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| United States Patent Application |
20070157324
|
| Kind Code
|
A1
|
|
Klein; Ronald
;   et al.
|
July 5, 2007
|
HUMAN DISEASE MODELING USING SOMATIC GENE TRANSFER
Abstract
This invention provides a system for modeling neurodegenerative and other
diseases through somatic gene transfer. In addition, methods of multiple
gene transfer, disease analysis and drug testing are provided for.
| Inventors: |
Klein; Ronald; (Shreveport, LA)
; Meyer; Edwin M.; (Jacksonville, FL)
; Muzyczka; Nicholas; (Gainesville, FL)
; King; Michael A.; (Gainesville, FL)
; Meyers; Craig A.; (Newberry, FL)
|
| Correspondence Address:
|
Beusse Wolter Sanks Mora & Maire
390 N. ORANGE AVENUE
SUITE 2500
ORLANDO
FL
32801
US
|
| Serial No.:
|
679313 |
| Series Code:
|
11
|
| Filed:
|
February 27, 2007 |
| Current U.S. Class: |
800/9; 435/456; 800/14 |
| Class at Publication: |
800/009; 800/014; 435/456 |
| International Class: |
A01K 67/027 20060101 A01K067/027; C12N 15/86 20060101 C12N015/86 |
Claims
1. A method for producing a non-human animal model of a human disease
which comprises transferring at least one aberrant form of at least one
gene known to be associated with said disease in humans into appropriate
tissue of a living non-human animal under conditions which result in the
expression of said at least one aberrant gene, wherein said transferring
does not require the modification of the germ-line of said living animal
2. The method according to claim 1 wherein said human disease is a
neurodegenerative disease.
3. The method according to claim 2 wherein said human disease is selected
from the group consisting of Alzheimer's Disease, Parkinson's Disease,
and Huntington's Disease.
4. The method according to claim 3 wherein said at least one gene is an
aberrant form of tau.5. The method according to claim 3 wherein said
aberrant form of tau is P301L, associated with "fronto-temporal dementia
with Parkinson's linked to chromosome 17 (FTDP-17)".
5. The method according to claim 3 wherein said aberrant form of tau is
P301L, associated with "fronto-temporal dementia with Parkinson's linked
to chromosome 17 (FTDP-17).
6. The method according to claim 3 wherein said at least one gene is an
aberrant form of alpha-synuclein.
7. The method according to claim 6 wherein said aberrant form of
alpha-synuclein is mutant .A-inverted.-synuclein (A30P), associated with
Parkinson's Disease.
8. The method according to claim 3 wherein said at least one gene is a
mutant amyloid precursor protein (APP), a mutant presenilin-1 (PS1), or
combinations thereof, associated with Alzheimer's Disease.
9. The method according to claim 1 which comprises identifying a
combination of genes relevant to a particular human pathology and
somatically transferring combinations of said genes into tissues
appropriate to said particular human pathology in a non-human animal
model appropriate to said human pathology.
10. The method according to claim 1 comprising: (a) controlling the
location to which the genes are transferred, that is spatially
controlling gene expression of the transferred genes, in the non-human
animal model to which said at least one gene is transferred; (b)
controlling the temporal effects of transferred genes at specific times
in the development of otherwise normal organisms, or in the development
of organisms in which germline modifications have previously been made,
by selecting the time at which said transferred genes are introduced into
said organism, or by controlling the time of expression of said
transferred genes; (c) evaluating the effects of expression of
combinations of multiple transgenes, which in a germline transgenic
non-human animal would be difficult if not impossible to achieve due to
diseases which might prevent the animal model from maturing to the
age-appropriate state for modeling onset of a particular, complex human
disease; (d) increasing the rate for analyzing multiple genes which
contribute to complex, multifactorial human diseases by transferring more
than a single gene into an appropriate non-human animal model for said
disease; (e) testing pharmaceutical agents for their ability to
ameliorate specific diseases induced in said non-human animal model; (f)
studying specific human pathologies induced in said non-human animal
model by inducing said pathology in said animal model by transferring
said at least one gene into said animal model; (g) supplementing an
existing germline transgenic model with additional somatically provided
gene products to modulate the transgenic model; (h) creating a disease
condition in an otherwise healthy animal; and combinations of (a)-(h).
11. A non-human animal produced by the method of claim 1.
12. A pharmaceutical identified through testing of pharmaceutical
compounds using the non-human animal produced according to claim 11.
13. A method for inducing neurofibrillary tangles in the brain of a
non-human animal which comprises injecting into the brain of said animal
an effective amount of a gene expression construct encoding tau,
alpha-synuclein, presenilin-1, amyloid precursor protein, IL6, or a
combination thereof.
14. A non-human animal produced according to the method of claim 13.
15. A method for inducing behavioral changes in a non-human animal model
which comprises somatic administration of at least one gene directly to
the brain of said non-human animal, wherein said at least one gene is
associated with a human neurodegenerative disease.
16. The method according to claim 1 wherein said at least one aberrant
form of said at least one gene is transferred by means of an
adeno-associated virus.
17. A method of identifying a nutrient regime that slows, reduces,
reverses or eliminates the adverse effects of a degenerative neurological
disease, comprising: a. transferring at least one aberrant form of at
least one gene known to be associated with said disease in humans into
appropriate tissue of a living non-human animal under conditions which
result in the expression of said at least one aberrant gene, wherein said
transferring does not require the modification of the germ-line of said
living animal; b. repeating step "a" for a sufficient number of living
non-human animals to evaluate a desired number of pharmacologically
active substances at a desired number of concentrations, combinations,
administration regimes, and evaluation schedules; c. exposing a specified
number of said sufficient number of living non-human animals of step "b"
to a specific pharmacologically active substance at a desired number of
concentrations and administration regimes, and optionally repeating this
exposing for each of a desired number of additional specific
pharmacologically active substance(s); and d. evaluating said specific
pharmacologically active substance(s) of step "c"; wherein said
evaluating provides information that identifies at least one
pharmacologically active substance that slows, reduces or eliminates the
adverse effects of a degenerative neurological disease.
18. A method of identifying an environmental inducer that aggravates,
induces, or otherwise contributes to the adverse effects of a
degenerative neurological disease, comprising: a. transferring at least
one aberrant form of at least one gene known to be associated with said
disease in humans into appropriate tissue of a living non-human animal
under conditions which result in the expression of said at least one
aberrant gene, wherein said transferring does not require the
modification of the germ-line of said living animal; b. repeating step
"a" for a sufficient number of living non-human animals to evaluate a
desired number of pharmacologically active substances at a desired number
of concentrations, combinations, administration regimes, and evaluation
schedules; c. exposing a specified number of said sufficient number of
living non-human animals of step "b" to a specific environmental inducer
at a desired number of concentrations and administration regimes, and
optionally repeating this exposing for each of a desired number of
additional specific environmental inducer(s); and d. evaluating said
specific environmental inducer(s) of step "c"; wherein said evaluating
provides information that identifies at least one environmental inducer
that aggravates, induces, or otherwise contributes to the adverse effects
of a degenerative neurological disease.
Description
RELATED APPLICATIONS
[0001] This application is a continuation of U.S. Ser. No. 10/477,167
filed Jun. 1, 2004, which is a 371 national stage filing of
PCT/US02/04019 filed Feb. 11, 2002, which is a continuation-in-part of
U.S. Ser. No. 09/780,041, now U.S. Pat. No. 7,098,374, issued Aug. 29,
2006.
FIELD OF THE INVENTION
[0002] This invention provides a system for modeling neurodegenerative and
other diseases through somatic gene transfer. In addition, methods of
multiple gene transfer, disease analysis and drug testing are provided
for.
BACKGROUND TO THE INVENTION
[0003] Numerous methods of gene transfer are known in the art, and are not
reviewed in any great detail here. Suffice it to say that in general,
methods of gene transfer in vitro are well known and have been practiced
for several decades. Methods of in vivo gene transfer are much more
recent, but have been successfully applied in such contexts as gene
therapy efforts to overcome genetic disorders, and in disease modeling
efforts, such as the production of germ-line transgenic animal models,
such as gene knockout mice or transgenic mice and other animals
expressing heterologous genes. For a global review of Parkinsons and
other Neurodegenerative Disorders see Neurodegenerative Dementias:
Clinical Features and Pathological Mechanisms, (edited by Christopher
Clark and John Trojanowski), McGraw-Hill (2000); and Mitochondrial
Inhibitors and Neurodegenerative Disorders, (edited by Paul Sandberg et
al.) Humana Press (2000).
[0004] In general, the known methods of in vivo gene transfer involve the
knockout of single genes present in the genome of an animal model, or the
inclusion in the germ-line of a specific transgene in the genome of an
animal model. The limitations to such methods include the possibility of
inducing terminal illnesses in the animal models, such that either
non-viable fetuses are produced, or limited life-span animals are
produced. In addition, the effects of multiple gene knockouts or
transgenes are extremely difficult to simulate in such systems, due to
the complex temporal, gene regulatory and interaction effects in such
systems. Furthermore, the germ-line transgenic models currently available
tend to provide data on a very slow time scale, and such efforts as drug
modeling and disease analysis are delayed by the time-scale of transgenic
animal maturation. Accordingly, there remains a need in the art for
techniques which address and overcome these limitations. This invention
is directed to resolving many, if not all, of these limitations in the
art.
[0005] For example, Parkinson's disease (PD) is caused by the loss of
dopamine-producing neurons in the substantia nigra (SN) and their axons
that project to the striatum. Surviving neurons are characterized by two
types of Lewy pathology: Lewy bodies and dystrophic Lewy neurites (see
Dickson, 1999 and Trojanowski and Lee, 1999 for review). Rare genetic
forms of this disease are associated with mutations in .alpha.-synuclein
(.alpha.-syn), a protein that is found in Lewy bodies. Two mutations in
.alpha.-syn have been linked to familial PD, A53T (Polymeropoulos et al.,
1997) and A30P (Kruger et al., 1998). The mechanisms whereby these
mutations render individuals susceptible to PD remain unclear and the
subject of intensive research efforts, as it is likely to provide
insights into the pathophysiology of idiopathic PD as well.
