AAV-mediated cone rescue in a naturally occurring mouse model of CNGA3-achromatopsia

PLoS One. 2012;7(4):e35250. doi: 10.1371/journal.pone.0035250. Epub 2012 Apr 11.

Abstract

Achromatopsia is a rare autosomal recessive disorder which shows color blindness, severely impaired visual acuity, and extreme sensitivity to bright light. Mutations in the alpha subunits of the cone cyclic nucleotide-gated channels (CNGA3) are responsible for about 1/4 of achromatopsia in the U.S. and Europe. Here, we test whether gene replacement therapy using an AAV5 vector could restore cone-mediated function and arrest cone degeneration in the cpfl5 mouse, a naturally occurring mouse model of achromatopsia with a CNGA3 mutation. We show that gene therapy leads to significant rescue of cone-mediated ERGs, normal visual acuities and contrast sensitivities. Normal expression and outer segment localization of both M- and S-opsins were maintained in treated retinas. The therapeutic effect of treatment lasted for at least 5 months post-injection. This study is the first demonstration of substantial, relatively long-term restoration of cone-mediated light responsiveness and visual behavior in a naturally occurring mouse model of CNGA3 achromatopsia. The results provide the foundation for development of an AAV5-based gene therapy trial for human CNGA3 achromatopsia.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Color Vision Defects / genetics*
  • Color Vision Defects / therapy*
  • Cyclic Nucleotide-Gated Cation Channels / genetics*
  • Cyclic Nucleotide-Gated Cation Channels / metabolism
  • Dependovirus
  • Disease Models, Animal
  • Electroretinography
  • Gene Expression Regulation
  • Genetic Therapy*
  • Genetic Vectors
  • Humans
  • Mice
  • Mutation
  • Opsins / genetics
  • Opsins / metabolism
  • Retinal Cone Photoreceptor Cells / metabolism
  • Retinal Cone Photoreceptor Cells / pathology

Substances

  • Cnga3 protein, mouse
  • Cyclic Nucleotide-Gated Cation Channels
  • Opsins