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-Subunit of Rod cGMP Phosphodiesterase Alters the ERG and Retinal Morphology in Wild-Type Mice
1From the Departments of Ophthalmology and 3Molecular Genetics and Microbiology, and the 4Powell Gene Therapy Center, University of Florida College of Medicine, Gainesville, Florida.
| Abstract |
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-subunit of the rod cGMP phosphodiesterase (PDE
) mRNA in the retina of wild-type mice.
METHODS. Two hammerhead ribozymes, HRz35 and HRz42, were designed to target the PDE
gene in wild-type C57BL/6 mice. The efficiency and specificity of the ribozyme cleavage was tested in vitro against three different types of target: short synthetic RNA oligomers, longer targets transcribed from clones, and full-length mRNA from total retinal RNA extracts. After in vitro validation, the ribozymes were cloned and packaged in a recombinant adenoassociated virus (rAAV) containing a proximal 472-bp murine rod opsin promoter (MOPS) to drive ribozyme synthesis. Three-week-old wild-type C57BL/6 mice were injected subretinally with the vectors. For treated versus partner control retinas, responses to light were measured by full-field electroretinography (ERG), and retinal tissues were examined by light microscopy. Messenger RNA and protein levels of PDE
gene were monitored by reverse transcriptionpolymerase chain reaction (RT-PCR) and Western immunoblot assay.
RESULTS. The ribozymes had comparable in vitro kinetic properties in multiple turnover kinetic analyses. Ribozyme HRz35 exhibited a Kcat of 0.48 minute1 and a Km of 980 nM, and HRz42 showed a Kcat of 0.17 minute1 and a Km of 971 nM. Both ribozymes cleaved at accessible sites in the RNA, as they digested long transcripts transcribed from clones and full-length mRNA from total retinal RNA extracts in vitro. At increasing intervals after subretinal injection with either AAV ribozyme, a 30% to 90% reduction in a- and b-wave amplitudes was observed compared with those in contralateral control eyes that were not injected. Retinal tissue analysis showed that loss of the photoreceptor cells and PDE
mRNA and protein paralleled the ERG results.
CONCLUSIONS. Ribozyme-mediated somatic knockdown of wild-type PDE
mRNA in vivo can efficiently reduce the target RNA leading to a loss in rod photoreceptors and in rod-mediated ERG amplitudes, thus generating an animal model of retinal degeneration resembling human RP in an essentially normal adult retina. This vector ribozyme technique should be applicable to other genes associated with RP and perhaps also to mRNAs of phototransduction genes not yet associated with RP. Application of this approach may be age and species independent.
- and ß-catalytic subunits (PDE
ß) and two copies of the inhibitory
-subunit (PDE
).2 In phototransduction signaling, PDE
is a multifunctional protein that may interact either directly with both the catalytic subunits (PDE
ß) and or with the
-subunit of transducin (T
).3 4 Photoactivation of the visual pigment rhodopsin leads to activation of the G-protein, transducin (T
), which, in turn, proceeds to stimulate cGMP-PDE. The activated
-subunit of transducin (T
) is then believed to interact with the membrane-associated rod PDE holoenzyme (subunit stoichiometry,
ß
2) displacing the inhibitory PDE
subunits from the active sites of the catalytic heterodimer PDE
ß. The enhanced hydrolytic activity of activated PDE rapidly reduces cytoplasmic cGMP levels, leading to closure of cGMP-gated cation channels and hyperpolarization of rod and cone cells.5 6 7
A defect in any PDE subunit may alter the activity of the enzyme, leading to aberrations in the visual phototransduction. Mutations in the PDEß subunit gene cause inherited retinal diseases associated with retinitis pigmentosa (RP) in humans8 as well as in rd mice9 10 11 and Irish Setter dogs.12 Mutations in the PDE
13 and PDE
14 15 genes can also produce RP in human and RP-like symptoms in mice.
