Skip to main content

Muscular Dystrophy Gene Therapy in Small Animal Models

  • Chapter
  • First Online:
Muscle Gene Therapy
  • 599 Accesses

Abstract

Muscular dystrophies are inherited neuromuscular disorders characterized by progressive muscle loss and weakness. The morbidity and fatality associated with the diseases and a lack of effective treatment have prompted urgent search for novel therapeutics. Gene therapy is one of the frontiers. Currently, adeno-associated viral (AAV) vector-mediated gene transfer offers a powerful tool for muscular dystrophy gene therapy for both skeletal as well as cardiac muscles, by means of local, regional, and systemic deliveries. However, AAV has a packaging limit smaller than 5,000 nucleotides. Larger genes such as dystrophin will need to be truncated to functional miniature versions to be packaged in AAV particles. In this chapter, we will illustrate how gene therapy with AAV vectors is applied to small rodent muscular dystrophy models including those that mimic Duchenne muscular dystrophy (the dystrophin-deficient mdx mice), congenital muscular dystrophy (the laminin α2 knockout dy/dy mice), and limb-girdle muscular dystrophy (the delta-sarcoglycan deficient TO-2 hamsters). Challenges in larger animal studies and prospects for clinical trials in muscular dystrophies will be briefly discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Allamand, V., and Guicheney, P. (2002). Merosin-deficient congenital muscular dystrophy, autosomal recessive (MDC1A, MIM#156225, LAMA2 gene coding for alpha2 chain of laminin). Eur J Hum Genet 10, 91–94.

    Article  CAS  PubMed  Google Scholar 

  • Athanasopoulos, T., Graham, I. R., Foster, H., and Dickson, G. (2004). Recombinant adeno-associated viral (rAAV) vectors as therapeutic tools for Duchenne muscular dystrophy (DMD). Gene Ther 11 Suppl 1, S109–121.

    Article  CAS  Google Scholar 

  • Berns, K. I., and Giraud, C. (1995). Adenovirus and adeno-associated virus as vectors for gene therapy. Ann N Y Acad Sci 772, 95–104.

    Article  CAS  PubMed  Google Scholar 

  • Bezakova, G., and Ruegg, M. A. (2003). New insights into the roles of agrin. Nat Rev Mol Cell Biol 4, 295–308.

    Article  CAS  PubMed  Google Scholar 

  • Blankinship, M. J., Gregorevic, P., and Chamberlain, J. S. (2006). Gene therapy strategies for duchenne muscular dystrophy utilizing recombinant adeno-associated virus vectors. Mol Ther 13, 241–249.

    Article  CAS  PubMed  Google Scholar 

  • Chamberlain, J. S. (2002). Gene therapy of muscular dystrophy. Hum Mol Genet 11, 2355–2362.

    Article  CAS  PubMed  Google Scholar 

  • Chao, H., Sun, L., Bruce, A., Xiao, X., and Walsh, C. E. (2002). Expression of human factor VIII by splicing between dimerized AAV vectors. Mol Ther 5, 716–722.

    Article  CAS  PubMed  Google Scholar 

  • Cordier, L., Hack, A. A., Scott, M. O., Barton-Davis, E. R., Gao, G., Wilson, J. M., McNally, E. M., and Sweeney, H. L. (2000). Rescue of skeletal muscles of gamma-sarcoglycan-deficient mice with adeno-associated virus-mediated gene transfer. Mol Ther 1, 119–129.

    Article  CAS  PubMed  Google Scholar 

  • Cox, G. A., Cole, N. M., Matsumura, K., Phelps, S. F., Hauschka, S. D., Campbell, K. P., Faulkner, J. A., and Chamberlain, J. S. (1993). Overexpression of dystrophin in transgenic mdx mice eliminates dystrophic symptoms without toxicity. Nature 364, 725–729.

    Article  CAS  PubMed  Google Scholar 

  • Dressman, D., Araishi, K., Imamura, M., Sasaoka, T., Liu, L. A., Engvall, E., and Hoffman, E. P. (2002). Delivery of alpha- and beta-sarcoglycan by recombinant adeno-associated virus: efficient rescue of muscle, but differential toxicity. Hum Gene Ther 13, 1631–1646.

    Article  CAS  PubMed  Google Scholar 

  • Duan, D., Yue, Y., Yan, Z., and Engelhardt, J. F. (2000). A new dual-vector approach to enhance recombinant adeno-associated virus-mediated gene expression through intermolecular cis activation. Nat Med 6, 595–598.

    Article  CAS  PubMed  Google Scholar 

  • Emery, A. E. (2002). The muscular dystrophies. Lancet 359, 687–695.

