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Gene Therapy Restores Mfrp and Corrects Axial Eye Length
Journal article   Open access   Peer reviewed

Gene Therapy Restores Mfrp and Corrects Axial Eye Length

Gabriel Velez, Stephen H Tsang, Yi-Ting Tsai, Chun-Wei Hsu, Anuradha Gore, Aliaa H Abdelhakim, MaryAnn Mahajan, Ronald H Silverman, Janet R Sparrow, Alexander G Bassuk, …
Scientific reports, Vol.7(1), pp.16151-8
11/23/2017
DOI: 10.1038/s41598-017-16275-8
PMCID: PMC5701072
PMID: 29170418
url
https://doi.org/10.1038/s41598-017-16275-8View
Published (Version of record) Open Access

Abstract

Hyperopia (farsightedness) is a common and significant cause of visual impairment, and extreme hyperopia (nanophthalmos) is a consequence of loss-of-function MFRP mutations. MFRP deficiency causes abnormal eye growth along the visual axis and significant visual comorbidities, such as angle closure glaucoma, cystic macular edema, and exudative retinal detachment. The Mfrp /Mfrp mouse is used as a pre-clinical animal model of retinal degeneration, and we found it was also hyperopic. To test the effect of restoring Mfrp expression, we delivered a wild-type Mfrp to the retinal pigmented epithelium (RPE) of Mfrp /Mfrp mice via adeno-associated viral (AAV) gene therapy. Phenotypic rescue was evaluated using non-invasive, human clinical testing, including fundus auto-fluorescence, optical coherence tomography, electroretinography, and ultrasound. These analyses showed gene therapy restored retinal function and normalized axial length. Proteomic analysis of RPE tissue revealed rescue of specific proteins associated with eye growth and normal retinal and RPE function. The favorable response to gene therapy in Mfrp /Mfrp mice suggests hyperopia and associated refractive errors may be amenable to AAV gene therapy.

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