The human gene for PDE
maps to a distal region of the long arm of chromosome 17 (17q25), and no inherited retinal degenerations have yet been mapped to this gene. Nevertheless, several mutations in the murine PDE
gene (Pdegtm, Del 7C, Y84G, and W70A) 15 16 17 18 have been studied in the past decade. Mutations in PDE
(PDE
knockout Pdegtm mice) result in rapid retinal degeneration and represent one of the more aggressive forms of human RP. In homozygous mutant mice, reduced PDE activity was observed; the PDE
ß dimer was formed but lacked hydrolytic activity. The Pdegtm mice may suffer retinal degeneration through a mechanism similar to that in the rd1 mouse, in that the high cGMP concentration may keep cGMP-gated cationic channels continuously open and lead to an excessive load on rod photoreceptors, resulting in degeneration. The generation of a more extensive allelic series of mutant mice (Del 7C, Y84G, and W70A) further demonstrated the consequences of continuous excitation on photoreceptor development and survival: some of these mice did not respond to light, possibly resulting from a stationary rod dysfunction but without degeneration. Thus, these animals provide important information about mechanisms of light adaptation in response to constitutive signaling and allow the study of retinal degeneration caused by deficient PDE
.14 15 16 17 18
The development of viable retinal gene therapy regimens is critically dependent on the availability of suitable animal models.19 In an attempt to generate an animal model of retinal degeneration, we used an rAAV-ribozymemediated approach to knockdown of the rod PDE
mRNA in wild-type mice. Hammerhead and hairpin ribozymes possess the dual properties of RNA sequence-specific recognition and site-specific cleavage of target RNA molecules. These properties provide powerful tools for studies requiring inhibition of gene-function. However, the hammerhead ribozyme has been used more commonly, because it imposes few limitations on target RNA molecules and it is small (35 nucleotides [nt]) and highly reactive.20 21 22 The choice of ribozyme delivery vehicle was based on our previous experience using adenoassociated virus (AAV) to deliver ribozymes as therapy in animal models of dominant inherited retinal diseases.23 24 25 This AAV ribozyme approach, in theory, permits somatic knockdown of genes in normal adult tissue, thus avoiding problems commonly associated with transgenic or germ-line knockout animal, including embryonic lethality or experimental inaccessibility due to early developmental expression. This technique also avoids the time and expense of creating transgenic animals. In this study, we tested the idea that AAV ribozyme in vivo somatic to knockdown of PDE
mRNA in wild-type mice would lead to defects in rod function and viability, thus mimicking those in the knockout mouse.15
| Materials and Methods |
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-subunit of the rod cGMP-PDE
mRNA in the retina of wild-type mice. The total cDNA sequence of the mouse rod PDE
gene is 482 nt, of which 261 nt comprise the coding region, 121 nt are in the 5'-untranslated region and 100 nt are in the 3'-untranslated region.26 One ribozyme was designed to target PDE
mRNA at position 42 of the 5'-untranslated region (Rz42) and another targeting position +35 in the coding region (Rz35; Fig. 1 ).
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cells by heat shock at 42°C for 90 seconds. Clones were screened by restriction digestion and verified by sequencing.
Three different targetsshort synthetic RNA oligomers, cloned longer synthetic transcripts, and full-length in vivo RNAwere designed to test ribozymes at different levels. The short synthetic RNA oligomer targets (14 nt) were ordered directly from Dharmacon (Lafayette, CO). These RNA oligonucleotides are protected on their 2' residues and must be deblocked by mild acid treatment before use. The longer cloned target (114 nt), which covers both cleavage sequences of ribozyme HRz35 and HRz42 in the wild-type mouse PDE
sequence, was constructed by cloning a fragment of the cDNA in the pHC plasmid described earlier. The full-length RNA target was contained in total retinal RNA by extraction from whole retina of treated and untreated eyes, according to the manufacturers instructions (TRIzol reagent; Invitrogen).
