title: AAV gene transfer delays disease onset in a TPP1-deficient canine model of the late infantile form of Batten disease.
abstract: The most common form of the childhood neurodegenerative disease late infantile neuronal ceroid lipofuscinosis (also called Batten disease) is caused by deficiency of the soluble lysosomal enzyme tripeptidyl peptidase 1 (TPP1) resulting from mutations in the TPP1 gene. We tested whether TPP1 gene transfer to the ependyma, the epithelial lining of the brain ventricular system, in TPP1-deficient dogs would be therapeutically beneficial. A one-time administration of recombinant adeno-associated virus (rAAV) expressing canine TPP1 (rAAV.caTPP1) resulted in high expression of TPP1 predominantly in ependymal cells and secretion of the enzyme into the cerebrospinal fluid leading to clinical benefit. Diseased dogs treated with rAAV.caTPP1 showed delays in onset of clinical signs and disease progression, protection from cognitive decline, and extension of life span. By immunostaining and enzyme assay, recombinant protein was evident throughout the brain and spinal cord, with correction of the neuropathology characteristic of the disease. This study in a naturally occurring canine model of TPP1 deficiency highlights the utility of AAV transduction of ventricular lining cells to accomplish stable secretion of recombinant protein for broad distribution in the central nervous system and therapeutic benefit.
authors.affiliation: Department of Ophthalmology, University of Missouri, Columbia, MO 65212, USA.
authors.forename: Martin L
authors.initials: ML
authors.lastname: Katz
authors.affiliation: The Raymond G. Perelman Center for Cellular and Molecular Therapeutics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
authors.forename: Luis
authors.initials: L
authors.lastname: Tecedor
authors.affiliation: The Raymond G. Perelman Center for Cellular and Molecular Therapeutics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
authors.forename: Yonghong
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211, USA.
authors.forename: Baye G
authors.initials: BG
authors.lastname: Williamson
authors.affiliation: The Raymond G. Perelman Center for Cellular and Molecular Therapeutics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
authors.forename: Elena
authors.initials: E
authors.lastname: Lysenko
authors.affiliation: Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211, USA.
authors.forename: Fred A
authors.initials: FA
authors.lastname: Wininger
authors.affiliation: Department of Ophthalmology, University of Missouri, Columbia, MO 65212, USA.
authors.forename: Whitney M
authors.initials: WM
authors.lastname: Young
authors.affiliation: Department of Veterinary Pathobiology, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211, USA.
authors.forename: Gayle C
authors.initials: GC
authors.lastname: Johnson
authors.affiliation: Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211, USA.
authors.forename: Rebecca E H
authors.initials: RE
authors.lastname: Whiting
authors.affiliation: Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211, USA.
authors.forename: Joan R
authors.initials: JR
authors.lastname: Coates
authors.affiliation: The Raymond G. Perelman Center for Cellular and Molecular Therapeutics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. davidsonbl@email.chop.edu.
authors.forename: Beverly L
authors.initials: BL
authors.lastname: Davidson
mesh_terms: D000626:Aminopeptidases / Q000134:cerebrospinal fluid / Q000172:deficiency / Q000235:genetics*; D000818:Animals; D002552:Cerebral Ventricles / Q000378:metabolism; D000229:Dependovirus / Q000235:genetics; D004152:Dipeptidyl-Peptidases and Tripeptidyl-Peptidases / Q000134:cerebrospinal fluid / Q000172:deficiency / Q000235:genetics*; D004195:Disease Models, Animal; D004285:Dogs; D056947:Enzyme Replacement Therapy; D005822:Genetic Vectors / Q000008:administration & dosage; D009472:Neuronal Ceroid-Lipofuscinoses / Q000235:genetics* / Q000628:therapy*; D057057:Serine Proteases / Q000134:cerebrospinal fluid / Q000172:deficiency / Q000235:genetics*; D014161:Transduction, Genetic; D000091346:Tripeptidyl-Peptidase 1
chemical_list: D000091346:Tripeptidyl-Peptidase 1; D057057:Serine Proteases; D000626:Aminopeptidases; D004152:Dipeptidyl-Peptidases and Tripeptidyl-Peptidases