AAV9-NPC1 significantly ameliorates Purkinje cell death and behavioral abnormalities in mouse NPC disease

J Lipid Res. 2017 Mar;58(3):512-518. doi: 10.1194/jlr.M071274. Epub 2017 Jan 4.

Abstract

Niemann-Pick type C (NPC) disease is a fatal inherited neurodegenerative disorder caused by loss-of-function mutations in the NPC1 or NPC2 gene. There is no effective way to treat NPC disease. In this study, we used adeno-associated virus (AAV) serotype 9 (AAV9) to deliver a functional NPC1 gene systemically into NPC1-/- mice at postnatal day 4. One single AAV9-NPC1 injection resulted in robust NPC1 expression in various tissues, including brain, heart, and lung. Strikingly, AAV9-mediated NPC1 delivery significantly promoted Purkinje cell survival, restored locomotor activity and coordination, and increased the lifespan of NPC1-/- mice. Our work suggests that AAV-based gene therapy is a promising means to treat NPC disease.

Keywords: Niemann-Pick type C disease; Niemann-Pick type C1; adeno-associated virus serotype 9; blood-brain barrier; cholesterol; gene therapy; lysosomal storage diseases.

MeSH terms

  • Animals
  • Brain / metabolism
  • Cell Survival / genetics
  • Dependovirus / genetics
  • Disease Models, Animal
  • Gene Expression Regulation
  • Gene Transfer Techniques*
  • Genetic Therapy*
  • Humans
  • Intracellular Signaling Peptides and Proteins
  • Locomotion / genetics
  • Lung / metabolism
  • Mice
  • Myocardium / metabolism
  • Niemann-Pick C1 Protein
  • Niemann-Pick Disease, Type C / genetics*
  • Niemann-Pick Disease, Type C / pathology
  • Niemann-Pick Disease, Type C / therapy*
  • Proteins / administration & dosage
  • Proteins / genetics*
  • Purkinje Cells / metabolism
  • Purkinje Cells / pathology
  • Vesicular Transport Proteins / administration & dosage
  • Vesicular Transport Proteins / genetics

Substances

  • Intracellular Signaling Peptides and Proteins
  • Niemann-Pick C1 Protein
  • Npc1 protein, mouse
  • Npc2 protein, mouse
  • Proteins
  • Vesicular Transport Proteins