In Vitro Transcription
For in vitro transcription, plasmids containing ribozyme sequences or cloned targets were linearized with MluI, phenol extracted, and ethanol precipitated. Transcripts were generated with T7 RNA polymerase and labeled by incorporation of [
-32P] UTP (ICN, Costa Mesa, CA) using the protocol of Grodberg and Dunn.28 Transcription products were filtered through a spin column (Sephadex G-25; Roche Diagnostics, Indianapolis, IN), extracted with phenol-chloroform-isoamyl alcohol (25:24:1) twice and chloroform once and then ethanol precipitated with 1 µL glycogen or dextran blue carrier, washed with 70% ethanol, and resuspended in diethylpyrocarbonate (DEPC)-treated water. For determining the specific radioactivity of transcription products, 1 or 2 µL of samples were spotted on glass fiber filters and analyzed by scintillation counting. Finally, the concentration of ribozymes or targets was calculated by the specific radioactivity.29
Ribozyme Cleavage Reactions
Ribozyme cleavage reactions were performed in a volume of 10 µL containing 50 nM target RNA, 10 nM ribozyme, 20 mM MgCl2, and 40 mM Tris-HCl (pH 7.5) and incubated at 37°C for the indicated times (see Fig. 2A ). Cleavage reactions were stopped by addition of 50 mM EDTA, 10 M urea, 0.02% bromophenol blue, and 0.02% xylene cyanol. Cleavage products were analyzed by electrophoresis on 15% (wt/vol) polyacrylamide denaturing gels (8 M urea) in Tris-boric acid-EDTA (TBE) buffer and scanned (Storm PhosphorImager; GE Healthcare, Piscataway, NJ). The fraction cleaved was calculated from the ratio of radioactivity in the cleavage product to the sum of the radioactivity in the cleavage product plus the reaction target in the same lane of the gel. The observed reaction velocity is given as the fraction cleaved per minute.29
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-32P]-ATP end-labeled RNA targets, under the conditions described earlier for short intervals. The reaction products were analyzed as described earlier. The kinetic constants Km and Kcat were determined from Eadie-Hofstee plots.30
rAAV-Ribozyme Constructs
Recombinant AAV constructs were based on the pTR-UF2 vector.31 32 Each ribozyme gene as derived from the pHC plasmid as described earlier was inserted into the NotI sites of pTR-UF2, replacing the GFP gene and replacing the CMV promoter with a 472-bp proximal murine rod opsin promoter (mOp472) to drive ribozyme gene expression specifically and efficiently in rodent photoreceptors (PR) cells31 (Fig. 1C) . The resultant pTR-MOPS vectors with ribozyme genes were package into serotype 5 rAAV capsids by standard procedures.31 The constitutive transport element was placed downstream of the ribozyme cassette to facilitate RNA transport and stability.33 Vector-ribozyme genomecontaining particle titers were determined by quantitative competitive PCR (QC-PCR) for the neor gene.
Subretinal Vector Injection
All animal procedures used were in agreement with the NIH Guide for the Care and Use of Laboratory Animals, the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research, and institutional guidelines and were approved by the University of Florida Institutional Animal Care and Use Committee. All C57BL/6J mice were purchased from Jackson Laboratories (Bar Harbor, MA).
Three-week old wild-type mice (C57BL/6J) from The Jackson Laboratory were used. Animals were anesthetized by ketamine-xylazine injection, eyes were dilated (2.5% phenylephrine and 0.5% tropicamide), and a local anesthetic (proparacaine HCl) was applied. Injections (1 µL) were made into the right eye with blunt 33-gauge needles through an opening in the pars plana, delivering the rAAV-ribozyme suspension into the superior subretinal space. Control injections of rAAV-inactive ribozyme were made in the partner control eye, or the eye was left untreated. Injections were performed with an operating microscope, and the subretinal location of the injected volume was confirmed by ophthalmoscopy.34
ERG Analysis
The injected mice were dark-adapted overnight and anesthetized with intramuscular injection of xylene (13 mg/kg) and ketamine (87 mg/kg) under dim red light. Full-field scotopic ERGs were measured with 10-µs flashes of white light and responses were recorded with a visual electrodiagnostic system (UTAS-E 2000; LKC Technologies, Gaithersburg, MD). Stimuli were presented at intensities of 0.02, 0.18, and 2.68 cd-s/m2 at 10-, 20-, and 30-second intervals, respectively. Five responses were averaged at each intensity. The a-waves were measured from the baseline to the peak in the cornea-negative direction, and b-waves were measured from the cornea-negative peak to the major cornea-positive peak. For quantitative comparison of differences between eyes of one mouse, values from each of the stimulus intensities were averaged for each eye.25 34 For determining the significance of differences between treated eyes (usually right-eye) and partner control eyes (usually left-eye), statistical analyses were performed on computer with a two-sample Students t-tests assuming equal variances, two-sample assuming unequal variances, and paired two-sample for means (Excel; Microsoft, Redmond, WA). The same statistical analyses were used in RT-PCR or other data analyses in the study.