[0006] Several models have been developed to study the effects of
transgenic .alpha.-syn expression in rodents or flies. Interestingly,
while the fly model mimics many cardinal features of PD, including
age-dependent loss of dopamine neurons, Lewy-like inclusion bodies, and
motor deficits (Feany and Bender, 2000), mammalian models have been less
successful or consistent. Of five rodent studies demonstrating mutant
.alpha.-syn transgenic expression in neuronal cytoplasm, for example,
three have found Lewy-like neurites (Masliah et al., 2000; van der Putten
et al., 2000; Kahle et al., 2000), two have found motor impairments
(Masliah et al., 2000; van der Putten et al., 2000), only one loss of
dopaminergic striatal nerve terminals (Masliah et al., 2000), and none
has observed loss of dopamine perikarya in the SN. Although two of the
transgenic lines effectively targeted the SN by using the tyrosine
hydroxylase (TH) promoter (Rathke-Hartlieb et al., 2001; Matsuoka et al.,
in press), others were less successful in producing robust expression of
.alpha.-syn in the SN (Masliah et al., 2000; van der Putten et al., 2000;
Kahle et al., 2000). These differences in the expression and effects of
.alpha.-syn in transgenic rodent brains have made it difficult to infer
to what extent the A30P and A53T variants of .alpha.-syn are gain of
toxicity mutations in SN dopamine neurons.
BRIEF DESCRIPTION OF THE DRAWINGS
[0007] FIG. 1 shows examples of DNA constructs utilized according to the
present invention. The figure shows schematic representations of
expression cas
settes which are packaged into recombinant adeno-associated
virus (AAV) vectors; abbreviations: TR, AAV terminal repeats; PrCBA,
cytomegalovirus/chicken beta-actin hybrid promoter; IRES, internal
ribosome entry sequence which allows for bicistronic expression of two
transgenes; gfp, green fluorescent protein; pA, poly adenylation
sequence. Human DNA sequences to model neurodegenerative diseases: APP,
amyloid precursor protein mutant form linked to Alzheimer's disease;
presenilin 1 mutant form linked to Alzheimer's disease; tau wild type and
mutant form linked to fronto-temporal dementia with Parkinsonism linked
to chromosome 17; alpha-synuclein wild type and mutant forms linked to
Parkinson's disease.
[0008] FIG. 2, top panel, shows neurons that are expressing transgenic
APP, while the bottom panel shows neurons that are expressing transgenic
PS-1 in the hippocampus region.
[0009] FIG. 3, panels 3A to 3L, show the expression of somatically
introduced transgenic tau. FIGS. 3A and 3B show the hippocampus region,
with filamentous structures characteristic of this protein in neurons
also being evident. Examples were found of an extracellular
tau-immunoreactive deposit, about the size of a neuronal soma, in the
toroidal shape reminiscent of the "ghost tangle" of Alzheimer's disease.
This figure further shows that human tau gene transfer through injection
of the human four microtubule binding domain repeat P30 1 L tau vector
(1.times.10.sup.10 particles in 2:1 injected 3 months earlier) led to
robust expression of human tau in septal neurons of the basal forebrain.
FIG. 3C Shows low-magnification of the injected area, near the midline in
the septal nucleus and diagonal band. Tau immunoreactivity was produced
along the injection, mainly on the left side of FIG. 3C. The right edge
of FIG. 3C shows surrounding, non-transduced tissue. The monoclonal
antibody was specific for human tau and did not produce endogenous
staining in the rat tissue. FIG. 3D shows higher magnification of the
transduced cells showing somatodendritic accumulation of tau
immunostaining that resemble flame-shaped neurofibrillary tangles. Higher
magnification of tau accumulation in a medial septal neuron (inset). FIG.
3E is a confocal micrograph showing higher magnification of a neuron
stained with the tau antibody where immunoreactive filaments are
observed. This figure demonstrates that somatic gene transfer can
increase tau expression and damage neurons in a manner seen in a variety
of neurological disorders which encompass pathological deposits of tau,
such as Alzheimer's disease, fronto-temporal dementia with Parkinsonism
linked to chromosome 17, amyotropic lateral sclerosis, Down's syndrome,
Hallervorden-Spatz disease, Jakob-Creutzfeldt disease, multiple system
atrophy, Pick's disease, and others. FIG. 3 further shows the expression
of P301L tau, and that expression resulted in tau aggregation in neuronal
cell bodies and dendrites of the adult rat basal forebrain. FIGS. 3F and
3G show confocal imaging of fluorescently labeled tau (red) and
bicistronic GFP native fluorescence, 2 months after tau vector gene
transfer into the septum. Tau expression was somatodendritic as well as
axonal, and punctate in places. FIGS. 3H and 3I show that at 6 months
after gene transfer, a polyclonal antibody against neurofibrillary
tangles labeled cell bodies in a pattern similar to the tau
immunoreactivity. FIGS. 3J, 3K, and 3L show that at 6 months after gene
transfer, a monoclonal antibody against paired helical filament tau
labeled apparent neuritic tauopathy in the basal forebrain. This antibody
recognizes the epitope containing phosphorylated serine 212 and
phosphorylated threonine 214.
[0010] FIG. 4 shows data from groups of untreated or vector-injected rats
tested for passive avoidance behavior over a 24 hour interval, four
months after the injection of the indicated vector constructs into the
septum and hippocampus. Animals received a brief (0.5 seconds) small (0.8
mA) foot shock at time 0 immediately after entering a dark room (training
interval); their latency to enter the room 24 hours later was indicative
of memory (testing interval). No difference was observed in the training
intervals, a measure of locomotor activity (not shown). App, amyloid
precursor protein; PS1, presenilin 1; IL6, interleukin 6; and tau
protein. Each value is the mean.+-.SEM of the number of animals noted in
parentheses. *p<0.05 compared to either control group (rank order
test).
[0011] FIG. 5 shows amphetamine stimulated locomotor activity of animals
that received either the GFP control vector (UF12) or the human A30P
alpha-syn vector unilaterally in the substantia nigra. At 3 months after
injection of a fixed dose of AAV (1.times.10.sup.10 particles), and 20
minutes following a 2 mg/kg administration of amphetamine challenge,
alpha-syn animals were found to be 40% more active (total distance
traveled in cm) over the 28 minute sessions. Two-way repeated measures
ANOVA showed a main effect of the vector group (F[1,10]=6.52, P=0.029)
and no effect of trial interval and no significant interaction. Post-hoc
tests (Scheffe and Bonferonni/Dunn) showed significant group differences,
P,0.01 for each test; n=6/group. Group differences in the means during
the 2.sup.nd, 4.sup.th, 5.sup.th, 6.sup.th, trial intervals; *P,0.05,
t-test. This figure demonstrates that the cellular effects of somatic
gene transfer on synuclein expression are manifested by behavioral
changes (locomotor activity) consistent with neurological damage--in this
case, increased distance traveled during normal sleeping hours for the
rat (roaming phenomenon). That is to say, eight months after transfer of
alpha-synuclein for motor coordination on a rotating rod; these animals
were deficient in this activity measure, similar to other animal models
for Parkinson's disease that are not genetic in nature.
[0012] FIG. 6 shows GFP and human .alpha.-syn expression in the SN pars
compacta. (A) GFP native fluorescence after injecting the control vector,
pTR-UF12 AAV, 1 month earlier at a dose of 2.times.10.sup.10 particles.
Bar=50 .mu.m. GFP fluorescence appeared similar with this CBA promoter
vector at intervals of 3, 6, and 12 months after gene transfer. (B)
Inmunofluorescent labeling for .alpha.-syn in red, on a section adjacent
to A. Immunoreactivity for .alpha.-syn was found in the gray matter of
the SN pars reticulata in a similar pattern in the control vector group
as in uninjected subjects, although no cellular structures were detected.
(C) hnmunoreactivity for .alpha.-syn in the SN pars compacta 1 month
after injecting the .alpha.-syn vector, pSyn30 AAV at a dose of
2.times.10.sup.10 particles, in which case perikaryal and neuritic
structures were found. (D) Similar injection as in C, at an interval of
12 months after gene transfer. Inset, magnified SN neuron immunoreactive
for .alpha.-syn. A-D, same magnification. (E) SN neuron expressing
.alpha.-syn immunoreactivity one year post-injection as in D. Bar=10
.mu.m. (F) .alpha.-syn immunoreactivity (peroxidase staining in black)
six months post-injection of the .alpha.-syn vector. Bar=12 .mu.m.
[0013] FIG. 7 shows GFP and .alpha.-syn expression in striatal axons
following SN injections. (A) The control vector led to filling of
striatal axons with GFP fluorescence. Bar=240 .mu.m. (B) Higher
magnification of control vector-transduced axons expressing GFP
fluorescence, showing uniform thickness. Bar=60 .mu.m. (C) The
.alpha.-syn vector produced a distinct morphological pattern of
transduced axons. Spherical varicosities expressing GFP were always
observed in the striatum after .alpha.-syn gene transfer but not with the
control vector as shown in A & B. (D) Higher magnification of dystrophic
striatal axons after .alpha.-syn gene transfer. (E) Immunoreactivity for
.alpha.-syn in red shows striatal axon structure, which was never
observed in the control vector group or in uninjected subjects, which
showed only neuropil staining in striatal gray matter. While the density
of striatal axons expressing .alpha.-syn was similar to that of the
GFP-expressing axons in the control group, the morphology was different
than the control in A, the .alpha.-syn expressing axons had loci of dense
aggregates of immunoreactivity. (F) Higher magnification of .alpha.-syn
expression in striatal projections. (G) Viewing both the .alpha.-syn
immunoreactivity in red with the bicistronically expressed GFP
fluorescence showed spheroids expressing both transgenes (yellow/orange
loci). (H) Higher magnification of .alpha.-syn expressing fibers and
.alpha.-syn/GFP-expressing spheroids. A-H, 6 months after gene transfer.
