Abstract
The absence of cyclic nucleotide-gated (CNG) channels in cone photoreceptor outer segments leads to achromatopsia, a severely disabling disease associated with the complete lack of cone photoreceptor function. In a common form, loss of the CNGA3 subunit disrupts visual transduction in cones and causes progressive degeneration. Here, we show that adeno-associated viral vector-mediated gene replacement therapy added the lacking sensual quality, cone-mediated vision, in the CNGA3−/− mouse model of the human disease. The functional rescue of cone vision was assessed at different sites along the visual pathway. In particular, we show electrophysiologically that treated CNGA3−/− mice became able to generate cone-mediated responses and to transfer these signals to bipolar and finally ganglion cells. In support, we found morphologically that expression of CNGA3 delayed cone cell death. Finally, we show in a behavioral test that treated mice acquired photopic vision suggesting that achromatopsia patients may as well benefit from gene replacement therapy.
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Acknowledgments
We thank Peter Humphries (Trinity College Dublin) for providing Rho−/− mice, James M. Wilson (Univ Pennsylvania) and Alberto Auricchio (TIGEM) for the gift of AAV plasmids. This work was supported by the Deutsche Forschungsgemeinschaft (Se837/6-1, Se837/7-1, and Bi484/4-1), the German Ministry of Education and Research (BMBF 0314106), the European Union (EU HEALTH-F2-2008-200234), and the Max Planck Society.
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Michalakis, S. et al. (2012). Gene Therapy Restores Missing Cone-Mediated Vision in the CNGA3−/− Mouse Model of Achromatopsia. In: LaVail, M., Ash, J., Anderson, R., Hollyfield, J., Grimm, C. (eds) Retinal Degenerative Diseases. Advances in Experimental Medicine and Biology, vol 723. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-0631-0_25
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DOI: https://doi.org/10.1007/978-1-4614-0631-0_25
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