Gene Therapy for Rdh12-Associated Retinal Diseases Helps to Delay Retinal Degeneration and Vision Loss

Drug Des Devel Ther. 2021 Aug 17:15:3581-3591. doi: 10.2147/DDDT.S305378. eCollection 2021.

Abstract

Purpose: The aim of study was to establish Rdh12-associated inherited retinal disease (Rdh12-IRD) mouse model and to identify the best timepoint for gene therapy.

Methods: We induced retinal degeneration in Rdh12-/- mice using a bright light. We clarified the establishment of Rdh12-IRD mouse model by analyzing the thickness of retinal layers and electroretinography (ERG). Rdh12-IRD mice received a subretinal injection of adeno-associated virus 2/8-packaged Rdh12 cDNA for treatment. We evaluated the visual function and retinal structure in the treated and untreated eyes to identify the best timepoint for gene therapy.

Results: Rdh12-IRD mice showed significant differences in ERG amplitudes and photoreceptor survival compared to Rdh12+/+ mice. Preventive gene therapy not only maintained normal visual function but also prevented photoreceptor loss. Salvage gene therapy could not reverse the retinal degeneration phenotype of Rdh12-IRD mice, but it could slow down the loss of visual function.

Conclusion: The light-induced retinal degeneration in our Rdh12-/- mice indicated that a defect in Rdh12 alone was sufficient to cause visual dysfunction and photoreceptor degeneration, which reproduced the phenotypes observed in RDH12-IRD patients. This model is suitable for gene therapy studies. Early treatment of the primary Rdh12 defect helps to delay the later onset of photoreceptor degeneration and maintains visual function in Rdh12-IRD mice.

Keywords: Rdh12; gene therapy; mouse model; retinal diseases.

MeSH terms

  • Alcohol Oxidoreductases / genetics*
  • Animals
  • Dependovirus / genetics
  • Disease Models, Animal
  • Electroretinography
  • Female
  • Genetic Therapy / methods*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Retinal Degeneration / etiology
  • Retinal Degeneration / prevention & control
  • Retinal Diseases / genetics
  • Retinal Diseases / therapy*
  • Time Factors
  • Vision Disorders / etiology
  • Vision Disorders / prevention & control

Substances

  • Alcohol Oxidoreductases
  • Rdh12 protein, mouse

Supplementary concepts

  • Adeno-associated virus-2

Grants and funding

The study was supported by grants from the Science and Technology Project of Zhejiang Province (2018C37121), Natural Science Foundation of Zhejiang Province (LZ14C060001) and National Natural Science Foundation of China (31371271).