Abstract
Although adeno-associated virus (AAV)-mediated gene therapy has been hindered by the small viral packaging capacity of the vector, trans-splicing AAV vectors are able to package twice the size of the vector genome. Unfortunately, the efficiency of current trans-splicing vectors is very low. Here we show that rational design of the gene splitting site has a profound influence on trans-splicing vector-mediated gene expression. Using mRNA accumulation as a guide, we generated a set of efficient trans-splicing vectors and achieved widespread expression of the 6-kb ΔH2-R19 mini-dystrophin gene in skeletal muscle of mdx mice, a model for Duchenne muscular dystrophy. The dystrophic phenotype was ameliorated in both adult and aged mice. This demonstrates the use of trans-splicing vectors to efficiently express a large therapeutic structural protein. This strategy should be applicable to other large therapeutic genes or large transcription regulatory elements.
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Acknowledgements
We thank A. Dusty Miller for the AAV-6 packaging plasmids. We thank Scott Q. Harper and Zhuping Xu for helpful discussion and technical assistance. This work was supported by grants from the National Institutes of Health (AR-49419, D.D.) and the Muscular Dystrophy Association (D.D. and J.S.C.).
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Supplementary information
Supplementary Fig. 1
Adult mdx mice used in this study displayed more severe muscle pathology. (PDF 312 kb)
Supplementary Fig. 2
Mini-dystrophin expression is observed only in AV.Donor.60 and AV.Acceptor.60 co-infected muscle but not in single vector infected muscle. (PDF 283 kb)
Supplementary Fig. 3
Absence of CD4+ and CD8+ T cells in AV.Donor.60 and AV.Acceptor.60 co-infected muscle. (PDF 230 kb)
Supplementary Fig. 4
Mini-dystrophin expression restores the entire DGC complex but not nNOS to the sarcolemma. (PDF 488 kb)
Supplementary Fig. 5
AV.Donor.60 and AV.Acceptor.60 co-infection in aged mdx EDL muscle does not reduce muscle pathology neither does it increase specific force. (PDF 593 kb)
Supplementary Fig. 6
AAV-6 infects all muscle fiber types, but with a trend towards preferential transduction of fast fibers, in dystrophic mdx limb muscle. (PDF 806 kb)
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Lai, Y., Yue, Y., Liu, M. et al. Efficient in vivo gene expression by trans-splicing adeno-associated viral vectors. Nat Biotechnol 23, 1435–1439 (2005). https://doi.org/10.1038/nbt1153
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DOI: https://doi.org/10.1038/nbt1153