Mybpc3 gene therapy for neonatal cardiomyopathy enables long-term disease prevention in mice
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Mybpc3 gene therapy for neonatal cardiomyopathy enables long-term disease prevention in mice. / Mearini, Giulia; Stimpel, Doreen; Geertz, Birgit; Weinberger, Florian; Krämer, Elisabeth; Schlossarek, Saskia; Mourot-Filiatre, Julia; Stoehr, Andrea; Dutsch, Alexander; Wijnker, Paul J M; Braren, Ingke; Katus, Hugo A; Müller, Oliver J; Voit, Thomas; Eschenhagen, Thomas; Carrier, Lucie.
in: NAT COMMUN, Jahrgang 5, 01.01.2014, S. 5515.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Mybpc3 gene therapy for neonatal cardiomyopathy enables long-term disease prevention in mice
AU - Mearini, Giulia
AU - Stimpel, Doreen
AU - Geertz, Birgit
AU - Weinberger, Florian
AU - Krämer, Elisabeth
AU - Schlossarek, Saskia
AU - Mourot-Filiatre, Julia
AU - Stoehr, Andrea
AU - Dutsch, Alexander
AU - Wijnker, Paul J M
AU - Braren, Ingke
AU - Katus, Hugo A
AU - Müller, Oliver J
AU - Voit, Thomas
AU - Eschenhagen, Thomas
AU - Carrier, Lucie
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Homozygous or compound heterozygous frameshift mutations in MYBPC3 encoding cardiac myosin-binding protein C (cMyBP-C) cause neonatal hypertrophic cardiomyopathy (HCM), which rapidly evolves into systolic heart failure and death within the first year of life. Here we show successful long-term Mybpc3 gene therapy in homozygous Mybpc3-targeted knock-in (KI) mice, which genetically mimic these human neonatal cardiomyopathies. A single systemic administration of adeno-associated virus (AAV9)-Mybpc3 in 1-day-old KI mice prevents the development of cardiac hypertrophy and dysfunction for the observation period of 34 weeks and increases Mybpc3 messenger RNA (mRNA) and cMyBP-C protein levels in a dose-dependent manner. Importantly, Mybpc3 gene therapy unexpectedly also suppresses accumulation of mutant mRNAs. This study reports the first successful long-term gene therapy of HCM with correction of both haploinsufficiency and production of poison peptides. In the absence of alternative treatment options except heart transplantation, gene therapy could become a realistic treatment option for severe neonatal HCM.
AB - Homozygous or compound heterozygous frameshift mutations in MYBPC3 encoding cardiac myosin-binding protein C (cMyBP-C) cause neonatal hypertrophic cardiomyopathy (HCM), which rapidly evolves into systolic heart failure and death within the first year of life. Here we show successful long-term Mybpc3 gene therapy in homozygous Mybpc3-targeted knock-in (KI) mice, which genetically mimic these human neonatal cardiomyopathies. A single systemic administration of adeno-associated virus (AAV9)-Mybpc3 in 1-day-old KI mice prevents the development of cardiac hypertrophy and dysfunction for the observation period of 34 weeks and increases Mybpc3 messenger RNA (mRNA) and cMyBP-C protein levels in a dose-dependent manner. Importantly, Mybpc3 gene therapy unexpectedly also suppresses accumulation of mutant mRNAs. This study reports the first successful long-term gene therapy of HCM with correction of both haploinsufficiency and production of poison peptides. In the absence of alternative treatment options except heart transplantation, gene therapy could become a realistic treatment option for severe neonatal HCM.
U2 - 10.1038/ncomms6515
DO - 10.1038/ncomms6515
M3 - SCORING: Journal article
C2 - 25463264
VL - 5
SP - 5515
JO - NAT COMMUN
JF - NAT COMMUN
SN - 2041-1723
ER -