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RETRACTED ARTICLE: Rescue of the spinal muscular atrophy phenotype in a mouse model by early postnatal delivery of SMN

This article was retracted on 06 October 2022

This article has been updated

Abstract

Spinal muscular atrophy (SMA), the most common autosomal recessive neurodegenerative disease affecting children, results in impaired motor neuron function1. Despite knowledge of the pathogenic role of decreased survival motor neuron (SMN) protein levels, efforts to increase SMN have not resulted in a treatment for patients. We recently demonstrated that self-complementary adeno-associated virus 9 (scAAV9) can infect 60% of motor neurons when injected intravenously into neonatal mice2,3,4. Here we use scAAV9-mediated postnatal day 1 vascular gene delivery to replace SMN in SMA pups and rescue motor function, neuromuscular physiology and life span. Treatment on postnatal day 5 results in partial correction, whereas postnatal day 10 treatment has little effect, suggesting a developmental period in which scAAV9 therapy has maximal benefit. Notably, we also show extensive scAAV9-mediated motor neuron transduction after injection into a newborn cynomolgus macaque. This demonstration that scAAV9 traverses the blood-brain barrier in a nonhuman primate emphasizes the clinical potential of scAAV9 gene therapy for SMA.

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Figure 1: Phenotypic correction of SMA mice injected on P1.
Figure 2: Effects of SMN treatment at P1 on NMJs of adult SMA mice.
Figure 3: Systemic injection of scAAV9-GFP into SMA mice of varying ages.

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References

  1. Burghes, A.H. & Beattie, C.E. Spinal muscular atrophy: why do low levels of survival motor neuron protein make motor neurons sick? Nat. Rev. Neurosci. 10, 597–609 (2009).

    Article  CAS  Google Scholar 

  2. Foust, K.D. et al. Intravascular AAV9 preferentially targets neonatal neurons and adult astrocytes. Nat. Biotechnol. 27, 59–65 (2009).

    Article  CAS  Google Scholar 

  3. Gao, G. et al. Clades of adeno-associated viruses are widely disseminated in human tissues. J. Virol. 78, 6381–6388 (2004).

    Article  CAS  Google Scholar 

  4. McCarty, D.M. et al. Adeno-associated virus terminal repeat (TR) mutant generates self-complementary vectors to overcome the rate-limiting step to transduction in vivo. Gene Ther. 10, 2112–2118 (2003).

    Article  CAS  Google Scholar 

  5. Lefebvre, S. et al. Identification and characterization of a spinal muscular atrophy-determining gene. Cell 80, 155–165 (1995).

    Article  CAS  Google Scholar 

  6. McGovern, V.L., Gavrilina, T.O., Beattie, C.E. & Burghes, A.H. Embryonic motor axon development in the severe SMA mouse. Hum. Mol. Genet. 17, 2900–2909 (2008).

    Article  CAS  Google Scholar 

  7. MacKenzie, A.E. & Gendron, N.H. Tudor reign. Nat. Struct. Biol. 8, 13–15 (2001).

    Article  CAS  Google Scholar 

  8. Gavrilina, T.O. et al. Neuronal SMN expression corrects spinal muscular atrophy in severe SMA mice while muscle-specific SMN expression has no phenotypic effect. Hum. Mol. Genet. 17, 1063–1075 (2008).

    Article  CAS  Google Scholar 

  9. Azzouz, M. et al. Lentivector-mediated SMN replacement in a mouse model of spinal muscular atrophy. J. Clin. Invest. 114, 1726–1731 (2004).

    Article  CAS  Google Scholar 

  10. Avila, A.M. et al. Trichostatin A increases SMN expression and survival in a mouse model of spinal muscular atrophy. J. Clin. Invest. 117, 659–671 (2007).

    Article  CAS  Google Scholar 

  11. Hastings, M.L. et al. Tetracyclines that promote SMN2 exon 7 splicing as therapeutics for spinal muscular atrophy. Sci. Transl. Med 1, 5–14 (2009).

    Article  Google Scholar 

  12. Duque, S. et al. Intravenous administration of self-complementary AAV9 enables transgene delivery to adult motor neurons. Mol. Ther. 17, 1187–1196 (2009).

    Article  CAS  Google Scholar 

  13. Le, T.T. et al. SMNDelta7, the major product of the centromeric survival motor neuron (SMN2) gene, extends survival in mice with spinal muscular atrophy and associates with full-length SMN. Hum. Mol. Genet. 14, 845–857 (2005).

    Article  CAS  Google Scholar 

  14. Butchbach, M.E., Edwards, J.D. & Burghes, A.H. Abnormal motor phenotype in the SMNDelta7 mouse model of spinal muscular atrophy. Neurobiol. Dis. 27, 207–219 (2007).

    Article  CAS  Google Scholar 

  15. Kong, L. et al. Impaired synaptic vesicle release and immaturity of neuromuscular junctions in spinal muscular atrophy mice. J. Neurosci. 29, 842–851 (2009).