Isolation of RNA and RT-PCR for Detecting PDE
mRNA In Vitro and In Vivo
Total RNA was isolated from the retinas of wild-type mice for assaying cleavage of full-length rod PDE
mRNA in vitro and from the treated mice to measure a reduction in levels of the rod PDE
mRNA in vivo. For measurement of cleavage in ribozyme-treated mice, RNA was extracted 3 weeks after subretinal injection with rAAV-ribozymes. RNA was isolated from the retinas according to manufacturers protocol (TRIzol reagent; Invitrogen). After the ethanol precipitation step in the extraction procedure, the RNA samples were treated with RNase-free DNase (Qiagen, Valencia, CA) to remove genomic DNA contamination. After this, the RNA was repurified using a clean-up protocol (RNeasy Mini Kit; Qiagen) according to the manufacturers instructions. Finally, the RNA was eluted into RNase-free H2O to obtain approximately 0.5 µg/µL and stored in small aliquots at 80°C. The RNA concentration was determined spectrophotometrically at 260 and 280 nm, and its integrity was verified by the electrophoresis in formaldehyde agarose gels (1.2%). Each RNA sample came from a separate eye (no pooling).
Even though the ribozymes Rz35 and Rz42 can cleave an RNA substrate 114 nt in length, it is important to test its activity on the full-length PDE
mRNA, because of the possibility of additional secondary structure in full-length mRNA. For this purpose, total retinal RNA was extracted from the C57BL wild-type mice as described earlier. Ribozyme cleavage reactions in vitro were performed in duplicate by using a volume of 10 µL containing 1 µg total retinal RNA, 10 nM ribozyme (three different treatments: Rz42, Rz35, and no Rz), 20 mM MgCl2, 40 mM Tris-HCl (pH 7.5), and 0.1µL RNase inhibitor (Promega, Madison, WI) and incubated at 37°C for the indicated times (see Fig. 2A ). Two microliters of the cleavage reactions for each treatment were obtained at each time point and analyzed by RT-PCR.
Reverse transcription (RT) reactions were accomplished with reverse transcriptase and olig-dT or reverse primer by using the a first-strand cDNA synthesis kit according to the manufacturers protocol (GE Healthcare). For each RT reaction, 2 µL of the cleavage reaction RNA (1 µg) was added to 1 µL of reverse primer (10 picomoles, 5'-CAAGGGCAGA TGACGGTGA-3') and heated to 65°C for 5 minutes. To this, 8 µL of a mix containing buffer and enzyme (supplied with kit) was added (total RT reaction: 10 µL). This was incubated for 1 hour at 37°C followed by a 90°C incubation for 5 minutes, to inactivate the reverse transcriptase.
The RT reaction was used as a template for the polymerase chain reaction (PCR). PCR primers were designed to cover the cleavage sites for the two ribozymes Rz42 and Rz35 within a PDE
gene and were synthesized by Invitrogen (forward primer: 5'-TCTGTCCAGT GCTTGCCTGC-3'; reverse primer: 5'-CAAGGGCAGA TGACGGTGAT-3'). Additional primers were designed to amplify ß-actin as the internal control (forward primer: 5'-GTTTGAGACC TTCAACACCC-3'; reverse primer: 5'-TACTCCTGCT TGCTGATCCA-3'). The linear range of the amplification of the PDE
RT-PCR product was determined by using a PCR mix containing 10 µL RT product, 200 µM dNTPs, 1 mM MgCl2, 0.2 µM PDE
, 0.1 µM ß-actin oligonucleotides (primers), 1x Taq DNA polymerase buffer, 2 units Taq DNA polymerase (Invitrogen), and 0.5 µCi/50 µL [
32P]-dATP (ICN). The PCR mix (total PCR reaction, 50 µL) was separated into 0.2-mL tubes, and amplification was performed in the following program on a thermocycler (model T3; Bio-Metra, Göttingen, Germany): 95°C for 5 minutes; 26 cycles at 94°C for 30 seconds, 60°C for 30 seconds, and 72°C for 45 seconds; and a final extension of 72°C for 10 minutes; followed by a pause at 4°C. Samples were removed at the exponential phase in preliminary experiments. Preliminary experiments had shown that the exponential phase of both PDE
and ß-actin was at cycle 26.