A, C, E, G; B, D, F, H, same magnification. It is noted that the staining
in FIG. 8G and FIG. 8H are best observed in a color version. Such color
version may be observed in the scientific paper, Dopaminergic Cell Loss
Induced By Human A30p Alpha-Synuclein Gene Transfer To The Rat Substantia
Nigra, Ronald L. Klein, Michael A. King, Mary E. Hamby, and Edwin M.
Meyer, Human Gene Therapy, Vol. 13, No. 5.
[0014] FIG. 8 shows tyrosine hydroxylase immunoreactivity in the
substantia nigra. (A) Section from an uninjected subject that was
age-matched to B & C. Bar=80 .mu.m. (B) Section from the control vector
group, 12 months after gene transfer, which appeared similar to
uninjected subjects. (C) Section from the .alpha.-syn vector group, 12
months after gene transfer, showing diminished staining. This section is
adjacent to the one shown in FIG. 1D. The images chosen contained the
greatest density of TH-immunoreactive neurons per section for each of the
3 subjects. Unbiased stereological estimates of the TH-immunoreactive
neuron profiles demonstrated 53% fewer cells in the .alpha.-syn vector
group compared to the control vector group (p<0.0005).
SUMMARY OF THE INVENTION
[0015] This invention provides a system for modeling neurodegenerative and
other diseases through somatic gene transfer. In addition, methods of
multiple gene transfer, disease analysis and drug testing are provided
for. Advantages of the somatic gene transfer (SGT) methodology of this
invention include: [0016] a. The ability to more precisely control the
location to which the genes are transferred (i.e. spatial control of gene
expression); [0017] b. The ability to more precisely analyze the
temporal effects of transferred genes at specific times in the
development of otherwise normal organisms (i.e. temporal control of gene
expression); [0018] c. The ability to evaluate the effects of expression
of combinations of multiple transgenes, which in a germline transgenic
animal would be difficult if not impossible to achieve due to diseases
which might prevent the animal model from maturing to the age-appropriate
state for modeling onset of a particular, complex human disease, such as
Alzheimer's. [0019] d. Reduced cost. [0020] e. Faster method for
analyzing multiple genes which contribute to complex, multifactorial
neurodegenerative diseases. [0021] f. The models can be used for drug
testing against specific neurodegenerative diseases as well as for
studying the pathologies themselves. [0022] g. The methodology provides
a means to supplement existing germline transgenic models with additional
somatically provided gene products to modulate the transgenic model.
[0023] h. Additionally, another possibly unique aspect of this technology
is its emphasis on the creation of a disease condition in an otherwise
healthy animal, as opposed to, say, gene therapy techniques developed to
treat disease conditions, or germ-line based disease models in which the
animal model is diseased (if only nacently) from the outset.
[0024] Accordingly, objects of this invention include provision of a
system which meets any or all of the foregoing criteria. In specific
embodiments of this invention, such diseases as Alzheimer's Disease (AD),
Parkinson's Disease (PD), and Huntington's Disease (HD) are effectively
modeled through somatic gene transfer, as opposed to known methods of
germline transgenesis. This patent disclosure demonstrates the present
inventors' ability to produce brain aggregates through somatic gene
transfer of a mutant form of human tau (P301L), known to be associated
with "fronto-temporal dementia with Parkinson's linked to chromosome 17
(FTDP-17)", or through somatic gene transfer of mutant
.A-inverted.-synuclein (A30P), known to be associated with PD. This
patent disclosure also discloses success in somatic expression of a
mutant amyloid precursor protein (APP), and of a mutant presenilin-1
(PS1), mutant forms of each of which are known to be associated with AD.
[0025] Specifically, the present disclosure includes critical data on cell
loss in an SGT-treated animal model that mimics the cell loss of
Parkinson's Disease. This and other data, including behavioral data,
indicate the effectiveness of localized SGT according to the present
invention to develop appropriate models for neurodegenerative and other
diseases having known or suspected relationship to genes deliverable via
SGT.
[0026] Thus, one object of the invention is to use SGT to induce a
specific disease state at a desired stage or age in the life of an
organism, such as a laboratory test organism. A specific object is to use
SGT to introduce genetic material that results in a laboratory animal
model of Parkinson's Disease. Another object is to use SGT according to
the present invention to introduce genetic material that results in a
laboratory model of other neurodegenerative diseases, including but not
limited to Alzheimer's Disease and Huntington's Disease. A related
objective is to provide methods to study such neurodegenerative diseases
in relation to pharmacologically active substances and or nutrient
regimes that are evaluated to determine their ability to slow, reduce,
reverse or eliminate the adverse effects of a particular degenerative
disease. A related objective is to evaluate the effects of environmental
inducers in a model system according to the present invention, alone or
in combination with pharmacologically active substances and or nutrient
regimes to increase the understanding of the interactions among these
classes of inputs.
[0027] Thus, a general object of the invention is to evaluate and identify
appropriate treatments and/or protocols in such laboratory animal models
the slow, reduce, and/or eliminate the disease state so induced by the
methods of the invention. Through such studies not only is an appropriate
understanding gained of the interaction of life stage and age, physical
and nutritional status, and effects of pharmacologically active
substances, but more critically to the clinical prognosis of humans
afflicted with such diseases, appropriate environmental inducers and/or
dietary regimes may are identified or shown irrelevant, and appropriate
pharmacologically active substances are identified for appropriate
clinical testing in humans.
[0028] An additional advantageous aspect of the subject invention pertains
to combining genes, or mutant forms thereof, in trans or in cis, in known
delivery vehicles (e.g. viral vectors) for simultaneous or proximal
delivery to enhance the desired disease effect, or to more broadly
analyze the effect of various different gene expressions. For example, a
"cocktail" of genetic vectors comprising differing genes could be
injected, at the desired site, or could be injected separately by two or
more injections. The inventors have discovered that certain cells have
been susceptible to expression of certain aberrant genes while other
cells are resistant to expression of the aberrant gene product. Delivery
of two or more genes via SGT will provide, for the first time, a means to
elucidate what molecules, compounds, receptors, or cellular structures
are responsible for susceptibility or resistance to certain aberrant
proteins and genes.
[0029] Furthermore, the subject SGT methods taught herein may be employed
in combination with known transgenic model systems (e.g. transgenic
mice). For example, SGT could be conducted on transgenic rodents
expressing alpha-synuclein, SGT may also introduce alpha synuclein but
preferably introduces another aberrant gene. The subject SGT methods make
combining different model systems possible. Such combinations provide a
more flexible and accurate investigative tool to elucidate cellular
mechanisms involved in neurodegenerative diseases.
[0030] These and other objects and advantages of the present invention are
shown by the following detailed disclosure and examples, which are not to
be taken to be limiting of the full scope of the present invention.
DETAILED DISCLOSURE OF THE PREFERRED EMBODIMENTS
[0031] This invention provides a system for modeling neurodegenerative and
other diseases through somatic gene transfer. In addition, methods of
multiple gene transfer, disease analysis and drug testing are provided
for. Naturally, variations on this theme, as well as other aspects of the
invention and equivalents thereof are to be considered as part of the
present patent disclosure.
[0032] As opposed to methods of germ-line modification of animals to
produce models of various neurodegenerative and other diseases, or
methods of transferring genes to achieve therapeutic results, this patent
disclosure is directed to methodology wherein a disease state analog is
produced in an animal model via somatic gene transfer.
[0033] As used herein, the term "somatic gene transfer" or "SGT" is
intended to mean the process whereby a gene not normally present in an
organism is transferred into that organism in a manner that does not
implicate the modification of the germ-line of the recipient organism. In
other words, if the recipient organism were to produce progeny, in
general, the process of SGT would not result in inheritance of the
transferred genes to the progeny. This is not to say that it is
impossible for genes transferred to an organism by SGT to be incorporated
into the germ line of the recipient organism and thence transferred to
progeny. Such events as viral induced gene incorporation, transposon
mediated gene integration and the like, could conceivably result in the
incorporation of genes transferred by SGT into a recipient organism's
germ line. However, it should be understood that this is not a principal
purpose of conducting SGT. SGT may, however, be practiced according to
the present invention in a recipient which already has a modified germ
line. For example, a mouse having a particular gene knockout in its germ
plasm may, through SGT, be induced to express one or more other genes. In
this manner, it is possible to analyze the effects and interplay of the
given gene knockout with the genes transferred by SGT.
[0034] SGT is achieved according to the present invention by appropriately
cloning genes, known or hereafter discovered, to appropriate gene
regulatory signals, such that upon introduction into an organism, the
relevant genes introduced by SGT are transcribed and translated
appropriately, to exert a biological effect. Those skilled in the art are
well familiar with appropriate gene expression promoters, terminators,
enhancers, vectors and the like, and this patent disclosure therefore
does not review in great detail those methodologies and compositions with
which those skilled in the are well familiar.
[0035] In one preferred embodiment according to the present invention, SGT
is achieved using appropriately constructed viral vectors. Viral vectors
that may be used according to this invention include, but are not limited
to, lentivirus vectors, herpes virus vectors, adenovirus vectors,
retroviral vectors, and equivalents thereof. One preferred viral vector
system for this purpose includes the use of recombinant adeno-associated
viral (AAV) vectors. AAV's are efficient, their infection is relatively
long-lived and is generally non-toxic, unless a toxic transgene is
recombined therein. AAV is a small, helper-dependent parvovirus
consisting of a single strand 4.7 kb DNA genome surrounded by a simple,
non-enveloped icosahedral protein coat. Approximately 85% of the adult
human population is seropositive for AAV. However, no pathology as been
associated with AAV infection. Adenovirus or herpesvirus is generally
required as a helper virus to establish productive infection by AAV. In
the absence of helper virus, the AAV genome also amplifies in response to
toxic challenge, e.g. UV irradiation, hydroxyurea exposure, and the like.