    Article  CAS  PubMed  Google Scholar 

  • England, S. B., Nicholson, L. V., Johnson, M. A., Forrest, S. M., Love, D. R., Zubrzycka-Gaarn, E. E., Bulman, D. E., Harris, J. B., and Davies, K. E. (1990). Very mild muscular dystrophy associated with the deletion of 46% of dystrophin. Nature 343, 180–182.

    Article  CAS  PubMed  Google Scholar 

  • Fabb, S. A., Wells, D. J., Serpente, P., and Dickson, G. (2002). Adeno-associated virus vector gene transfer and sarcolemmal expression of a 144 kDa micro-dystrophin effectively restores the dystrophin-associated protein complex and inhibits myofibre degeneration in nude/mdx mice. Hum Mol Genet 11, 733–741.

    Article  CAS  PubMed  Google Scholar 

  • Flotte, T. R. (2005). Adeno-associated virus-based gene therapy for inherited disorders. Pediatr Res 58, 1143–1147.

    Article  CAS  PubMed  Google Scholar 

  • Gao, G. P., Alvira, M. R., Wang, L., Calcedo, R., Johnston, J., and Wilson, J. M. (2002). Novel adeno-associated viruses from rhesus monkeys as vectors for human gene therapy. Proc Natl Acad Sci U S A 99, 11854–11859.

    Article  CAS  PubMed  Google Scholar 

  • Grieger, J. C., and Samulski, R. J. (2005). Adeno-associated virus as a gene therapy vector: vector development, production and clinical applications. Adv Biochem Eng Biotechnol 99, 119–145.

    CAS  PubMed  Google Scholar 

  • Hammermann, M., Brun, N., Klenin, K. V., May, R., Toth, K., and Langowski, J. (1998). Salt-dependent DNA superhelix diameter studied by small angle neutron scattering measurements and Monte Carlo simulations. Biophys J 75, 3057–3063.

    Article  CAS  PubMed  Google Scholar 

  • Harper, S. Q., Hauser, M. A., DelloRusso, C., Duan, D., Crawford, R. W., Phelps, S. F., Harper, H. A., Robinson, A. S., Engelhardt, J. F., Brooks, S. V., and Chamberlain, J. S. (2002). Modular flexibility of dystrophin: implications for gene therapy of Duchenne muscular dystrophy. Nat Med 8, 253–261.

    Article  CAS  PubMed  Google Scholar 

  • Hoffman, E. P. (1999). Counting muscular dystrophies in the post-molecular census. J Neurol Sci 164, 3–6.

    Article  CAS  PubMed  Google Scholar 

  • Hoffman, E. P., Brown, R. H., Jr., and Kunkel, L. M. (1987). Dystrophin: the protein product of the Duchenne muscular dystrophy locus. Cell 51, 919–928.

    Article  CAS  PubMed  Google Scholar 

  • Jung, D., Duclos, F., Apostol, B., Straub, V., Lee, J. C., Allamand, V., Venzke, D. P., Sunada, Y., Moomaw, C. R., Leveille, C. J., et al. (1996). Characterization of delta-sarcoglycan, a novel component of the oligomeric sarcoglycan complex involved in limb-girdle muscular dystrophy. J Biol Chem 271, 32321–32329.

    Article  CAS  PubMed  Google Scholar 

  • Kaemmerer, W. F., Reddy, R. G., Warlick, C. A., Hartung, S. D., McIvor, R. S., and Low, W. C. (2000). In vivo transduction of cerebellar Purkinje cells using adeno-associated virus vectors. Mol Ther 2, 446–457.

    Article  CAS  PubMed  Google Scholar 

  • Kawada, T., Nakazawa, M., Nakauchi, S., Yamazaki, K., Shimamoto, R., Urabe, M., Nakata, J., Hemmi, C., Masui, F., Nakajima, T., et al. (2002). Rescue of hereditary form of dilated cardiomyopathy by rAAV-mediated somatic gene therapy: amelioration of morphological findings, sarcolemmal permeability, cardiac performances, and the prognosis of TO-2 hamsters. Proc Natl Acad Sci U S A 99, 901–906.

    Article  CAS  PubMed  Google Scholar 

  • Kessler, P. D., Podsakoff, G. M., Chen, X., McQuiston, S. A., Colosi, P. C., Matelis, L. A., Kurtzman, G. J., and Byrne, B. J. (1996). Gene delivery to skeletal muscle results in sustained expression and systemic delivery of a therapeutic protein. Proc Natl Acad Sci U S A 93, 14082–14087.

    Article  CAS  PubMed  Google Scholar 

  • Koenig, M., Hoffman, E. P., Bertelson, C. J., Monaco, A. P., Feener, C., and Kunkel, L. M. (1987). Complete cloning of the Duchenne muscular dystrophy (DMD) cDNA and preliminary genomic organization of the DMD gene in normal and affected individuals. Cell 50, 509–517.