For each PCR sample, 5 µL was removed and 2 µL of dye mix was added. The samples were loaded onto a 4% polyacrylamide 8-M urea gel. Dried gels were analyzed on the phosphorescence imager (Storm PhosphorImager; GE Healthcare) or imaged by autoradiography with x-ray film to determine the linear range of amplification. The fraction cleaved was calculated from the ratio of radioactivity in the PDE
band to the ß-actin band for each lane.
For detecting a reduction in levels of the rod PDE
mRNA, the right eyes of wild-type mice were subretinally injected in vivo with rAAV ribozyme and the fellow eyes were left untreated as a partner control, at postnatal day (P)21. Three weeks after subretinal injection, the total RNA was extracted and analyzed by RT-PCR, as described earlier.
Western Immunoblot Assay
At P21, the right eyes of mice were injected with active ribozyme, and left eyes remained untreated. Three weeks after subretinal injection, total protein was extracted (TRIzol Reagent; Invitrogen) according to the manufacturers protocol. The total protein concentration was determined, and the equivalence of protein extraction from left and right eyes was confirmed with Coomassie brilliant blue staining (Bio-Rad, Hercules, CA) after SDS-polyacrylamide gel electrophoresis. Total protein (20 µg) was separated on an 18% SDS-polyacrylamide gel and electrotransferred (Trans-Blot Semi-Dry; Bio-Rad) to nitrocellulose transfer membranes. Membranes were probed with rabbit anti-PDE
antibody (a gift of Theodore Wensel, Baylor College of Medicine, Houston, TX) and with arrestin antibody (a gift of W. Clay Smith, University of Florida, Gainesville, FL). Primary antibodies were diluted 1:1,000 and blots were developed with anti-rabbit IgG conjugated with horseradish peroxidase (HRP; Promega) secondary antibody (diluted 1:10,000). Protein bands were visualized with chemiluminescence detection reagent according to the manufacturers protocol (ECL Plus; GE Healthcare). Membranes were exposed to autoradiograph film (Hyperfilm ECL film; GE Healthcare) for 5 to 30 seconds.
Retinal Tissue Analysis
Treated mice were euthanatized by an overdose of ketamine and xylazine and were immediately perfused intracardially with a mixture of mixed aldehydes (2% paraformaldehyde and 2.5% glutaraldehyde). Eyes were immediately enucleated, and the cornea, lens, and vitreous of each eye removed. The posterior eye cup was then placed in the primary fixative (4% paraformaldehyde) for 4 hours or overnight at 4°C. The tissues were dehydrated and embedded in epoxy resin, and 1-µm-thick histologic sections were made along the vertical meridian. The thickness of the rod outer nuclear layer (ONL) was determined as the average number of rows of photoreceptor nuclei in four nonadjacent sections at four positions in each section.35
| Results |
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mRNA. To study cleavage activities on a variety of substrates, three different targets (short synthetic, cloned longer and full-length RNA) were used. Initially, two short synthetic RNA targets (14 nt) containing the cleavage site at positions +35 and 42 were used to determine the reaction time course, the magnesium optima, and the kinetic behavior of the ribozymes. For the cleavage time course, ribozymes HRz35 and HRz42 were incubated with excess substrate at physiologic temperature but at high magnesium concentrations (20 mM) to promote ribozyme folding. The cleavage products increased significantly with time. Approximately 80% (Rz35) and 75% (Rz42) of the targets were cleaved after a 10-minute incubation (Figs. 2A 2B) and almost 100% of each target was digested by 20 minutes (data not shown).