In the absence of either toxic challenge or helper virus, wild-type AAV
integrates into human chromosome 19 site-specifically as a function of
AAV Rep proteins that mediate the formation of an AAV-chromosome complex
at the chromosomal integration site. Up to 96% of the viral genome may be
removed, leaving only the two 145 base pair (bp) inverted terminal
repeats (ITRs) which are sufficient for packaging and integration of the
viral genome. Methods for efficient propagation of recombinant AAV, rAAV,
have been developed in the art, including the use of mini-adenoviral
genome plasmids, plasmids encoding AAV packaging functions and adenovirus
helper functions in single plasmids. Furthermore, methods of rAAV
isolation have developed to the point where methods for isolation of
highly purified rAAV are a relatively straightforward and rapid
undertaking. Likewise for methods of titration of rAAV stocks. Use of
green fluorescent protein (GFP) a well-characterized 238 amino acid
fluorescent protein is frequently used in a bicistronic arrangement in
rAAV to trace rAAV-mediated transgene expression. Promoters for selective
and specific expression of rAAV mediated gene transfer have also been
identified.
[0036] Methods of making and using rAAV and delivery of rAAV to various
cells in vivo are disclosed in U.S. Pat. Nos. 5,720,720; 6,027,931;
6,071,889; WO 99/61066; all of which are hereby incorporated by reference
for this purpose.
[0037] With regard to methods for the successful, localized, long-term and
non-toxic transgene expression in the nervous system through SGT using
adeno-associated virus (AAV) and selected promoters, reference is made to
Klein et al, 1998, Experimental Neurology 150:183-194, "Neuron-Specific
Transduction in the Rat Septohippocampal or Nigrostriatal Pathway by
Recombinant Adeno-associated Virus Vectors".
[0038] With respect to a method of gene therapy using recombinant AAV with
significant persistence through stable expression of the neurotrophic
factors NGF or BDNF, and resultant neurochemically quantifiable
therapeutic effects, reference is made to Klein et al, Neuroscience
90:815-821, "Long-term Actions of Vector-derived Nerve Growth Factor or
Brain-derived Neurotrophic Factor on Choline Acetyltransferase and Trk
Receptor Levels in the Adult Rat Basal Forebrain."
[0039] With regard to achievement of quantifiable behavioral effects
through somatic transgene expression in the nervous system through AAV
vectored expression of BDNF, reference is made to Klein et al, 1999,
Brain Research 847:314-320, "Prevention of 6-hydroxydopamine-induced
Rotational Behavior by BDNF Somatic Gene Transfer."
[0040] With respect to a review of the state of the art of germline
transgenic mouse models for neurodegenerative diseases, including a large
number of references in the field of germline transgenic mouse modeling
of neurodegenerative diseases, reference is made to Price et al, 1998,
Science 282:1079-1083, "Genetic Neurodegenerative Diseases: The Human
Illness and Transgenic Models."
[0041] With regard to a review of the state of the art of germline
transgenic mouse models for neurodegenerative diseases, including a large
number of references in the field of germline transgenic mouse modeling
of neurodegenerative diseases, reference is made to PCT Publication
WO99/61066, Published 2 Dec., 1999, Avigen, Inc., based on Prior US
Applications filed May 27, 1998 and May 18, 1999, "Convection-Enhanced
Delivery of AAV Vectors". However, the review does not substantively
address somatic cell transgenesis methodology.
[0042] As with the WO99/61066 publication discussed above, reference is
made to U.S. Pat. No. 5,720,720, "Convection-Enhanced Drug Delivery", for
its disclosure of methods relating to the delivery of various compounds,
including viruses, to the CNS via CED.
[0043] With respect to administration of genes to neural precursor cells
induced to divide through contact with growth factors to facilitate
incorporation of the genetic material into the cell progeny, reference is
made to U.S. Pat. No. 6,071,889, "In Vivo Genetic Modification of Growth
Factor-Responsive Neural Precursor Cells." AAV mediated gene delivery is
mentioned, although the method appears to be limited to the ex vivo
administration of nucleic acids and growth factors to neuronal cells, and
the thus treated cells are then administered to the living organism.
[0044] With regard to genes known in the art to which reference is made
herein, amyloid precursor protein, APP, was described by Hisao et al,
1996, "Correlative memory deficits, AB elevation, and amyloid plaques in
transgenic mice," Science 274:99-102. Presenilin-1, PS-1, was described
by Duff et al, "Increased amyloid-beta 42(43) in brains of mice
expressing mutant presenilin 1," Nature 1996, 383(6602):710-713. Tau was
described by Nacharaju et al 1999, "Accelerated filament formation from
tau protein with specific FTDP-17 missense mutations," FEBS Letters
447:195-199. Alpha-synuclein was described by Polymeropoulos et al, 1997
"Mutation in the alpha-synuclein gene identified in families with
Parkinson's disease," Science 276:2045-2047; and by Kruger et al.,
"Ala30Pro mutation in the gene encoding alpha-synuclein in Parkinson's
disease," Nat. Genet. 18(1998):106-108. All of these references are
hereby incorporated by reference for their teachings of these genes.
[0045] Turning now to specific applications of the present invention,
wherein SGT is used to induce specific disease states is an appropriate
animal model, examples are provided herein of success achieved by the
instant inventors in the particularly challenging area of
neurodegenerative disease modeling. Those skilled in the art will
appreciate that the present invention should not be restricted to the
specifics of the examples provided herein, because the operative
principles for achieving success in the particularly challenging area of
neurodegenerative diseases also apply in less challenging areas of human
disease modeling, not requiring delivery of genes to the central nervous
system (CNS). In addition, those skilled in the art will appreciate that
the present invention is particularly useful in modeling diseases of the
CNS, because of the refined control that the present methodology provides
in terms of the ability to specifically target selected CNS tissues of
interest. In addition, advantages of this invention include: [0046] (a)
The ability to more precisely control the location to which the genes are
transferred (i.e. spatial control of gene expression); [0047] (b) The
ability to more precisely analyze the temporal effects of transferred
genes at specific times in the development of otherwise normal organisms
(i.e. temporal control of gene expression); [0048] (c) The ability to
evaluate the effects of expression of combinations of multiple
transgenes, which in a germline transgenic animal would be difficult if
not impossible to achieve due to diseases which might prevent the animal
model from maturing to the age-appropriate state for modeling onset of a
particular, complex human disease, such as Alzheimer's. [0049] (d)
Reduced cost. [0050] (e) Faster method for analyzing multiple genes
which contribute to complex, multifactorial neurodegenerative diseases.
[0051] (f) The models can be used for drug testing against specific
neurodegenerative diseases as well as for studying the pathologies
themselves. [0052] (g) The methodology provides a means to supplement
existing germline transgenic models with additional somatically provided
gene products to modulate the transgenic model. [0053] (h) Additionally,
another possibly unique aspect of this technology is its emphasis on the
creation of a disease condition in an otherwise healthy animal, as
opposed to, say, gene therapy techniques developed to treat disease
conditions, or germ-line based disease models in which the animal model
is diseased (if only nacently) from the outset.
[0054] Accordingly, objects of this invention include provision of a
system which meets any or all of the foregoing criteria. In specific
embodiments of this invention, such diseases as Alzheimer's Disease (AD),
Parkinson's Disease (PD), and Huntington's Disease (HD) are effectively
modeled through somatic gene transfer, as opposed to known methods of
germline transgenesis. This patent disclosure demonstrates the present
inventors' ability to produce brain aggregates through somatic gene
transfer of a mutant form of human tau (P301L), known to be associated
with "fronto-temporal dementia with Parkinson's linked to chromosome 17
(FTDP-17)", mutant V-synuclein (A30P), known to be associated with PD.
This patent disclosure also discloses success in somatic expression of a
mutant amyloid precursor protein (APP), and of a mutant presenilin-1
(PS1), mutant forms of each of which are known to be associated with AD.
Other genes of interest with respect to practice of the methods of this
invention include, but are not limited to: GAP43, interleukins,
especially interleukin-6 (IL-6), gamma-secretase, and combinations
thereof. Particularly preferred combinations of genes for transfer to an
animal model in accordance with the methodology of this invention
include, but are not limited to: APP in combination with presenilin; APP
in combination with presenilin plus tau; APP in combination with
presenilin plus tau plus IL6; combinations, permutations and variations
thereof.
[0055] Mutations in the genes for tau and alpha-synuclein can result in
abnormal protein deposition, formation of neurofibrillary tangles and
Lewy bodies, and death of specific neuron populations. For example,
splice site and mis-sense mutations in the tau gene are found in families
of neurofibrillary pathology like frontotemporal dementia with
Parkinsonism linked to chromosome 17. Transgenic models of
neurodegeneration provide functional genomic information about the impact
of inherited mutations. Accordingly, somatic cell transgenic models of
neurodegeneration are useful for functional genomic studies at particular
time points in the lifespan and in particular brain regions. In addition
to providing spatio-temporal control of transgene expression, the
adeno-associated viral (AAV) vector system enables mixed gene
combinations, which are important for complex neurological diseases. Many
of these mutant genes are by now well known in the art, having been
cloned sequenced and extensively characterized. Accordingly, those
skilled in the art, based on the instant disclosure, would be fully
enabled to practice the present methods of SGT using such genes known in
the art, as well as genes hereafter identified as playing potential roles
in development of human neurodegenerative, as well as other human
diseases. As a result, the methods disclosed herein provide versatile
systems for modeling human diseases, as well as various veterinary
diseases, in a rapid, efficient manner, which does not require the delay
and complexity of germline disease modeling.
[0056] According to the present disclosure, certain specific nucleic acid
vector constructs are disclosed by way of exemplary support. Reference is
made to FIG. 1 herein, which shows DNA constructs which may be used
according to the methods of this invention. Those skilled in the art will
appreciate that, based on this disclosure, a wide variety of
disease-causing genes, transcriptional promoters, translational
regulators, effectors, initiators, cis and trans acting elements,
enhancers, marker genes, and the like may be employed according to the
methods disclosed herein, without departing from the heart of this
invention, namely the induction of disease states in an appropriate
animal model through somatic transfer of expressible gene constructs.
Those skilled in the art will further appreciate, based on the present
disclosure that the methods disclosed herein are also applicable to such
models of disease states where a germline modification has been made, and
somatic gene transfer is accomplished in the genetic background of an
already altered germline in order to elucidate such effects as masking of
one allele by another, synergistic effects between different defective
alleles, gene knockouts, and the like.