    Article  CAS  PubMed  Google Scholar 

  • Koenig, M., and Kunkel, L. M. (1990). Detailed analysis of the repeat domain of dystrophin reveals four potential hinge segments that may confer flexibility. J Biol Chem 265, 4560–4566.

    CAS  PubMed  Google Scholar 

  • Li, J., Dressman, D., Tsao, Y. P., Sakamoto, A., Hoffman, E. P., and Xiao, X. (1999). rAAV vector-mediated sarcogylcan gene transfer in a hamster model for limb girdle muscular dystrophy. Gene Ther 6, 74–82.

    Article  CAS  PubMed  Google Scholar 

  • Li, J., Wang, D., Qian, S., Chen, Z., Zhu, T., and Xiao, X. (2003). Efficient and long-term intracardiac gene transfer in delta-sarcoglycan-deficiency hamster by adeno-associated virus-2 vectors. Gene Ther 10, 1807–1813.

    Article  CAS  PubMed  Google Scholar 

  • Lim, L. E., and Campbell, K. P. (1998). The sarcoglycan complex in limb-girdle muscular dystrophy. Curr Opin Neurol 11, 443–452.

    Article  CAS  PubMed  Google Scholar 

  • Lu, H., Chen, L., Wang, J., Huack, B., Sarkar, R., Zhou, S., Xu, R., Ding, Q., Wang, X., Wang, H., and Xiao, W. (2008). Complete correction of hemophilia A with adeno-associated viral vectors containing a full-size expression cassette. Hum Gene Ther 19, 648–654.

    Article  CAS  PubMed  Google Scholar 

  • McCabe, E. R., Towbin, J., Chamberlain, J., Baumbach, L., Witkowski, J., van Ommen, G. J., Koenig, M., Kunkel, L. M., and Seltzer, W. K. (1989). Complementary DNA probes for the Duchenne muscular dystrophy locus demonstrate a previously undetectable deletion in a patient with dystrophic myopathy, glycerol kinase deficiency, and congenital adrenal hypoplasia. J Clin Invest 83, 95–99.

    Article  CAS  PubMed  Google Scholar 

  • McCarty, D. M., Monahan, P. E., and Samulski, R. J. (2001). Self-complementary recombinant adeno-associated virus (scAAV) vectors promote efficient transduction independently of DNA synthesis. Gene Ther 8, 1248–1254.

    Article  CAS  PubMed  Google Scholar 

  • McCarty, D. M., Young, S. M., Jr., and Samulski, R. J. (2004). Integration of adeno-associated virus (AAV) and recombinant AAV vectors. Annu Rev Genet 38, 819-845.

    Article  CAS  PubMed  Google Scholar 

  • Meinen, S., and Ruegg, M. A. (2006). Congenital muscular dystrophy: Mini-agrin delivers in mice. Gene Ther 13, 869–70.

    CAS  PubMed  Google Scholar 

  • Moll, J., Barzaghi, P., Lin, S., Bezakova, G., Lochmuller, H., Engvall, E., Muller, U., and Ruegg, M. A. (2001). An agrin minigene rescues dystrophic symptoms in a mouse model for congenital muscular dystrophy. Nature 413, 302–307.

    Article  CAS  PubMed  Google Scholar 

  • Muzyczka, N. (1992). Use of adeno-associated virus as a general transduction vector for mammalian cells. Curr Top Microbiol Immunol 158, 97–129.

    CAS  PubMed  Google Scholar 

  • Pacak, C. A., Walter, G. A., Gaidosh, G., Bryant, N., Lewis, M. A., Germain, S., Mah, C. S., Campbell, K. P., and Byrne, B. J. (2007). Long-term skeletal muscle protection after gene transfer in a mouse model of LGMD-2D. Mol Ther 15, 1775–1781.

    Article  CAS  PubMed  Google Scholar 

  • Piccolo, F., Roberds, S. L., Jeanpierre, M., Leturcq, F., Azibi, K., Beldjord, C., Carrie, A., Recan, D., Chaouch, M., Reghis, A., and et al. (1995). Primary adhalinopathy: a common cause of autosomal recessive muscular dystrophy of variable severity. Nat Genet 10, 243–245.

    Article  CAS  PubMed  Google Scholar 

  • Qiao, C., Li, J., Zhu, T., Draviam, R., Watkins, S., Ye, X., Chen, C., Li, J., and Xiao, X. (2005). Amelioration of laminin-{alpha}2-deficient congenital muscular dystrophy by somatic gene transfer of miniagrin. Proc Natl Acad Sci U S A 102, 11999–2004.

