학술논문

Transcriptional reprogramming restores UBE3A brain-wide and rescues behavioral phenotypes in an Angelman syndrome mouse model
Document Type
article
Source
Molecular Therapy. 31(4)
Subject
Medical Biotechnology
Biomedical and Clinical Sciences
Clinical Sciences
Gene Therapy
Biotechnology
Intellectual and Developmental Disabilities (IDD)
Pediatric
Brain Disorders
Genetics
Behavioral and Social Science
Rare Diseases
Orphan Drug
Neurosciences
Development of treatments and therapeutic interventions
5.2 Cellular and gene therapies
Neurological
Animals
Mice
Angelman Syndrome
Brain
Gene Expression Regulation
Transcription Factors
Phenotype
Ubiquitin-Protein Ligases
AAV therapy
AS
ATF
Angelman syndrome
UBE3A
artificial transcription factor
brain-wide delivery
epigenome editing
imprinting
zinc finger
Biological Sciences
Technology
Medical and Health Sciences
Clinical sciences
Medical biotechnology
Language
Abstract
Angelman syndrome (AS) is a neurogenetic disorder caused by the loss of ubiquitin ligase E3A (UBE3A) gene expression in the brain. The UBE3A gene is paternally imprinted in brain neurons. Clinical features of AS are primarily due to the loss of maternally expressed UBE3A in the brain. A healthy copy of paternal UBE3A is present in the brain but is silenced by a long non-coding antisense transcript (UBE3A-ATS). Here, we demonstrate that an artificial transcription factor (ATF-S1K) can silence Ube3a-ATS in an adult mouse model of Angelman syndrome (AS) and restore endogenous physiological expression of paternal Ube3a. A single injection of adeno-associated virus (AAV) expressing ATF-S1K (AAV-S1K) into the tail vein enabled whole-brain transduction and restored UBE3A protein in neurons to ∼25% of wild-type protein. The ATF-S1K treatment was highly specific to the target site with no detectable inflammatory response 5 weeks after AAV-S1K administration. AAV-S1K treatment of AS mice showed behavioral rescue in exploratory locomotion, a task involving gross and fine motor abilities, similar to low ambulation and velocity in AS patients. The specificity and tolerability of a single injection of AAV-S1K therapy for AS demonstrate the use of ATFs as a promising translational approach for AS.