EXAMPLE 1
Induction of Tauopathy in Animal Models
[0057] The present inventors have expressed a mutant form of human tau
(P301L) using an AAV vector system in the septal nucleus of the basal
forebrain and the hippocampus in the adult rat. The vector-derived tau
accumulated in cell bodies and dendrites and formed aggregates as
observed by co-localization with the reporter gene, green fluorescent
protein (GFP), which was bicistronically expressed by the vector (i.e.,
GFP filled neurons and tau distribution within cell bodies was
clustered). The neurofibrillary pathology observed in this model shows
abnormal accumulation of tau in neuron cell bodies and dendrites,
filaments immunoreactive for hyperphosphyorylated tau, neuritic
immunoreactivity for several antibodies that recognized neurofibrillary
tangles in Alzheimer's and FTDP-17, and a dramatic induction of reactive
astrogliosis. See FIGS. 2 and 3 provided herewith and the description
thereof provided hereinabove.
EXAMPLE 2
SGT as a Method for Supplementing Germline Animal Models
[0058] Another utility of the present vector system is to apply genes in
trans to existing germline mouse and other animal models, for example, by
expressing tau in current models of amyloidosis to introduce tangles.
EXAMPLE 3
Induction of Parkinson's Disease Associated CNS Lesions in Animal Models
[0059] A gene linked to autosomal dominant Parkinson's disease,
alpha-synuclein, harboring the A30P mutation, was expressed in the rat
substantia nigra. Transduced neurons in this area had aggregates rich in
alpha-synuclein and axons with large varicosities (5-10 micrometers in
diameter) that were not found in control vector samples. Overexpression
of alpha-synuclein in the nigrostriatial pathway also elevated rates of
amphetamine-stimulated locomotor behavior, which is apparently consistent
with reduced locomotor response in alpha-synuclein knockout mice
(Abeliovich et al., 2000). Accordingly, it is concluded that the somatic
transgenic models disclosed herein are useful for studying mechanisms of
neurodegenerative disease pathogenesis as well as gene structure-function
relationships of tau and alpha-synuclein.
EXAMPLE 4
Parkinson's Disease Associated CNS Lesions in Animal Models Using SGT of
this Invention Induce Similar Behavioral and Morphologic Lesions to those
Found in Germline Transgenic Animal Models
[0060] Through practice of the SGT method of this invention, we have found
in connection with Parkinson's Disease that alpha synuclein
overexpression causes a behavioral change in locomotor activity
associated with dopamine transmission. In addition, we have found that
cellular processes are essentially identical to those seen in standard
germline transgenic animal models (see FIG. 2 provided herein) produced
using alpha synuclein expression. See FIG. 4 and the description thereof
provided hereinabove.
EXAMPLE 5
Alzheimer's Disease Associated CNS Lesions in Animal Models Using SGT of
this Invention Induce Similar Behavioral and Morphologic Lesions to those
Found in Germline Transgenic Animal Models
[0061] Through practice of the SGT method of this invention, we have found
in connection with Alzheimer's Disease that tau overexpression causes
intracellular distribution of the protein that is essentially identical
to that seen in the only existing germline transgenic animal model in
which neurofibrillary tangles associated with the disease are observed.
The neuritic damage observed by the present inventors in using the SGT
methodology of this invention is similar to that seen in germline
transgenic mice overexpressing the gene.
EXAMPLE 6
Alzheimer's Disease Associated CNS Lesions in Animal Models Using SGT of
this Invention Induce Similar Behavioral and Morphologic Lesions to those
Found in Germline Transgenic Animal Models
[0062] Reference is made here to FIGS. 1 and 2 of D. W. Dickson, "Tau and
alpha-synuclein and their role in neuropathology, Brain Pathology",
9:657-661 (1991), where tau and synuclein immunohistochemistries are
shown, which demonstrate some of the neuropathological processes
associated with age-related disease states such as Alzheimer's, Picks,
and Parkinson's diseases. It is noted that cells appear to be filled with
gene products that appear to be overproduced in such diseases. Notable
types of aberrant gene products include tau, amyloid, and synuclein.
[0063] FIGS. 3 and 6 hereof show similar types of aberrant gene expression
for tau and synuclein, respectively. In each case, a similar procedure
was used: a single injection of a vector was used to introduce the
relevant gene into an appropriate brain region, followed by monitoring
over sufficient intervals of up to several years for the relevant
pathological morphology to develop.
[0064] In FIG. 3, plates C, D, and E are shown wherein tau protein
aggregation induced by SGT of tau is demonstrated. In plate C, two months
after injection of the human 4R P301L tau vector (1.times.10.sup.9
particles), tau immunoreactivity was found in cell bodies localized to
the injection site in the medial septal/diagonal band area. The right
side of the panel shows the non-transduced, surrounding tissue. In plate
D, higher magnification of rat septal neurons expressing vector-derived
human tau is shown. Some of the transduced neurons, like that shown in
the inset, showed densely stained tau in the flame-like shape of
neurofibrillary tangles. In plate E, co-localization of tau (stained with
Texas red) and GFP (native fluorescence) is shown. This vector produces
both tau and GFP bicistronically. While GFP filled the neurons and the
nucleus, tau intensely accumulated in cell bodies, but not the nucleus.
The filter set captured both red (tau) and green (GFP) fluorescence. This
figure demonstrates that somatic gene transfer can increase tau
expression and damage neurons in a manner seen in a variety of
neurological disorders which encompass pathological deposits of tau, such
as Alzheimer's disease, fronto-temporal dementia with Parkinsonism linked
to chromosome 17, amyotropic lateral sclerosis, Down's syndrome,
Hallervorden-Spatz disease, Jakob-Creutzfeldt disease, multiple system
atrophy, Pick's disease, and others.
[0065] Furthermore, FIG. 3F-3L shows the expression of P301L tau, and that
expression resulted in tau aggregation in neuronal cell bodies and
dendrites of the adult rat basal forebrain. (F, G) Confocal imaging of
fluorescently labeled tau (red) and bicistronic GFP native fluorescence,
2 months after tau vector gene transfer into the septum. Tau expression
was somatodendritic as well as axonal, and punctate in places. (H, I) At
6 months after gene transfer, a polyclonal antibody against
neurofibrillary tangles labelled cell bodies in a pattern similar to the
tau immunoreactivity. (J-L) At 6 months after gene transfer, a monoclonal
antibody against paired helical filament tau labeled apparent neuritic
tauopathy in the basal forebrain. This antibody recognizes the epitope
containing phosphorylated serine 212 and phosphorylated threonine.
[0066] FIG. 6 shows the results of human alpha-synuclein gene transfer
using a construct having the human A30P alpha-syn mutation. The vectors
used contain bicistronic GFP expression. AAV was injected into the
midbrain 6 months earlier at a dose of 1.times.10.sup.10 particles. See
explanation of this figure in Brief Description of the Drawings, above,
and the discussion in Example 8, below. Overall, this figure demonstrates
that somatic gene transfer can increase synuclein expression and damage
neurons in a manner seen in a variety of neurological disorders at the
cellular level, including Parkinson's disease, Hallervorden-Spatz
disease, Lewy body dementia, multiple system atrophy, Down's syndrome,
and other diseases associated with this gene product.
[0067] Accordingly, these data demonstrate successful induction of human
neurodegenerative disease relevant morphology. Transfer of multiple genes
according to this methodology results in variations and combinations of
the results seen in these figures.
EXAMPLE 7
Behavioral Effects of Transferring Several Genes Related to Dementia Into
the Brain
[0068] Adult male rats received intraseptal and intrahippocampal
injections of a control AAV vector expressing GFP or a combination of
vectors that encode amyloid precursor protein (APP), tau, IL6 and
presenilin-1 (see FIG. 1). Expression of all genes (control and
disease-related) was driven by the CBA promoter. Four months after
injections, both groups were evaluated for memory related performance
according to a passive avoidance paradigm, followed by an evaluation of
their brains for gene expression. Another, untreated control group was
included for determination of the potential toxic action of control AAV.
The results shown in FIG. 5 show that there was a significant reduction
in latency (memory of a mild foot shock 24 hours earlier) in the group of
rats receiving the multiple dementia-related gene cocktail, compared to
either of the other groups. The control vector had no effect on this
memory related behavior.
[0069] Evaluation of brain tissues injected with the multiple vectors for
the disease-related genes (APP+PS1+tau+IL6) revealed that multiple gene
products were formed in the hippocampus. Typical pictures showing this
multiple gene expression from the same injected brain, for example, are
shown in FIGS. 2 and 3. FIG. 2, top panel, shows neurons that are
expression transgenic APP, while the bottom panel shows neurons
expressing transgenic PS-1 in the same brain region. FIG. 3A and 3B show
the expression of transgenic tau in this region, with filamentous
structures characteristic of this protein in neurons. Examples were found
of an extracellular tau-immunoreactive deposit, about the size of a
neuronal soma, in the toroidal shape reminiscent of the "ghost tangle" of
Alzheimer's disease. These structures are believed to form when neurons
with neurofibrillary tangles encircling the nucleus die; after all of the
debris is removed, the insoluble tangle leaves a ring. A zone of reactive
astrocytosis was observed around the injection site in the region
containing GFP+ neurons. No colocalization of GFP and GFAP (marker for
glial cells, not neurons) was observed, although adjacent GFP+ neurons
and immunolabelled astrocytes were common, indicating that this vector
delivery system was selective for neurons. These observations are
consistent with a pathological effect of the polygenic transfection, such
as that observed in a variety of neuropathological conditions.
EXAMPLE 8
Effects of Transferring Alpha-Synuclein on Locomotor Activity, Cellular
Morphology and Gross Loss of Dopaminergic Cells in the SN
[0070] The alpha-synuclein gene has been associated with aberrant neuronal
pathologies including Parkinson's disease. Using the AAV vector system,
this gene was transduced into the substantia nigra of adult male rats,
the brain region that degenerates in Parkinson's disease. Eight months
later, they were assayed for motor coordination on a rotating rod (FIG.