Magnesium Dependence of the Cleavage Reaction
Magnesium is required for correct folding of hammerhead ribozymes and possibly for hydrolysis of the phosphodiester bond.36 37 Ribozyme activity is therefore typically quite sensitive to the level of magnesium in the reaction. The magnesium dependence of HRz35 and HRz42 were determined using oligonucleotide targets under our standard buffer conditions (Figs. 2C 2D) . The activity of both ribozymes increased with the increase in magnesium concentration, reaching a plateau near 8 mM, with no further increase up to 60 mM. It is important to note that both ribozymes are active at magnesium concentrations of 2 mM, indicating that cleavage should occur efficiently under physiological conditions.
Kinetic Analysis
To determine the cleavage efficiencies of ribozymes pHRz42 and pHRz35 against synthetic targets (14 nt), multiple turnover cleavage reactions were performed under conditions of excess substrate with the ribozyme concentration kept constant. The kinetic parameters Km and Kcat determined from this analysis for the two ribozymes are shown in Table 1 . Whereas the Km values are almost identical, reflecting similar binding affinities for their respective target sites, there was an almost threefold difference in Kcat between HRz35 and HRz42, indicating a difference in overall enzymatic turnover. The physiological activity of enzymes is determined best by the Kcat/Km ratio, because the ratio accounts for diffusion as well as affinity and chemistry. The ribozymes pHRz35 and pHRz42 had Kcat/Km of 4.9 x 105 and 1.8 x 105, respectively, indicating that the ribozyme pHRz35 is more active than that pHRz42. However, both ribozymes are in the range that we have used for successful experiments in cells and animals.23
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ribozymes on a transcript of 114 nt containing cleavage sites for both HRz35 and HRz42. Most stable secondary structures such as internal stem loops form locally, so that an RNA of this size should reflect the accessibility of the ribozyme target sites in the full-length mRNA (482 nt). The cleavage reactions were incubated as described for 2 hours, and the products were resolved on denaturing polyacrylamide gels (Fig. 3) . Such long targets are not suitable for kinetic analysis, since the rate-limiting step in such reactions is not the cleavage reaction. However, this experiment indicates that both ribozyme target sites in the native substrate are accessible to cleavage.
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-specific RT-PCR product compared with the total retinal RNA without ribozyme. Relative to control samples incubated without ribozyme, the amount of target digested by the ribozymes HRz42 and HRz35 was 51% and 65% at 3 hours, 55% and 58% at 6 hours, 61% and 74% at 12 hours, respectively.
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Ribozymes and the Response to LightERGs were recorded before injection and at 2, 4, 6, and 8 weeks after injection. The change in ERG amplitudes after injection with HRz35 is shown in Figure 5 . Relative to the noninjected contralateral eyes, average ERG a- and b-wave amplitudes were reduced by more than 50% at 2 weeks after injection and remained at approximately this level for the duration of the experiment (8 weeks). We compared the effect of inactive and active ribozymes in detail at the 6-week time point (Fig. 6) . Whereas there was a statistically significant difference (P < 0.01) in maximum a- and b-wave amplitudes between the injected and noninjected eyes of animals treated with the active ribozyme HRz35 (Rz), the difference between injected and noninjected eyes of mice treated with inactive HRz35 (InaRz) was not significant (Fig. 6A) . In addition, there was a significant difference (P < 0.01) in the ERG a- and b-wave maximum amplitude ratios (right eye to left eye) between mice treated with the active ribozyme and those treated with inactive ribozyme or untreated, but there was no significant difference between those treated with inactive ribozyme and untreated (Fig. 6B) .
