PMID- 26601156 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151125 LR - 20181113 IS - 2375-2548 (Print) IS - 2375-2548 (Electronic) IS - 2375-2548 (Linking) VI - 1 IP - 2 DP - 2015 Mar TI - Gene therapy rescues disease phenotype in a spinal muscular atrophy with respiratory distress type 1 (SMARD1) mouse model. PG - e1500078 LID - 10.1126/sciadv.1500078 [doi] LID - e1500078 AB - Spinal muscular atrophy with respiratory distress type 1 (SMARD1) is an autosomal recessive motor neuron disease affecting children. It is caused by mutations in the IGHMBP2 gene (11q13) and presently has no cure. Recently, adeno-associated virus serotype 9 (AAV9)-mediated gene therapy has been shown to rescue the phenotype of animal models of another lower motor neuron disorder, spinal muscular atrophy 5q, and a clinical trial with this strategy is ongoing. We report rescue of the disease phenotype in a SMARD1 mouse model after therapeutic delivery via systemic injection of an AAV9 construct encoding the wild-type IGHMBP2 to replace the defective gene. AAV9-IGHMBP2 administration restored protein levels and rescued motor function, neuromuscular physiology, and life span (450% increase), ameliorating pathological features in the central nervous system, muscles, and heart. To test this strategy in a human model, we transferred wild-type IGHMBP2 into human SMARD1-induced pluripotent stem cell-derived motor neurons; these cells exhibited increased survival and axonal length in long-term culture. Our data support the translational potential of AAV-mediated gene therapies for SMARD1, opening the door for AAV9-mediated therapy in human clinical trials. FAU - Nizzardo, Monica AU - Nizzardo M AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Simone, Chiara AU - Simone C AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Rizzo, Federica AU - Rizzo F AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Salani, Sabrina AU - Salani S AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Dametti, Sara AU - Dametti S AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Rinchetti, Paola AU - Rinchetti P AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Del Bo, Roberto AU - Del Bo R AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Foust, Kevin AU - Foust K AD - Department of Neuroscience, The Ohio State University, Columbus, OH 43210, USA. FAU - Kaspar, Brian K AU - Kaspar BK AD - Department of Neuroscience, The Ohio State University, Columbus, OH 43210, USA. ; The Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA. ; Molecular, Cellular, and Developmental Biology Graduate Program, The Ohio State University, Columbus, OH 43210, USA. FAU - Bresolin, Nereo AU - Bresolin N AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Comi, Giacomo P AU - Comi GP AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Corti, Stefania AU - Corti S AD - Dino Ferrari Centre, Neuroscience Section, Department of Pathophysiology and Transplantation (DEPT), University of Milan, and Neurology Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy. LA - eng PT - Journal Article DEP - 20150313 PL - United States TA - Sci Adv JT - Science advances JID - 101653440 PMC - PMC4643829 OTO - NOTNLM OT - Spinal Muscular atrophy with Respiratory Distress Type 1 OT - gene therapy EDAT- 2015/11/26 06:00 MHDA- 2015/11/26 06:01 PMCR- 2015/03/13 CRDT- 2015/11/25 06:00 PHST- 2015/01/20 00:00 [received] PHST- 2015/02/15 00:00 [accepted] PHST- 2015/11/25 06:00 [entrez] PHST- 2015/11/26 06:00 [pubmed] PHST- 2015/11/26 06:01 [medline] PHST- 2015/03/13 00:00 [pmc-release] AID - 1500078 [pii] AID - 10.1126/sciadv.1500078 [doi] PST - epublish SO - Sci Adv. 2015 Mar 13;1(2):e1500078. doi: 10.1126/sciadv.1500078. eCollection 2015 Mar.