6B). These animals were deficient in this activity measure, similar to
other animal models for Parkinson's disease that are not genetic in
nature. That this gene was expressed in the substantia nigra was
demonstrated in FIG. 4H-J; neurons expressing this disease-related gene
had punctate staining of their processes, similar to degenerating neurons
in a variety of pathological conditions.
[0071] FIG. 6A shows amphetamine stimulated locomotor activity of animals
that received either the GFP control vector (UF12) or the human A30P
alpha-syn vector unilaterally in the substantia nigra. At 3 months after
injection of a fixed dose of AAV (1.times.10.sup.10 particles), and 20
minutes following a 2 mg/kg administration of amphetamine challenge,
alpha-syn animals were found to be 40% more active (total distance
traveled in cm) over the 28 minute sessions. Two-way repeated measures
ANOVA showed a main effect of the vector group (F[1,10]=6.52, P=0.029)
and no effect of trial interval and no significant interaction. Post-hoc
tests (Scheffe and Bonferonni/Dunn) showed significant group differences,
P,0.01 for each test; n=6/group. Group differences in the means during
the 2.sup.nd, 4.sup.th, 5.sup.th, 6.sup.th, trial intervals; *P,0.05,
t-test. This figure demonstrates that the cellular effects of somatic
gene transfer on synuclein expression are manifested by behavioral
changes (locomotor activity) consistent with neurological damage--in this
case, increased distance traveled during normal sleeping hours for the
rat (roaming phenomenon).
[0072] In this example, the direct effects of .alpha.-syn transgenic
expression in the SN using the adeno-associated virus (AAV) vector system
in adult animals were evaluated. AAV vectors have been used to transduce
brain neurons efficiently (Kaplitt et al., 1994; McCown et al., 1996;
Mandel et al. 1997) without an overt pathological response for at least 1
year (see Peel and Klein, 2000 and Klein et al., 2000 for review). This
suggests the suitability using AAV vectors for long-duration laboratory
studies of progressive neurological diseases without interference from a
secondary adverse effect from the presence of the AAV. While this vector
system has been applied for gene therapy historically, it is also
well-suited to study gene function at specific ages in targeted brain
regions, which proves useful to study neurodegenerative diseases that are
age-dependent and associated with specific parts of the brain. Of
potentially even greater significance as a useful model system to study
neurodegenerative diseases, the present invention can be used in studies
that include pre-treatments and/or post-treatments of pharmacologically
active substances, nutrient regimes, environmental inducers, or
combinations of these.
[0073] As used in this invention, the term pharmacologically active
substances is defined to be, and includes known or unknown chemical
compounds, virus, protein, peptide, amino acid, lipid, carbohydrate,
nucleic acid, nucleotide, drug, pro-drug or other substance or any
synthetic or natural compounds, and any combinations, mixtures, variants,
analogs, or mutants thereof, that demonstrate an affect on or modulate
indicators of a neurogenerative disease as set forth herein, including
cell loss and behavioral pathologies. Preferably, pharmacologically
active substances refer to a substance that slows, reduces or eliminates
the adverse effects of a degenerative neurological disease.
[0074] As used in this invention, the term nutrient regimes is defined to
be any provision of a specific set of nutrient intake, whether oral or
provided otherwise, so as to influence the physical and metabolic status
of the test organism, and particularly includes antioxidants and
compounds or mixtures that provide antioxidant effects, and most
particularly includes antioxidants that are known or suspected to
facilely cross the blood/brain barrier.
[0075] As used in this invention, the term environmental inducers are
defined to include compounds and environmental inputs that are known or
suspected to aggravate, reduce the effectiveness of, or otherwise
deleteriously influence the normal metabolism of a mammalian organism.
Environmental inducers include toxins, and particularly include known
neurotoxins, and most particularly include neurotoxins shown or believed
to promote, induce, or otherwise lead to a neurodegenerative condition.
Examples, not meant in any way to be limiting, of the latter subclass of
environmental inducers include 6-hydroxydopamine, MPTP (and its MPP+ free
radical), and rotenone. Environmental inducers also include known
nutrients to which a test organism is exposed in excessive quantity, for
instance Manganese (see generally Mechanisms of Degeneration and
Protection of the Dopaminergic System, 2001 edited by Juan Segura-Aguila,
Programme of Molecular and Clinical Pharmacology, FP Graham Publishing
Co., Chapters 3 and 10).
[0076] The A30P mutation was selected because rodents normally harbor the
A53T form, because it was suggested to oligomerize more readily (Conway
et al. 2000), and be more pathogenic than wild-type or the A53T mutation
in flies (Feany and Bender, 2000).
[0077] The following subsections summarize materials and methods for this
example.
DNAs and Transfections
[0078] The CBA promoter-containing plasmid, pTR-UF12, was obtained at
Vector Core laboratory at the University of Florida. The plasmid contains
the AAV terminal repeats (TRs), the only remaining feature (and 4%) of
the wild type AAV genome. Flanked by the TRs, the expression cassette of
pTR-UF12 includes the following components, in (5' to 3') order: 12) a
1.7 kb sequence containing the hybrid CMV immediate early
enhancer/chicken .beta.-actin promoter/exon1/intron (Niwa et al, 1991;
Daly et al., 1999); 2) the internal ribosome entry site (IRES) from
poliovirus, which provides for bicistronic expression (Dirks et al.
1993); 3) green fluorescent protein (GFP) cDNA (Klein et al., 1998); 4)
and the polyA tail from bovine growth hormone. The human A30P .alpha.-syn
cDNA was provided by Dr. M. Farrer and Dr. J. Hardy (Mayo Clinic,
Jacksonville, Fla.). The .alpha.-syn cDNA was inserted between the CBA
promoter and the IRES element of the pTR-UF12 to derive the construct
pSyn30. Plasmids were propagated in SURE cells (Stratagene) and
CsCl-purified.
[0079] The pTR-UF12 and the pSyn30 constructs were tested for in vitro
expression by calcium-phosphate transfection of human embryonic kidney
293 cells. GFP fluorescence was observed in cells transfected with either
the pTR-UF12 or the pSyn30 DNAs but not in mock-transfected cells. On GFP
immunoblots, a monoclonal anti-GFP antibody (Chemicon) labeled a single
band at 31 kDa in cell samples that were transfected with either pTR-UF12
or pSyn30, but not in untreated and mock-transfected cell samples. On
.alpha.-syn immunoblots, an .alpha.-syn polyclonal antibody (NACP-98)
provided by Dr. Matt Farrer (Mayo Clinic, Jacksonville, Fla.) labeled a
single band at 19 kDa in cell samples that were transfected with the
pSyn30 DNA, but not in pTR-UF12-transfected, mock-transfected, or
untreated 293 cells.
Vector Packaging and Titering
[0080] Plasmids were packaged in rAAV by the streamlined method developed
by Zolotukhin et al. (1999). Briefly, human embryonic kidney 293 cells at
70% confluence were transfected by the calcium-phosphate method with an
AAV terminal repeat-containing plasmid (pTR-UF12 or pSyn30) in an
equimolar ratio with the plasmid pDG, which provides the AAV coat protein
genes, and adenovirus 5 genes necessary for helper function in packaging
(Grimm et al., 1998). Transfections used twenty 15 cm dishes and 80 .mu.g
DNA per dish. Three days after, cells and media were harvested and
pelleted at 3000.times.g. The pellet was resuspended in 60 ml of lysis
buffer (50 mM Tris pH 8.5, 150 mM NaCl) and freeze-thawed 3 times. The
sample was then incubated with 1500 units of endonuclease (Sigma) for 30
min. at 37.degree. C. After, the sample was centrifuged at 3700 RPM and
the resulting supernatant was added to a 39 ml Beckman Opti Seal
centrifuge tube. Using a peristaltic pump, a discontinuous gradient of
iodixinol (OptiPrep, Nycomed) was added to the tube in 4 layers (60, 40,
25, and 15% iodixinol). The 15% iodixinol was dissolved in 1 M
NaCl/1.times.TD. One times TD buffer is 1.times.PBS, 1 mM MgCl.sub.2, 5
mM KCl. The 25% and 40% iodixinols were dissolved in 1.times.TD. The 60%
iodixinol was dissolved in water. Phenol red was included in the 60% and
25% iodixinol to distinguish the layers. The tubes were heat-sealed,
placed in a Beckman 70 Ti rotor, and centrifuged at 69000 RPM for 1 hr at
18.degree. C. The AAV was then removed (by pulling the 2nd layer from the
bottom of the tube and the interphase between the 1st and 2nd layers),
and added to a heparin (Sigma) affinity column. After washing with
1.times.TD buffer and eluting with 15 ml of 1.times.TD/1 M NaCl, the
sample was concentrated in Millipore Biomax 100 Ultrafree-15 units. Prior
to adding the sample, the concentrators were coated with 2% rat
serum/lactated Ringer's solution (Baxter) overnight at 4.degree. C. The
concentrators were then rinsed twice with lactated Ringer's solution and
then spun for 2 min at 2700 RPM. The sample was then added and
concentrated to 1 ml, before adding 9 ml of lactated Ringer's solution.
This 10 ml volume was again concentrated to 1 ml and then 9 ml of
lactated Ringer's solution was added. The 10 ml volume was concentrated
to 200 .mu.l, which was removed and placed in a siliconized
microcentrifuge tube. The concentrator was then rinsed several times with
another 200 .mu.l of lactated Ringer's solution, which was then added to
the resulting 400 .mu.l stock of rAAV.