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Ribozymes and the Death of Photoreceptor CellsThe retinas of rAAV-ribozyme knockdown mice were examined histologically at 6 weeks after injection. Light microscopic analysis revealed that in some animals most of retinal outer segments from the injected right eyes were lost and the ONLs were down to one to three layers, but the inner nuclear layer (INL) and ganglion cell layer (GCL) appeared to be unaffected compared with the control left eyes (Fig. 7) . When we organized the ERG ratios and histology data, we found that the thinning of the ONL paralleled the ERG decrement. If the ERG decrease was <30%, the ONL exhibited an average of 10 to 12 layers of nuclei. If the ERG loss was from 31% to 50%, seven to nine layers of nuclei were observed, ERG reductions of 51% and 70% were found in retina with an ONL containing four to six layers, and ERG amplitudes reduced by 71% to 90% reflected two to three layers in the ONL (Table 2) .
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mRNA and protein levels in vivo, the PDE
mRNA and protein were detected by RT-PCR analysis and Western immunoblot assay for the retinal total RNA and protein, respectively, from AAV-ribozymetreated right eyes and noninjected control left eyes. The reduction in levels of the rod PDE
mRNA was 40% to 80% (Fig. 8) . The result of a Western immunoblot assay showed that, in rAAV-ribozymeinjected eyes, there was a three- to fivefold reduction in levels of the rod PDE
protein compared with the untreated control left eyes (Fig. 9) . In this experiment, we used inactive ribozyme as a control to distinguish knockdown due to the catalytic activity of the ribozyme. The variability in these results most likely reflects an uncertainty in the precise volume of vector delivered subretinally from mouse to mouse. These measurements were made at 3 weeks after injection, before substantial loss of photoreceptors had occurred; therefore, loss of PDE
is not caused by loss of cells. (Note that arrestin levels are not diminished in treated eyes at this stage.) Rather, reduction in the level of the rod PDE
protein in infected cells is likely to be the cause of the reduced visual response, as measured by the dampened ERG response and the death of photoreceptor cells.
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| Discussion |
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-subunits. Genetic defects leading to changes in cGMP levels are a common cause of retinal disease in animal and human.39 Somewhat paradoxically, even though PDEß is a catalytic subunit and PDE
is an inhibitory subunit, both PDEß and PDE
null mice have elevated levels of cGMP, suggesting that loss of either subunit causes PDE instability. To test this hypothesis, we asked whether ribozyme knockdown of a wild-type rod PDE
mRNA is sufficient to create a retinal phenotype that mimics the loss of rod function and structure that typically accompanies human RP. Toward this end, two hammerhead ribozymes were designed to target the mouse rod
-subunit of the rod cGMP-PDE
mRNA and were tested in normal C57BL/6 mice. Both ribozymes were effective at reducing the in vivo level of PDE
, reducing ERG amplitudes, and diminishing the number of photoreceptor cells remaining in the retina. We conclude that AAV-vectored ribozymes, if properly screened and validated for activity against their intended target, can lead to the phenotypic hallmarks of the corresponding null mutation. When rAAV-Rz was injected into the right eye but not into the left eye at P21 to P28, the ERG data from rAAV-Rz mice showed a significant loss, ranging from 30% to 90% in both a- and b-wave amplitudes. The morphology of photoreceptors was also impacted: the ONL ranged from 3 to 11 nuclear layers with almost total loss of the outer and inner segments in the most severely affected eyes. The INL and GCL appeared to be unaffected in treated eyes compared with the contralateral control at 6 weeks after injection.
By comparison, a gene-targeting approach was used to disrupt the mouse rod PDE
gene. Tsang et al.15 developed the targeted mutation Pdetm1/Pdetm1 KO mice. The corneal electroretinograms of the Pdetm1/Pdetm1 mice showed a severely diminished response in both the a- and b-waves with a delay in b-wave implicit time. The decreases in responses were much greater in 8-week-old than in 2-week-old animals. The ERG became almost undetectable after 3 months, and the morphology of Pdetm1/Pdetm1 homozygous mutant mice showed the retina had lost the photoreceptor layer (OS, IS, and ONL) completely by 8 weeks of age, but the INL and GCL appear to be unaffected.15 Thus, from electroretinogram and morphologic data, both rAAV-Rz knockdown mice and Pdetm1/Pdetm1 knockout mice are similar and resulted in a very rapid and severe retinal degeneration resembling human RP. Not surprisingly, rAAV-Rz mediated knockdown of the PDE
gene produced more variable reductions of ERG responses and photoreceptor/ONL loss than did the gene knockout approach, but permitted comparison of disease in one eye to that in a normal eye in the same animal. These different midstatus and internal comparison pairs may permit evaluation of quantitative impact of rod cell loss on ERG amplitudes. Consequently, an AAV-ribozymebased approach may be useful in evaluating other genes associated with RP and perhaps also to knock down mRNAs of phototransduction genes not yet associated with RP to determine whether they may, in fact, may be associated with the disease.
