PMID- 37637210 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230829 IS - 2162-2531 (Print) IS - 2162-2531 (Electronic) IS - 2162-2531 (Linking) VI - 33 DP - 2023 Sep 12 TI - Long-term muscle-specific overexpression of DOK7 in mice using AAV9-tMCK-DOK7. PG - 617-628 LID - 10.1016/j.omtn.2023.07.036 [doi] AB - Neuromuscular junction (NMJ) dysfunction underlies several diseases, including congenital myasthenic syndromes (CMSs) and motor neuron disease (MND). Molecular pathways governing NMJ stability are therefore of interest from both biological and therapeutic perspectives. Muscle-specific kinase (MuSK) is necessary for the formation and maintenance of post-synaptic elements of the NMJ, and downstream of tyrosine kinases 7 (DOK7) is crucial for activation of the MuSK pathway. Overexpression of DOK7 using AAV9 has been shown to ameliorate neuromuscular pathology in pre-clinical disease models of CMS and MND. However, long-term consequences of DOK7 expression have been sparsely investigated and targeted overexpression of DOK7 in skeletal muscle yet to be established. Here, we developed and characterized a novel AAV9-DOK7 facilitating forced expression of DOK7 under a skeletal muscle-specific promoter. AAV9-tMCK-DOK7 was systemically delivered to newborn mice that were monitored over 6 months. DOK7 overexpression was restricted to skeletal muscles. Body weight, blood biochemistry, and histopathological assessments were unaffected by AAV9-tMCK-DOK7 treatment. In contrast, forced expression of DOK7 resulted in enlargement of both the pre- and post-synaptic components of the NMJ, without causing denervation. We conclude that muscle-specific DOK7 overexpression can be achieved in a safe manner, with the capacity to target NMJs in vivo. CI - (c) 2023 The Author(s). FAU - Huang, Yu-Ting AU - Huang YT AD - Edinburgh Medical School: Biomedical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK. AD - Euan MacDonald Centre for Motor Neuron Disease Research, Edinburgh EH16 4SB, UK. FAU - Crick, Hannah R AU - Crick HR AD - Edinburgh Medical School: Biomedical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK. AD - Euan MacDonald Centre for Motor Neuron Disease Research, Edinburgh EH16 4SB, UK. FAU - Chaytow, Helena AU - Chaytow H AD - Edinburgh Medical School: Biomedical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK. AD - Euan MacDonald Centre for Motor Neuron Disease Research, Edinburgh EH16 4SB, UK. FAU - van der Hoorn, Dinja AU - van der Hoorn D AD - Edinburgh Medical School: Biomedical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK. AD - Euan MacDonald Centre for Motor Neuron Disease Research, Edinburgh EH16 4SB, UK. FAU - Alhindi, Abrar AU - Alhindi A AD - Edinburgh Medical School: Biomedical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK. AD - Euan MacDonald Centre for Motor Neuron Disease Research, Edinburgh EH16 4SB, UK. AD - Faculty of Medicine, Department of Anatomy, King Abdulaziz University, Jeddah 21589, Saudi Arabia. FAU - Jones, Ross A AU - Jones RA AD - Edinburgh Medical School: Biomedical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK. AD - Euan MacDonald Centre for Motor Neuron Disease Research, Edinburgh EH16 4SB, UK. FAU - Hector, Ralph D AU - Hector RD AD - Neurogene Inc, 535 W 24th St, New York, NY 10011, USA. FAU - Cobb, Stuart R AU - Cobb SR AD - Neurogene Inc, 535 W 24th St, New York, NY 10011, USA. FAU - Gillingwater, Thomas H AU - Gillingwater TH AD - Edinburgh Medical School: Biomedical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK. AD - Euan MacDonald Centre for Motor Neuron Disease Research, Edinburgh EH16 4SB, UK. LA - eng PT - Journal Article DEP - 20230802 PL - United States TA - Mol Ther Nucleic Acids JT - Molecular therapy. Nucleic acids JID - 101581621 PMC - PMC10457688 OTO - NOTNLM OT - AAV9 OT - DOK7 OT - MT: Delivery strategies OT - NMJ OT - gene therapy OT - mouse OT - neuromuscular junction COIS- Commercial funding for this study was provided by NeuroGene (to T.H.G). T.H.G. has served on advisory boards for Roche, Novartis, LifeArc, and SMA Europe. R.D.H. and S.R.C. are consultants at Neurogene Inc. EDAT- 2023/08/28 06:42 MHDA- 2023/08/28 06:43 PMCR- 2023/08/02 CRDT- 2023/08/28 04:45 PHST- 2023/04/04 00:00 [received] PHST- 2023/07/31 00:00 [accepted] PHST- 2023/08/28 06:43 [medline] PHST- 2023/08/28 06:42 [pubmed] PHST- 2023/08/28 04:45 [entrez] PHST- 2023/08/02 00:00 [pmc-release] AID - S2162-2531(23)00209-3 [pii] AID - 10.1016/j.omtn.2023.07.036 [doi] PST - epublish SO - Mol Ther Nucleic Acids. 2023 Aug 2;33:617-628. doi: 10.1016/j.omtn.2023.07.036. eCollection 2023 Sep 12.