[0081] Recombinant AAVs were titered for total particles by a previously
described method (Zolotukhin et al., 1999). A 4 .mu.l aliquot of the
virus stock was treated with DNAse (Boehringer Mannheim) for 1 hr at
37.degree. C., followed by addition of proteinase K buffer (which
denatures the DNAse) and treatment with proteinase K (Boehringer
Mannheim) for 1 hr at 37.degree. C., in order to obtain only the
encapsidated DNA. Ten times DNAse buffer is 50 mM Tris HCl pH 7.5, 10 mM
MgCl and 10.times. proteinase K buffer is 10 mM Tris HCl pH 8.0, 10 mM
EDTA, and 10% SDS. The sample was then phenol: chloroform extracted twice
and chloroform extracted once before being precipitated with sodium
acetate and ethanol. The pellet was dissolved in 40 .mu.l of water (a
1:10 dilution of the original aliquot). The sample was then quantitated
for copies of rAAV DNA using a quantitative-competitive PCR assay. This
assay utilizes an internal control of known quantity. The same PCR
primers amplify both the internal control and the viral DNA. The small
size difference in the PCR product derived from the internal control (GFP
DNA with a 100 bp deletion) vs. the full length PCR product from the
virus allows for titering the particles of rAAV by titrating increasing
amounts of the internal control into this reaction. Titers for the AAVs
that were used were 1.times.10.sup.13 particles per ml.
I. Subjects and Stereotaxic Surgery
[0082] Male Sprague-Dawley rats (3 months old) were anesthetized with
cocktail made up of 3 ml xylazine (20 mg/ml), 3 ml ketamine (100 mg/ml),
and 1 ml acepromazine (10 mg/ml) administered intramuscularly at a dose
of 0.5-0.7 ml/kg. The injection coordinates for the SN were -5.3 mm
bregma, 2.3 mm medial-lateral, 7.8 mm. dorsal-ventral (Paxinos and
Watson, 1986). Virus stocks were injected through a 27 ga. cannula
connected via 26 ga. I.D. polyethylene tubing to a 10 .mu.l Hamilton
syringe mounted to a CMA/100 microinjection pump. The pump delivered 3
.mu.l over 30 min, and the needle remained in place at the injection site
for 1 additional min. The cannula was removed slowly (over 2 min), and
the skin was sutured and the animal was placed on a heating pad until it
began to recover from the surgery, before being returned to their
individual cages. All animal care and procedures were in accordance with
institutional IACUC and NIH guidelines.
Immunohistochemistry
[0083] Anesthetized animals were perfused with 100 ml of cold
phosphate-buffered saline (PBS), followed by 400 ml of cold 4%
paraformaldehyde in PBS. The brain was removed and equilibrated in a
cryoprotectant solution of 30% sucrose/PBS and stored at 4.degree. C.
Coronal sections (30 or 50 .mu.m for qualitative or stereological
assessments, respectively) were cut on a sliding microtome with freezing
stage. Antigen detection was conducted on free-floating sections by
incubation in a blocking solution (2% goat serum/0.3% Triton X-100/PBS)
for 1 hr at room temperature, followed by primary antibody incubation for
2 hr at room temperature on a shaking platform. Prior to blocking,
endogenous peroxidase was quenched by incubation in 0.5%
H.sub.2O.sub.2/PBS for 10 min. Primary antibodies and the dilutions used
in this study were: GFP (Molecular Probes polyclonal IgG fraction,
1:1000); .alpha.-syn (NACP-98 polyclonal, 1:500); TH (Chemicon
polyclonal, 1:500); glial fibrillary acidic protein (GFAP, Chemicon,
1:500). The sections were washed in PBS, and incubated with biotinylated
goat anti-rabbit (DAKO, 1:500) secondary antibody for 1 hr at room
temperature. The sections were washed with PBS and labeled with
horseradish peroxidase (HRP)-conjugated Extravidin (Sigma, 1:1000) for 30
min at room temperature. Development of tissue labeled with HRP was
conducted with a solution of 0.67 mg diaminobenzidine (Sigma), 0.13 .mu.l
of 30% H.sub.2O.sub.2 per ml of 80 mM sodium acetate buffer containing 8
mM imidazole and 2% NiSO.sub.4. For fluorescent labeling,
TRITC-conjugated goat anti-rabbit secondary antibody (Sigma, 1:400)
followed the primary antibody. Nuclear counterstaining was performed by
incubating the sections for 10 min in DAPI (Sigma, 1 .mu.g/ml) followed
by PBS washes. Fluorescent samples were coverslipped using glycerol
gelatin mounting media (Sigma).
Stereological Estimates of Dopamine Neurons
[0084] The number of SN pars compacta neurons expressing tyrosine
hydroxylase immunoreactivity was estimated by an unbiased stereological
method, the optical fractionator method of West (1991), using a
microscope with a motorized stage. Six to 8 sections regularly spaced
throughout the SN pars compacta structure were analyzed. Fifty .mu.m
sections were used for stereology. Optical dissectors were
50.times.50.times.15 .mu.m cubes spaced in a systematic random manner 100
.mu.m apart and offset 3 .mu.m from the section surface. The fractionator
sampling was optimized to yield ca. 150 counted cells per animal, for
error coefficients <0.10.
Motor Behaviors
[0085] Animals that were injected with either control or .alpha.-syn
vector unilaterally to substantia nigra (6/group) were challenged with
d-amphetamine (free base, 2 mg/kg in saline, i.m.) at 6 and 12 months
after gene transfer. The amphetamine was injected 20 min prior to placing
the animals in the TruScan activity montoring system (Coulbourn
Instruments), which was used to measure rotational behavior, the number
of 360.degree. turns in either the clockwise or counter-clockwise
direction. Animals that were injected with either control or .alpha.-syn
vector bilaterally to substantia nigra (8/group) were tested for their
motor coordination and agility on a rotating rod (Economex, Colombus
Instruments) at intervals of 1, 3, 6, and 12 months after gene transfer.
The rod was set at speeds of 12, 24, and 36 RPM and the animals were
tested in three trials at each speed for up to 60 sec, unless they fell
off the wheel. Rotational behaviors and fall latencies for each vector
group were compared by ANOVA.
The Following Subsections Describe the Several Results Parameters
Evaluated in this Example.
[0086] GFP and .alpha.-syn Expression in Substantia Nigra Neurons
[0087] The CBA promoter produced robust expression of GFP native
fluorescence in SN neurons and their projections with the control vector,
pTR-UF12 AAV, throughout the one-year time course of the study (FIG. 6A).
Using the same promoter, the pSyn30 AAV was efficient in expressing
.alpha.-syn immunoreactivity in midbrain neurons and their projections
over this interval as well (FIG. 6C, D). For both the control and the
.alpha.-syn vectors, the injections transduced a major fraction of the SN
pars compacta, from its most rostral to caudal aspects. Dopaminergic
neurons were transduced, as GFP and TH (visualized with red fluorescence)
co-localized with the control vector and the .alpha.-syn vector. These
vectors were therefore effective for targeting the SN pars compacta
neurons, although additional transgene expression occurred outside of the
SN in the midbrain.
[0088] Immunoreactivity for .alpha.-syn accumulated densely in SN pars
compacta neurons (FIG. 6E, F). The intracellular accumulations of
.alpha.-syn immunoreactivity appeared in clumps (FIG. 6E) and also with
ring-like cytoplasmic aggregates (FIG. 6F), although classic singular,
circular Lewy bodies were not apparent. In preliminary studies, the
.alpha.-syn accumulation in cells was not co-detected with ubiquitin
antibody or thioflavin S at time points of one or six months (not shown,
assays conducted by Dr. D. Dickson, Mayo Clinic, Jacksonville, Fla.),
suggesting that the build up of .alpha.-syn protein was not ubiquitinated
and not formed into .beta.-pleated sheets. The .alpha.-syn antibody
labeled cell bodies and processes only in samples in which the
.alpha.-syn vector was injected and no perikaryal or neuritic structure
was detected in non-transduced tissues, uninjected animals, or control
vector-injected animals. In control samples, the non species-specific
antibody (NACP-98) stained the rat brain neuropil more strongly in some
areas such as the SN pars reticulata (FIG. 6B) and striatal gray matter
(not shown), although no resolvable structures were seen unless the
.alpha.-syn vector was injected. Neither the control GFP AAV vector nor
the .alpha.-syn AAV vector injections led to expression in astrocytes or
astrogliosis as monitored by counterstaining transduced tissue with the
GFAP antibody.
Lewy-Like Axon Morphology
[0089] The anterograde labeling of transduced cells with GFP was useful to
view the change in neuronal morphology induced by .alpha.-syn gene
transfer. GFP-expressing nigrostriatal axons could be seen medial to the
SN and in the striatum (FIG. 7A, B) from either the control or the
.alpha.-syn vector. Nigrostriatal axons from control CBA promoter vector
group always showed uniform axon thickness with characteristic small
varicosities, as reported previously with a neuron-specific enolase (NSE)
promoter vector (Klein et al., 1999a). After .alpha.-syn gene transfer,
transduced axons showed a dramatic shift to heterogeneous morphology and
thickened axons, and characteristic spherical swellings (FIG. 7C-H). The
swollen spheroids, often larger than the size of cell bodies, were never
observed in controls. The spheroids were 20-40 .mu.m in diameter and did
not stain with the nuclear marker, DAPI. Comparing FIGS. 7A & 7C, GFP was
expressed in axons in the gray matter of the striatum for either vector
group (large, dark circular areas are striatal white matter). More GFP
was found in striatal axons in the control vector group than in the
.alpha.-syn vector group, where GFP was bicistronically expressed.
Immunofluorescence for .alpha.-syn efficiently labeled striatal axons and
large varicosities when ectopic .alpha.-syn was expressed (FIG. 7E, F),
although in all other control samples, labeling for .alpha.-syn in the
striatum did not show any morphological structures and only neuropil
staining. The morphological pattern of the .alpha.-syn immunoreactivity
in the striatum after .alpha.-syn gene transfer included fine thread-like
axons with large aggregated clumps (FIG. 7F). FIGS. 7G & 7H show
co-localization of .alpha.-syn and GFP in the .alpha.-syn vector group.
Loss of SN Dopamine Neurons
[0090] One year after injecting either the control or the .alpha.-syn
vector into the SN, TH-immunoreactive neuron profiles in the SN were
assessed. Expression of GFP in the control group did not appear to alter
the density of dopaminergic neurons in this region compared to
age-matched, uninjected subjects (FIG. 8A, B). The numbers of SN dopamine
neurons were estimated for each of the two vector groups. The
stereological assessments revealed a 53% loss in the .alpha.-syn group.
