PMID- 32106292 OWN - NLM STAT- MEDLINE DCOM- 20200415 LR - 20211204 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 61 IP - 2 DP - 2020 Feb 7 TI - Inhibition of mTOR via an AAV-Delivered shRNA Tested in a Rat OIR Model as a Potential Antiangiogenic Gene Therapy. PG - 45 LID - 10.1167/iovs.61.2.45 [doi] LID - 45 AB - PURPOSE: Recent studies have shown that inhibitors of the mechanistic target of rapamycin (mTOR) play important roles in proliferating endothelial cells within the retinal vasculature. Here we explore the effects of inhibiting mTOR as a potential gene therapeutic against pathological retinal angiogenesis in a rat model of oxygen-induced retinopathy (OIR). METHODS: Sprague-Dawley pups were used to generate the OIR model, with a recombinant adeno-associated virus expressing an shRNA (rAAV2-shmTOR-GFP) being administered via intravitreal injection on returning the rats to normoxia, with appropriate controls. Immunohistochemistry and TUNEL assays, as well as fluorescein angiography, were performed on transverse retinal sections and flat mounts, respectively, to determine the in vivo effects of mTOR inhibition. RESULTS: Compared with normal control rats, as well as OIR model animals that were either untreated (20.95 +/- 6.85), mock-treated (14.50 +/- 2.47), or injected with a control short hairpin RNA (shRNA)-containing virus vector (16.64 +/- 4.92), rAAV2-shmTOR-GFP (4.28 +/- 2.86, P = 0.00103) treatment resulted in dramatically reduced neovascularization as a percentage of total retinal area. These results mirrored quantifications of retinal avascular area and vessel tortuosity, with rAAV2-shmTOR-GFP exhibiting significantly greater therapeutic efficacy than the other treatments. The virus vector was additionally shown to reduce inflammatory cell infiltration into retinal tissue and possess antiapoptotic properties, both these processes having been implicated in the pathophysiology of angiogenic retinal disorders. CONCLUSIONS: Taken together, these results demonstrate the strong promise of rAAV2-shmTOR-GFP as an effective and convenient gene therapy for the treatment of neovascular retinal diseases. FAU - Lee, Steven Hyun Seung AU - Lee SHS AD - . AD - . FAU - Chang, HeeSoon AU - Chang H AD - . FAU - Kim, Ji Hyun AU - Kim JH AD - . AD - . FAU - Kim, Hee Jong AU - Kim HJ AD - . FAU - Choi, Jun-Sub AU - Choi JS AD - . FAU - Chung, Sunho AU - Chung S AD - ,. FAU - Woo, Ha-Na AU - Woo HN AD - . AD - . FAU - Lee, Kyoung Jin AU - Lee KJ AD - . AD - . FAU - Park, Keerang AU - Park K AD - . FAU - Lee, Joo Yong AU - Lee JY AD - . AD - ,. FAU - Lee, Heuiran AU - Lee H AD - . AD - . LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (RNA, Small Interfering) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Dependovirus/*genetics MH - Disease Models, Animal MH - Gene Knockdown Techniques/*methods MH - Genetic Therapy/*methods MH - Genetic Vectors MH - Humans MH - RNA Interference MH - RNA, Small Interfering MH - Rats MH - Rats, Sprague-Dawley MH - Retinal Neovascularization/*therapy MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors PMC - PMC7329967 COIS- Disclosure: S.H.S. Lee, None; H. Chang, None; J.H. Kim, None; H.J. Kim, None; J.S. Choi, None; S. Chung, None; H.N. Woo, None; K.J. Lee, None; K. Park, None; J.Y. Lee, None; H. Lee, None EDAT- 2020/02/28 06:00 MHDA- 2020/04/16 06:00 PMCR- 2020/02/01 CRDT- 2020/02/28 06:00 PHST- 2020/02/28 06:00 [entrez] PHST- 2020/02/28 06:00 [pubmed] PHST- 2020/04/16 06:00 [medline] PHST- 2020/02/01 00:00 [pmc-release] AID - 2762337 [pii] AID - IOVS-19-27903 [pii] AID - 10.1167/iovs.61.2.45 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2020 Feb 7;61(2):45. doi: 10.1167/iovs.61.2.45.