    Article  CAS  PubMed  Google Scholar 

  • Rafael, J. A., Cox, G. A., Corrado, K., Jung, D., Campbell, K. P., and Chamberlain, J. S. (1996). Forced expression of dystrophin deletion constructs reveals structure-function correlations. J Cell Biol 134, 93–102.

    Article  CAS  PubMed  Google Scholar 

  • Ragot, T., Vincent, N., Chafey, P., Vigne, E., Gilgenkrantz, H., Couton, D., Cartaud, J., Briand, P., Kaplan, J. C., Perricaudet, M., and et al. (1993). Efficient adenovirus-mediated transfer of a human minidystrophin gene to skeletal muscle of mdx mice. Nature 361, 647–650.

    Article  CAS  PubMed  Google Scholar 

  • Sakamoto, M., Yuasa, K., Yoshimura, M., Yokota, T., Ikemoto, T., Suzuki, M., Dickson, G., Miyagoe-Suzuki, Y., and Takeda, S. (2002). Micro-dystrophin cDNA ameliorates dystrophic phenotypes when introduced into mdx mice as a transgene. Biochem Biophys Res Commun 293, 1265–1272.

    Article  CAS  PubMed  Google Scholar 

  • Sun, L., Li, J., and Xiao, X. (2000). Overcoming adeno-associated virus vector size limitation through viral DNA heterodimerization. Nat Med 6, 599–602.

    Article  CAS  PubMed  Google Scholar 

  • Wang, B., Li, J., and Xiao, X. (2000). Adeno-associated virus vector carrying human minidystrophin genes effectively ameliorates muscular dystrophy in mdx mouse model. Proc Natl Acad Sci U S A 97, 13714–13719.

    Article  CAS  PubMed  Google Scholar 

  • Wang, Z., Allen, J. M., Riddell, S. R., Gregorevic, P., Storb, R., Tapscott, S. J., Chamberlain, J. S., and Kuhr, C. S. (2007a). Immunity to adeno-associated virus-mediated gene transfer in a random-bred canine model of Duchenne muscular dystrophy. Hum Gene Ther 18, 18–26.

    Article  PubMed  CAS  Google Scholar 

  • Wang, Z., Kuhr, C. S., Allen, J. M., Blankinship, M., Gregorevic, P., Chamberlain, J. S., Tapscott, S. J., and Storb, R. (2007b). Sustained AAV-mediated dystrophin expression in a canine model of Duchenne muscular dystrophy with a brief course of immunosuppression. Mol Ther 15, 1160–1166.

    CAS  PubMed  Google Scholar 

  • Wang, Z., Ma, H. I., Li, J., Sun, L., Zhang, J., and Xiao, X. (2003). Rapid and highly efficient transduction by double-stranded adeno-associated virus vectors in vitro and in vivo. Gene Ther 10, 2105–2111.

    Article  CAS  PubMed  Google Scholar 

  • Wang, Z., Zhu, T., Qiao, C., Zhou, L., Wang, B., Zhang, J., Chen, C., Li, J., and Xiao, X. (2005). Adeno-associated virus serotype 8 efficiently delivers genes to muscle and heart. Nat Biotechnol 23, 321–328.

    Article  CAS  PubMed  Google Scholar 

  • Xiao, X., Li, J., and Samulski, R. J. (1996). Efficient long-term gene transfer into muscle tissue of immunocompetent mice by adeno-associated virus vector. J Virol 70, 8098–8108.

    CAS  PubMed  Google Scholar 

  • Xiao, X., Li, J., Tsao, Y. P., Dressman, D., Hoffman, E. P., and Watchko, J. F. (2000). Full functional rescue of a complete muscle (TA) in dystrophic hamsters by adeno-associated virus vector-directed gene therapy. J Virol 74, 1436–1442.

    Article  CAS  PubMed  Google Scholar 

  • Yoshida, K., Yoshimoto, M., Sasaki, K., Ohnishi, T., Ushiki, T., Hitomi, J., Yamamoto, S., and Sigeno, M. (1998). Fabrication of a new substrate for atomic force microscopic observation of DNA molecules from an ultrasmooth sapphire plate. Biophys J 74, 1654–1657.

    Article  CAS  PubMed  Google Scholar 

  • Zhu, T., Zhou, L., Mori, S., Wang, Z., McTiernan, C. F., Qiao, C., Chen, C., Wang, D. W., Li, J., and Xiao, X. (2005). Sustained whole-body functional rescue in congestive heart failure and muscular dystrophy hamsters by systemic gene transfer. Circulation 112, 2650–2659.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgement

Most of the work was funded by NIH.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xiao Xiao .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Qiao, C., Xiao, X. (2010). Muscular Dystrophy Gene Therapy in Small Animal Models. In: Duan, D. (eds) Muscle Gene Therapy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1207-7_4

Download citation

Publish with us

Policies and ethics