    Article  CAS  Google Scholar 

  16. Wang, X. et al. Decreased synaptic activity shifts the calcium dependence of release at the mammalian neuromuscular junction in vivo. J. Neurosci. 24, 10687–10692 (2004).

    Article  CAS  Google Scholar 

  17. Cifuentes-Diaz, C. et al. Neurofilament accumulation at the motor endplate and lack of axonal sprouting in a spinal muscular atrophy mouse model. Hum. Mol. Genet. 11, 1439–1447 (2002).

    Article  CAS  Google Scholar 

  18. Kariya, S. et al. Reduced SMN protein impairs maturation of the neuromuscular junctions in mouse models of spinal muscular atrophy. Hum. Mol. Genet. 17, 2552–2569 (2008).

    Article  CAS  Google Scholar 

  19. Murray, L.M. et al. Selective vulnerability of motor neurons and dissociation of pre- and post-synaptic pathology at the neuromuscular junction in mouse models of spinal muscular atrophy. Hum. Mol. Genet. 17, 949–962 (2008).

    Article  CAS  Google Scholar 

  20. Narver, H.L. et al. Sustained improvement of spinal muscular atrophy mice treated with trichostatin A plus nutrition. Ann. Neurol. 64, 465–470 (2008).

    Article  Google Scholar 

  21. Clark, K.R. et al. Gene transfer into the CNS using recombinant adeno-associated virus: analysis of vector DNA forms resulting in sustained expression. J. Drug Target. 7, 269–283 (1999).

    Article  CAS  Google Scholar 

  22. Duan, D. et al. Circular intermediates of recombinant adeno-associated virus have defined structural characteristics responsible for long-term episomal persistence in muscle tissue. J. Virol. 72, 8568–8577 (1998).

    Article  CAS  Google Scholar 

  23. Nakai, H. et al. Extrachromosomal recombinant adeno-associated virus vector genomes are primarily responsible for stable liver transduction in vivo. J. Virol. 75, 6969–6976 (2001).

    Article  CAS  Google Scholar 

  24. Saunders, N.R., Joakim Ek, C. & Dziegielewska, K.M. The neonatal blood-brain barrier is functionally effective, and immaturity does not explain differential targeting of AAV9. Nat. Biotechnol. 27, 804–805, author reply 805 (2009).

    Article  CAS  Google Scholar 

  25. Kota, J. et al. Follistatin gene delivery enhances muscle growth and strength in nonhuman primates. Sci. Transl. Med 1, 6–15 (2009).

    Article  Google Scholar 

  26. Koerber, J.T. et al. Molecular evolution of adeno-associated virus for enhanced glial gene delivery. Mol. Ther. 17, 2088–2095 (2009).

    Article  CAS  Google Scholar 

  27. Maheshri, N., Koerber, J.T., Kaspar, B.K. & Schaffer, D.V. Directed evolution of adeno-associated virus yields enhanced gene delivery vectors. Nat. Biotechnol. 24, 198–204 (2006).

    Article  CAS  Google Scholar 

  28. Asokan, A. et al. Reengineering a receptor footprint of adeno-associated virus enables selective and systemic gene transfer to muscle. Nat. Biotechnol. 28, 79–82 (2010).

    Article  CAS  Google Scholar 

  29. Pyatt, R.E., Mihal, D.C. & Prior, T.W. Assessment of liquid microbead arrays for the screening of newborns for spinal muscular atrophy. Clin. Chem. 53, 1879–1885 (2007).

    Article  CAS  Google Scholar 

  30. Monani, U.R. et al. The human centromeric survival motor neuron gene (SMN2) rescues embryonic lethality in Smn−/− mice and results in a mouse with spinal muscular atrophy. Hum. Mol. Genet. 9, 333–339 (2000).

    Article  CAS  Google Scholar 

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Acknowledgements

This work was supported by NIH/NINDS R21NS064328 to B.K.K., NINDS R01NS038650 to A.H.M.B., NINDS core P30-NS045758, RC2 NS069476-01 and Miracles for Madison Fund to B.K.K. and A.H.M.B. and NINDS P01NS057228 to M.M.R. We thank R. Levine and E. Nurre for expert technical assistance and J. Ward for pathology services.

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K.D.F., M.M.R., A.H.M.B. and B.K.K. designed and executed experiments and wrote the manuscript. V.L.M., X.W, L.B., A.M.H., A.K.B., P.R.M. and T.T.L. contributed to experiments.

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Correspondence to Brian K Kaspar.

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The authors declare no competing financial interests.

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Foust, K., Wang, X., McGovern, V. et al. RETRACTED ARTICLE: Rescue of the spinal muscular atrophy phenotype in a mouse model by early postnatal delivery of SMN. Nat Biotechnol 28, 271–274 (2010). https://doi.org/10.1038/nbt.1610

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