Gene therapy rescues cilia defects and restores olfactory function in a mammalian ciliopathy model.

Journal Article

Cilia are evolutionarily conserved microtubule-based organelles that are crucial for diverse biological functions, including motility, cell signaling and sensory perception. In humans, alterations in the formation and function of cilia manifest clinically as ciliopathies, a growing class of pleiotropic genetic disorders. Despite the substantial progress that has been made in identifying genes that cause ciliopathies, therapies for these disorders are not yet available to patients. Although mice with a hypomorphic mutation in the intraflagellar transport protein IFT88 (Ift88Tg737Rpw mice, also known as ORPK mice)5 have been well studied, the relevance of IFT88 mutations to human pathology is unknown. We show that a mutation in IFT88 causes a hitherto unknown human ciliopathy. In vivo complementation assays in zebrafish and mIMCD3 cells show the pathogenicity of this newly discovered allele. We further show that ORPK mice are functionally anosmic as a result of the loss of cilia on their olfactory sensory neurons (OSNs). Notably, adenoviral-mediated expression of IFT88 in mature, fully differentiated OSNs of ORPK mice is sufficient to restore ciliary structures and rescue olfactory function. These studies are the first to use in vivo therapeutic treatment to reestablish cilia in a mammalian ciliopathy. More broadly, our studies indicate that gene therapy is a viable option for cellular and functional rescue of the complex ciliary organelle in established differentiated cells.

Full Text

Duke Authors

Cited Authors

  • McIntyre, JC; Davis, EE; Joiner, A; Williams, CL; Tsai, I-C; Jenkins, PM; McEwen, DP; Zhang, L; Escobado, J; Thomas, S; Szymanska, K; Johnson, CA; Beales, PL; Green, ED; Mullikin, JC; NISC Comparative Sequencing Program, ; Sabo, A; Muzny, DM; Gibbs, RA; Attié-Bitach, T; Yoder, BK; Reed, RR; Katsanis, N; Martens, JR

Published Date

  • September 2012

Published In

Volume / Issue

  • 18 / 9

Start / End Page

  • 1423 - 1428

PubMed ID

  • 22941275

Electronic International Standard Serial Number (EISSN)

  • 1546-170X

International Standard Serial Number (ISSN)

  • 1078-8956

Digital Object Identifier (DOI)

  • 10.1038/nm.2860

Language

  • eng