Perhaps the largest difference between ribozyme-induced rod cell degeneration and the natural situation in which a missing gene accounts for a disease phenotype is that functional and structural cell loss is not progressive in ribozyme-treated retinas, as seen in genetic RP models. The reason for this difference is that AAV vectors deliver passenger genes to a subset of photoreceptors31 and, assuming an effective dose in these cells, once they have responded, the remaining cells are normal and do not degenerate. Thus, the stochastic cell death reported in many PR diseases40 cannot be reproduced. Rather, photoreceptor cell loss is a step function. This means that, the topography of degeneration reflects the topography of vector gene delivery, very unlike the peripheral-to-central progression of RP in both humans and animal models.
A potentially important advantage of this virally delivered ribozyme technology is that it should be relatively independent of the target species, the age of the animal at time of vector treatment, or the target mRNA itself. Although none of these variables has been explicitly tested in this initial study, there seems to be no theoretical barriers to its usefulness in these contexts. Viral delivery methods and dosages have been established in canines and nonhuman primates, making AAV-mediated gene-silencing plausible in larger animals.41 42
There are several other implications and potential applications of this technology. First, since animal age at the time of vector administration can be varied, at least in rodents, from any point between midgestation43 and adulthood, this sort of gene knockdown could be initiated to ask questions related to retinal development. Second, cellular response to the loss of a specific mRNA could be readily assessed. This would allow studies related to how a given retinal cell type responds to the specific gene knockdown to be addressed. Potential targets might include stress gene induction, initiation of apoptosis, and perhaps an even more global gene expression analysis. Such an array analysis could be used to document families of coregulated genes related to the target, and may, for example, reveal currently unrecognized phototransduction genes or known genes with currently unknown relationships to phototransduction. Simply, the response of untargeted phototransduction genes may suggest novel interactions between known phototransduction genes. Third, this approach to somatic gene ablation could aid in identifying currently unrecognized RP-associated genes. Fourth, the potential to knock down both the mutant and wild-type alleles of a dominant acting RP gene and replace both with a gene "hardened" against the ribozyme that still encodes the normal protein44 45 opens up a more general therapeutic paradigm than direct ribozyme targeting of each mutation in each dominant mutant allele. Because of the allelic heterogeneity of autosomal dominant RP, this RNA replacement approach has significant advantages compared to allele-specific gene-silencing.
| Footnotes |
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Supported in part by the National Institutes of Health Grants EY11123 and EY11596, the Steinbach Foundation, the Foundation Fighting Blindness, Research to Prevent Blindness, and the Macular Vision Research Foundation.
Submitted for publication November 2, 2004; revised May 2 and June 2, 2005; accepted August 1, 2005.
Disclosure: J. Liu, None; A.M. Timmers, None; A.S. Lewin (P); W.W. Hauswirth, AGTC Inc. (I, P)
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: William W. Hauswirth, Powell Gene Therapy Center, University of Florida College of Medicine, Gainesville, FL; whausw{at}eye.ufl.edu.
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P. J. DeMarco Jr, G. L. Yarbrough, C. W. Yee, G. Y. McLean, B. T. Sagdullaev, S. L. Ball, and M. A. McCall Stimulation via a Subretinally Placed Prosthetic Elicits Central Activity and Induces a Trophic Effect on Visual Responses Invest. Ophthalmol. Vis. Sci., February 1, 2007; 48(2): 916 - 926. [Abstract] [Full Text] [PDF] |
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