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Mouse Models of Achromatopsia in Addressing Temporal "Point of No Return" in Gene-Therapy.

Abstract
Achromatopsia is characterized by amblyopia, photophobia, nystagmus, and color blindness. Previous animal models of achromatopsia have shown promising results using gene augmentation to restore cone function. However, the optimal therapeutic window to elicit recovery remains unknown. Here, we attempted two rounds of gene augmentation to generate recoverable mouse models of achromatopsia including a Cnga3 model with a knock-in stop cassette in intron 5 using Easi-CRISPR (Efficient additions with ssDNA inserts-CRISPR) and targeted embryonic stem (ES) cells. This model demonstrated that only 20% of CNGA3 levels in homozygotes derived from target ES cells remained, as compared to normal CNGA3 levels. Despite the low percentage of remaining protein, the knock-in mouse model continued to generate normal cone phototransduction. Our results showed that a small amount of normal CNGA3 protein is sufficient to form "functional" CNG channels and achieve physiological demand for proper cone phototransduction. Thus, it can be concluded that mutating the Cnga3 locus to disrupt the functional tetrameric CNG channels may ultimately require more potent STOP cassettes to generate a reversible achromatopsia mouse model. Our data also possess implications for future CNGA3-associated achromatopsia clinical trials, whereby restoration of only 20% functional CNGA3 protein may be sufficient to form functional CNG channels and thus rescue cone response.
AuthorsNan-Kai Wang, Pei-Kang Liu, Yang Kong, Sarah R Levi, Wan-Chun Huang, Chun-Wei Hsu, Hung-Hsi Wang, Nelson Chen, Yun-Ju Tseng, Peter M J Quinn, Ming-Hong Tai, Chyuan-Sheng Lin, Stephen H Tsang
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 22 Issue 15 (Jul 28 2021) ISSN: 1422-0067 [Electronic] Switzerland
PMID34360834 (Publication Type: Journal Article)
Chemical References
  • Cnga3 protein, mouse
  • Cyclic Nucleotide-Gated Cation Channels
Topics
  • Animals
  • Clustered Regularly Interspaced Short Palindromic Repeats
  • Color Vision Defects (genetics, metabolism)
  • Cyclic Nucleotide-Gated Cation Channels (genetics)
  • Disease Models, Animal
  • Gene Editing
  • Gene Knock-In Techniques
  • Mice
  • Mutation
  • Retinal Cone Photoreceptor Cells (metabolism, physiology)

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