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Human Molecular Genetics Advance Access published online on August 27, 2007

Human Molecular Genetics, doi:10.1093/hmg/ddm223
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© The Author 2007. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Functional correction of CNS lesions in a MPS-IIIA mouse model by intracerebral AAV-mediated delivery of sulfamidase and SUMF1 genes

Alessandro Fraldi1,*, Kim Hemsley2, Allison Crawley2, Alessia Lombardi1, Adeline Lau2, Leanne Sutherland2, Alberto Auricchio1,3, Andrea Ballabio1,3 and John Hopwood2

1 Telethon Institute of Genetics and Medicine (TIGEM), 80131, Naples, Italy 2 Lysosomal Diseases Research Unit, Department of Genetic Medicine, Children, Youth and Women's Health Service, Adelaide 5006, Australia 3 Medical Genetics, Department of Pediatrics, Federico II University, Naples, Italy

* Correspondence to: Dr. Alessandro Fraldi, Telethon Institute of Genetics and Medicine (TIGEM), Via P. Castellino, 111 80131, Naples, Italy. Phone: + 39 (0)81 6132218, Fax: + 39 (0)81 5609877, Email: fraldi{at}tigem.it

Received June 25, 2007; Revised August 12, 2007; Accepted August 12, 2007

Mucopolysaccharidosis type IIIA (MPS-IIIA or Sanfilippo syndrome) is a lysosomal storage disorder (LSD) caused by the congenital deficiency of sulfamidase (SGSH) enzyme and consequent accumulation of partially-degraded heparan sulfate (HS) in lysosomes. The central nervous system (CNS) is the predominant site of tissue damage in MPS-IIIA. Here we describe a gene therapy approach for MPS-IIIA in a mouse model using recombinant adeno-associated virus serotype 5 (AAV2/5) as a vehicle to deliver therapeutic genes to the CNS. SUMF1 (SUlfatase Modifying Factor 1) exhibits an enhancing effect on sulfatase activity when co-expressed with sulfatases. Consistent with these findings, we demonstrated that co-delivery of SUMF1 and SGSH (via an AAV2/5-CMV-SGSH-IRES-SUMF1 vector) resulted in a synergistic increase in SGSH activity, both in primary neural cells and in murine brain. A study aimed at testing the therapeutic efficacy of simultaneous brain administration of SUMF1 and SGSH was then performed by injecting the lateral ventricles of newborn MPS-IIIA/normal mice with either AAV2/5-CMV-SGSH-IRES-SUMF1 or AAV2/5-CMV-GFP vectors. Widespread GFP expression was observed within the GFP-injected brain, while a stable and significant increase of SGSH activity was detected in several brain regions following SGSH-IRES-SUMF1 administration. Treatment with AAV2/5-CMV-SGSH-IRES-SUMF1 vectors resulted in a visible reduction in lysosomal storage and inflammatory markers in transduced brain regions. Finally, the MPS-IIIA mice treated with therapeutic genes displayed an improvement in both motor and cognitive function. Our results suggest that early treatment of CNS lesions by AAV-mediated intra-ventricular injection of both SGSH and SUMF1 genes may represent a feasible therapy for MPS-IIIA.


The authors wish it to be known that, in their opinion, the first two authors should be regarded as joint First Authors


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