PMID- 28918027 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210109 IS - 2162-2531 (Print) IS - 2162-2531 (Electronic) IS - 2162-2531 (Linking) VI - 8 DP - 2017 Sep 15 TI - Adeno-Associated Viral Vector-Mediated mTOR Inhibition by Short Hairpin RNA Suppresses Laser-Induced Choroidal Neovascularization. PG - 26-35 LID - S2162-2531(17)30183-X [pii] LID - 10.1016/j.omtn.2017.05.012 [doi] AB - Choroidal neovascularization (CNV) is the defining characteristic feature of the wet subtype of age-related macular degeneration (AMD) and may result in irreversible blindness. Based on anti-vascular endothelial growth factor (anti-VEGF), the current therapeutic approaches to CNV are fraught with difficulties, and mammalian target of rapamycin (mTOR) has recently been proposed as a possible therapeutic target, although few studies have been conducted. Here, we show that a recombinant adeno-associated virus-delivered mTOR-inhibiting short hairpin RNA (rAAV-mTOR shRNA), which blocks the activity of both mTOR complex 1 and 2, represents a promising therapeutic approach for the treatment of CNV. Eight-week-old male C57/B6 mice were treated with the short hairpin RNA (shRNA) after generating CNV lesions in the eyes via laser photocoagulation. The recombinant adeno-associated virus (rAAV) delivery vehicle was able to effectively transduce cells in the inner retina, and significantly fewer inflammatory cells and less extensive CNV were observed in the animals treated with rAAV-mTOR shRNA when compared with control- and rAAV-scrambled shRNA-treated groups. Presumably related to the reduction of CNV, increased autophagy was detected in CNV lesions treated with rAAV-mTOR shRNA, whereas significantly fewer apoptotic cells detected in the outer nuclear layer around the CNV indicate that mTOR inhibition may also have neuroprotective effects. Taken together, these results demonstrate the therapeutic potential of mTOR inhibition, resulting from rAAV-mTOR shRNA activity, in the treatment of AMD-related CNV. CI - Copyright (c) 2017 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Park, Tae Kwann AU - Park TK AD - Department of Ophthalmology, Soonchunhyang University, College of Medicine, Cheonan 31151, Republic of Korea; Department of Ophthalmology, Soonchunhyang University Hospital Bucheon, Bucheon 14584, Republic of Korea. Electronic address: tkpark@schmc.ac.kr. FAU - Lee, Si Hyung AU - Lee SH AD - Department of Ophthalmology, Soonchunhyang University, College of Medicine, Cheonan 31151, Republic of Korea; Department of Ophthalmology, Soonchunhyang University Hospital Bucheon, Bucheon 14584, Republic of Korea. FAU - Choi, Jun Sub AU - Choi JS AD - Cdmogen Co., Ltd., Cheongju 28751, Republic of Korea. FAU - Nah, Seung Kwan AU - Nah SK AD - Department of Ophthalmology, Soonchunhyang University, College of Medicine, Cheonan 31151, Republic of Korea; Department of Ophthalmology, Soonchunhyang University Hospital Bucheon, Bucheon 14584, Republic of Korea. FAU - Kim, Hee Jong AU - Kim HJ AD - Cdmogen Co., Ltd., Cheongju 28751, Republic of Korea. FAU - Park, Ha Yan AU - Park HY AD - Department of Ophthalmology, Soonchunhyang University Hospital Bucheon, Bucheon 14584, Republic of Korea. FAU - Lee, Heuiran AU - Lee H AD - Department of Microbiology, Cellular Dysfunction Research Center, Asan Medical Center, University of Ulsan, College of Medicine, Seoul 05505, Republic of Korea. FAU - Lee, Steven Hyun Seung AU - Lee SHS AD - Department of Microbiology, Cellular Dysfunction Research Center, Asan Medical Center, University of Ulsan, College of Medicine, Seoul 05505, Republic of Korea. FAU - Park, Keerang AU - Park K AD - Department of Biopharmacy, Chungbuk Health & Science University, Cheongju, Chungbuk 28150, Republic of Korea. Electronic address: krpark@chsu.ac.kr. LA - eng PT - Journal Article DEP - 20170601 PL - United States TA - Mol Ther Nucleic Acids JT - Molecular therapy. Nucleic acids JID - 101581621 PMC - PMC5477068 OTO - NOTNLM OT - RNA interference OT - adeno-associated virus OT - autophagy OT - choroidal neovascularization OT - mTOR OT - mTOR shRNA OT - retinal neovascularization EDAT- 2017/09/18 06:00 MHDA- 2017/09/18 06:01 PMCR- 2017/06/01 CRDT- 2017/09/18 06:00 PHST- 2017/02/08 00:00 [received] PHST- 2017/05/29 00:00 [revised] PHST- 2017/05/29 00:00 [accepted] PHST- 2017/09/18 06:00 [entrez] PHST- 2017/09/18 06:00 [pubmed] PHST- 2017/09/18 06:01 [medline] PHST- 2017/06/01 00:00 [pmc-release] AID - S2162-2531(17)30183-X [pii] AID - 10.1016/j.omtn.2017.05.012 [doi] PST - ppublish SO - Mol Ther Nucleic Acids. 2017 Sep 15;8:26-35. doi: 10.1016/j.omtn.2017.05.012. Epub 2017 Jun 1.