PMID- 29580682 OWN - NLM STAT- MEDLINE DCOM- 20190423 LR - 20210109 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 26 IP - 4 DP - 2018 Apr 4 TI - Dose-Dependent Prevention of Metabolic and Neurologic Disease in Murine MPS II by ZFN-Mediated In Vivo Genome Editing. PG - 1127-1136 LID - S1525-0016(18)30110-2 [pii] LID - 10.1016/j.ymthe.2018.03.002 [doi] AB - Mucopolysaccharidosis type II (MPS II) is an X-linked recessive lysosomal disorder caused by deficiency of iduronate 2-sulfatase (IDS), leading to accumulation of glycosaminoglycans (GAGs) in tissues of affected individuals, progressive disease, and shortened lifespan. Currently available enzyme replacement therapy (ERT) requires lifelong infusions and does not provide neurologic benefit. We utilized a zinc finger nuclease (ZFN)-targeting system to mediate genome editing for insertion of the human IDS (hIDS) coding sequence into a "safe harbor" site, intron 1 of the albumin locus in hepatocytes of an MPS II mouse model. Three dose levels of recombinant AAV2/8 vectors encoding a pair of ZFNs and a hIDS cDNA donor were administered systemically in MPS II mice. Supraphysiological, vector dose-dependent levels of IDS enzyme were observed in the circulation and peripheral organs of ZFN+donor-treated mice. GAG contents were markedly reduced in tissues from all ZFN+donor-treated groups. Surprisingly, we also demonstrate that ZFN-mediated genome editing prevented the development of neurocognitive deficit in young MPS II mice (6-9 weeks old) treated at high vector dose levels. We conclude that this ZFN-based platform for expression of therapeutic proteins from the albumin locus is a promising approach for treatment of MPS II and other lysosomal diseases. CI - Copyright (c) 2018 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Laoharawee, Kanut AU - Laoharawee K AD - Center for Genome Engineering, Department of Genetics Cell Biology and Development, University of Minnesota, Minneapolis, MN, USA. FAU - DeKelver, Russell C AU - DeKelver RC AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Podetz-Pedersen, Kelly M AU - Podetz-Pedersen KM AD - Center for Genome Engineering, Department of Genetics Cell Biology and Development, University of Minnesota, Minneapolis, MN, USA. FAU - Rohde, Michelle AU - Rohde M AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Sproul, Scott AU - Sproul S AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Nguyen, Hoang-Oanh AU - Nguyen HO AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Nguyen, Tam AU - Nguyen T AD - Center for Genome Engineering, Department of Genetics Cell Biology and Development, University of Minnesota, Minneapolis, MN, USA. FAU - St Martin, Susan J AU - St Martin SJ AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Ou, Li AU - Ou L AD - Gene Therapy Center, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA. FAU - Tom, Susan AU - Tom S AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Radeke, Robert AU - Radeke R AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Meyer, Kathleen E AU - Meyer KE AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Holmes, Michael C AU - Holmes MC AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - Whitley, Chester B AU - Whitley CB AD - Gene Therapy Center, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA. FAU - Wechsler, Thomas AU - Wechsler T AD - Sangamo Therapeutics, Inc., 501 Canal Boulevard, Richmond, CA, USA. FAU - McIvor, R Scott AU - McIvor RS AD - Center for Genome Engineering, Department of Genetics Cell Biology and Development, University of Minnesota, Minneapolis, MN, USA. Electronic address: mcivo001@umn.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180310 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Biomarkers) RN - EC 3.1.- (Endonucleases) RN - EC 3.1.6.13 (Iduronate Sulfatase) SB - IM MH - Animals MH - Biomarkers MH - Disease Models, Animal MH - Endonucleases/genetics/metabolism MH - *Energy Metabolism MH - Enzyme Activation MH - *Gene Dosage MH - *Gene Editing MH - Gene Transfer Techniques MH - Hepatocytes/metabolism MH - Iduronate Sulfatase/*genetics MH - Introns MH - Mice MH - Mucopolysaccharidosis II/*genetics/*metabolism/pathology/physiopathology MH - *Phenotype MH - Zinc Fingers/genetics PMC - PMC6080131 OTO - NOTNLM OT - Hunter syndrome OT - MPS II OT - albumin locus OT - gene therapy OT - iduronate 2-sulfatase OT - in vivo genome editing OT - lysosomal disease OT - zinc finger nuclease EDAT- 2018/03/28 06:00 MHDA- 2019/04/24 06:00 PMCR- 2019/04/04 CRDT- 2018/03/28 06:00 PHST- 2017/10/24 00:00 [received] PHST- 2018/01/31 00:00 [accepted] PHST- 2018/03/28 06:00 [pubmed] PHST- 2019/04/24 06:00 [medline] PHST- 2018/03/28 06:00 [entrez] PHST- 2019/04/04 00:00 [pmc-release] AID - S1525-0016(18)30110-2 [pii] AID - 10.1016/j.ymthe.2018.03.002 [doi] PST - ppublish SO - Mol Ther. 2018 Apr 4;26(4):1127-1136. doi: 10.1016/j.ymthe.2018.03.002. Epub 2018 Mar 10.