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Human Molecular Genetics Advance Access published online on November 25, 2005

Human Molecular Genetics, doi:10.1093/hmg/ddi425
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© The Author 2005. Published by Oxford University Press. All rights reserved
Received October 5, 2005
Accepted November 11, 2005

Article

Intracerebral Adeno-Associated Virus-mediated gene transfer in rapidly progressive forms of metachromatic leukodystrophy

Caroline Sevin 1, Abdellatif Benraiss 1, Debby Van Dam 2, Delphine Bonnin 1, Guy Nagels 3, Lucie Verot 4, Ingrid Laurendeau 5, Michel Vidaud 5, Volkmar Gieselmann 6, Marie Vanier 4, Peter Paul De Deyn 7, Patrick Aubourg 1, and Nathalie Cartier 1 *

1 Institut National de la Santé et de la Recherche Médicale Inserm U561 and Université ParisV, 75014 Paris, France
2 Laboratory of Neurochemistry and Behavior at Institute Born-Bunge, Department of Biomedical Sciences, University of Antwerp 1, Antwerp B-2610, Belgium
3 National MS Centre, Melsbroek and Department of Neurology, University Hospital, Edegem, Belgium
4 Inserm and Fondation Gillet-Mérieux, Hôpital Lyon-Sud, 69310 Pierre-Benite, France
5 Laboratoire de Génétique Moléculaire-UPRES EA 3618, Faculté des Sciences Pharmaceutiques, Université Paris V, 75014 Paris, France
6 Institute of Physiological Chemistry, Rheinische Friedrich-Wilhelms-Universität, 53115 Bonn, Germany
7 Laboratory of Neurochemistry and Behavior at Institute Born-Bunge, Department of Biomedical Sciences, University of Antwerp 1, Antwerp B-2610, Belgium; Department of Neurology and Memory Clinic, Middelheim General Hospital, B-2020 Antwerp, Belgium

* To whom correspondence should be addressed.
Nathalie Cartier, E-mail: cartier{at}paris5.inserm.fr


   Abstract

Metachromatic leukodystrophy (MLD) is a neurodegenerative lysosomal disease caused by a defect of the enzyme arylsulfatase A (ARSA) that disrupts the degradation of sulfatides in neurons and glial cells. Therapy for MLD requires active production of ARSA in the brain to prevent demyelination and neuronal damage, and efficient delivery of ARSA to act faster than disease progression, particularly in the rapidly progressive late infantile form. We used an adeno-associated virus serotype 5 (AAV5) vector to express the human ARSA gene in the brain of MLD mouse model. We achieved rapid, extensive and long-lasting expression of the recombinant ARSA in the brain, cerebellum and brainstem from at least 3 to 15 months post-injection. Analysis of the vector genome and ARSA distribution gave evidence for in vivo cross-correction of many untransduced neurons and astrocytes. ARSA delivery rapidly reversed sulfatide storage and prevented neuropathological abnormalities and neuromotor impairment. We believe that AAV5-mediated brain delivery of ARSA is a potentially efficacious therapeutic strategy for MLD patients, especially for those with rapidly progressive form of the disease.


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[Abstract] [Full Text] [PDF]



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