH HHS/United States GR - R21 NS067111/NS/NINDS NIH HHS/United States GR - R01 NS038712/NS/NINDS NIH HHS/United States GR - K08 NS072158/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130614 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (MicroRNAs) RN - 0 (Nerve Tissue Proteins) RN - 0 (Nuclear Proteins) RN - 0 (Repressor Proteins) RN - EC 3.4.19.12 (ATXN3 protein, human) RN - EC 3.4.19.12 (Ataxin-3) SB - IM MH - Animals MH - Ataxin-3 MH - Cerebellum/metabolism/pathology MH - Dependovirus/genetics MH - Disease Models, Animal MH - Female MH - Genetic Vectors MH - Humans MH - Machado-Joseph Disease/metabolism/pathology/physiopathology/*therapy MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - MicroRNAs/*genetics MH - Motor Activity MH - Motor Neurons/metabolism/pathology MH - Nerve Tissue Proteins/*genetics/*metabolism MH - Nuclear Proteins/*genetics/*metabolism MH - *RNA Interference MH - Repressor Proteins/*genetics/*metabolism MH - Transduction, Genetic PMC - PMC3808129 EDAT- 2013/06/15 06:00 MHDA- 2014/04/30 06:00 PMCR- 2014/10/01 CRDT- 2013/06/15 06:00 PHST- 2013/03/01 00:00 [received] PHST- 2013/06/04 00:00 [accepted] PHST- 2013/06/15 06:00 [entrez] PHST- 2013/06/15 06:00 [pubmed] PHST- 2014/04/30 06:00 [medline] PHST- 2014/10/01 00:00 [pmc-release] AID - S1525-0016(16)32256-0 [pii] AID - 10.1038/mt.2013.144 [doi] PST - ppublish SO - Mol Ther. 2013 Oct;21(10):1898-908. doi: 10.1038/mt.2013.144. Epub 2013 Jun 14.