The number of TH-immunoreactive neurons in the SN pars compacta on one
side of the brain was estimated to be 8075.+-.835 (n=7) in animals that
received control vector, and 3825.+-.378 (n=8) in animals that received
the .alpha.-syn vector (different from control, p<0.0005, t-test).
Motor Behavior Tests
[0091] Animals expressing .alpha.-syn in their SN were compared with
controls for two types of motor behaviors. In one paradigm, animals were
injected unilaterally with either control or .alpha.-syn vector (6/group)
and tested for amphetamine-stimulated rotational bias, which is observed
towards the lesioned side if there is a large enough loss of dopamine
neurons. In another paradigm, animals (8/group) were injected bilaterally
and tested for their ability to walk on a rotating rod set at several
speeds, which tests locomotor coordination and agility. The animals were
tested at intervals between 1 and 12 months after gene transfer with no
robust changes observed relative to control with either test. However,
there was a trend that approximated statistical significance at several
of the intervals for .alpha.-syn treated rats to circle towards the side
of the .alpha.-syn vector injections, and also for .alpha.-syn rats to
fall off the rotating rod at shorter times compared to controls (p values
between 0.05 and 0.10).
DISCUSSION OF EXAMPLE 8
[0092] The most striking aspect of the results of Example 8 is the fact
that the SGT of .alpha.-syn resulted in a 53% loss of dopaminergic cells
in the SN in the study period. The loss of dopaminergic cells in the SN
region is a key characterisitic of PD. These results indicate the
suitability of SGT in specific brain regions of test animals for model
systems to evaluate the progression of neurological diseases under a
variety of controlled conditions.
[0093] The somatic gene transfer of Example 8 also was used to evaluate
other aspects of PD: cytoplasmic accumulation of .alpha.-syn, Lewy-like
neurites, and locomotor behavior. The results with the CBA promoter
demonstrate the ability of an appropriate promoter to effectively target
the SN pars compacta dopaminergic neurons with AAV gene transfer and also
to express genes in that region for long intervals using neuron-specific
promoters. This is consistent with other studies (Klein et al., 1998;
Klein et al., 1999a; Klein et al., 1999b; Patema et al., 2000). Those
studies found the NSE promoter vectors to result in neuron-specific
transgene expression, which is what was found herein with the CBA
promoter. While the present results are consistent with others that
vectors based on AAV-2 are limited for infecting glia (Bartlett et al.,
1998), expression in astrocytes has been seen using the cell
type-specific GFAP promoter in this vector serotype (Peel and Klein,
2000).
[0094] The perikaryal immunoreactivity for .alpha.-syn densely filled the
cytoplasm in clumps including apparent ring formations. Although the
presence of classic, singular Lewy inclusion bodies was not detected,
this is similar to what was found in transgenic mice expressing the same
form of .alpha.-syn (Kahle et al., 2000). Without being bound to specific
theories or explanations for the lack of the presence of classic,
singular Lewy inclusion bodies in the results of this example, some
factors that may mitigate against the formation of such classic Lewy
inclusion bodies in this example include: the presence of `normal` rat
synuclein protein in addition to the SGT-added human .alpha.-syn variant;
differences in expression or arrangement of the human .alpha.-syn variant
in rat neurons; and insufficient time of observation.
[0095] Despite this apparent lack of Lewy body inclusions in the cell
bodies, the striking loss of dopaminergic cells in the SN and the
Lewy-like neuronal processes in the SN and the striatum indicate that the
present invention does provide a suitable model for the study of
neurological diseases.
[0096] With regard to the Lewy-like neuronal processes, the .alpha.-syn
gene transfer resulted in a shift from uniform nigrostriatal axon
morphology in controls to heterogeneous morphology characterized by
thread-like to sausage- and balloon-like morphologies. These are
comparable to samples of Lewy neurite pathology in human PD (Haass and
Kahle, 2000; van der Putten et al., 2000) and Lewy-like neurite pathology
in transgenic mice (Masliah et al., 2000; van der Putten et al., 2000;
Kahle et al., 2000). This structural plasticity occurred at the earliest
time point tested, one month after gene transfer, and persisted
throughout the one year time-course of the study. These data demonstrate
that the induction of Lewy-like neuron pathology in adults by mutant
.alpha.-syn does not require expression during development.
[0097] The apparent lack of Lewy bodies in this model allowed us to ask
whether these inclusion bodies are a prerequisite for cell loss. SN pars
compacta dopamine neurons degenerated over the course of the study,
establishing this approach as an animal model of PD. The lack of cell
loss in the transgenic mice could be due to differences in the levels of
.alpha.-syn expressed within the dopaminergic neurons, or perhaps to
compensatory mechanisms during development that were avoided by genetic
manipulation in adults. It is also possible that the loss of TH
immunoreactivity we observed involved down-regulation of TH levels in
intact neurons. This possibility can be addressed by injecting a
retrogradelabel such as fluorogold into the striatum prior to gene
transfer. Despite the substantial loss of TH immunoreactivity, motor
behavior was not significantly impaired. Although 50% losses of dopamine
neurons can be sufficient to induce amphetamine-stimulated turning
behavior after 6-OHDA lesions in rats (Hefti et al., 1980), it is
believed that greater losses are required to induce symptoms in human PD.
This difference may be due to the fact that 6-OHDA lesions are typically
mapped to the SN sub-region topographically related to the injection
site, whereas in PD, the entire SN pars compacta undergoes degeneration.
In this model, the spread of the gene transfer affected essentially the
entire SN pars compacta. It is therefore possible that for this reason,
this genetic model is more similar to human PD than the 6-OHDA lesioning
model.
[0098] It also is noted that researchers of PD have observed that
behavioral effects are not observed until 50 percent or 80 percent of
dopaminergic cells in the SN are lost (see chapter 5 of Mechanisms of
Degeneration and Protection of Dopaminergic System, pages 105-106, and
The absolute number of nerve cells in substantia nigra in normal subjects
and in patients with Parkinson's disease estimated with an unbiased
stereological method, J. of Neurology, Neurosurgery, and Psychiatry,
1991; 54:30-33). In the rat model, statistically significant behavioral
differences may not be consistently observed until greater than the 53
percent loss of dopaminergic cells observed in this example, or without a
higher number of subjects observed.
[0099] Also, it is noted that some SN dopaminergic neurons expressing
.alpha.-syn remained at the conclusion of the study, perhaps due to
sub-threshold expression levels for toxicity. This hypothesis could be
tested by applying higher doses than the one used and potentially by
studying dose-response curves of .alpha.-syn vector on dopaminergic cell
loss to address whether there is more than one population with
differential sensitivities to .alpha.-syn. In addition to
dose-modification, greater expression levels could be accomplished via
more efficient vector systems, for example by incorporating the woodchuck
hepatitis post-transcriptional regulatory element (Loeb et al., Paterna
et al., 2000), or potentially with other AAV serotypes (Davidson et al.,
2000).
[0100] Alternatively, the survival of some substantia nigra neurons
expressing after one year could be due to differences in their processing
of the human .alpha.-syn. It is -syn may be the toxic
form.quadrature.hypothesized that oligomeric, protofibrillar (Conway et
al., 2000; Rochet et al., 2000) and perhaps the surviving cells are able
to fibrillize .alpha.-syn. There could have been a protective effect in
the cells expressing endogenous .alpha.-syn and one approach could
involve down-regulating rat .alpha.-syn with a species-specific ribozyme
to potentially block this action. Other differences in the surviving
cells could be their ability to ubiquitinate and degrade .alpha.-syn, as
mutations in the E3 ubiquitin ligase, parkin, are linked to familial PD
(Shimura et al., 2001). The model described here should be convenient for
combination experiments studying the role of .alpha.-syn and other genes
in the ubiquitin-proteasome pathway that are linked to PD.
[0101] These approaches will hopefully help to uncover why dopamine
neurons are selectively vulnerable during PD pathogenesis as well as lead
towards novel gene therapy strategies for PD.
[0102] Together, these results demonstrate that alpha-synuclein
overexpression in a brain region associated with Parkinson's disease
causes a behavioral deficit and cellular morphology typical of the
disease. This study demonstrates the utility of this somatic transgene
approach for modeling because more classic, much slower, mouse transgenic
approaches are still attempting to demonstrate these phenomena.
EXAMPLE 9
[0103] An experiment is envisioned to either enhance or block the toxicity
induced by the SGT introduction of .alpha.-syn of Example 8. A sufficient
number of test organisms are pre-treated with desired environmental
stressors at selected concentrations. One example of an environmental
stressor is the neurotoxin 6-hydroxydopamine at sub-threshold levels of
detection of behavioral deficits. Also, a sufficient number of these
organisms are pre-treated with desired nutrient regimes at selected
concentrations. One example of a desired nutrient regime is a standard
feed supplemented with high level of an antioxidant that targets brain
tissue. Also, a sufficient number of these organisms are pre-treated with
one or more desired pharmacologically active substances.
[0104] The organisms are then treated with the .alpha.-syn mutant via SGT
according to the method of Example 8. Organisms that were not pre-treated
are then provided with treatments (the post-treatment groups), and
selected organisms are given treatments before and after the SGT. Some
experimental treatments constitute combinations of nutrient regime(s),
pharmacologically active substance(s), and/or environmental stressor(s).
[0105] At appropriate times selected organisms are selected for behavioral
testing and sacrifice for histology. It is expected that the results of
this experiment will provide meaningful information regarding which
nutrient regimes and pharmacologically active substances are beneficial
to improve the condition of the test organisms with regard to the PD
symptoms, and which environmental stressors are deleterious and/or their
effects are partially or completely counteracted by one or a combination
of nutrient regimes and/or pharmacologically active substances.
[0106] This experiment is viewed to meet key objectives of the present
invention.
[0107] It should be understood that the examples and embodiments described
herein are for illustrative purposes only and that various modifications
or changes in light thereof will be suggested to persons skilled in the
art and are to be included within the spirit and purview of this
application and the scope of the appended claims.
[0108] The teachings of all patents and publications cited throughout this
specification are incorporated by reference in their entirety to the
extent not inconsistent with the teachings herein.
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