Molecular Therapy — Methods & Clinical Development,
Journal Year:
2023,
Volume and Issue:
29, P. 406 - 417
Published: May 9, 2023
Optogenetic
gene
therapies
offer
a
promising
strategy
for
restoring
vision
to
patients
with
retinal
degenerative
diseases,
such
as
retinitis
pigmentosa
(RP).
Several
clinical
trials
have
begun
in
this
area
using
different
vectors
and
optogenetic
proteins
(Clinical
Identifiers:
NCT02556736,
NCT03326336,
NCT04945772,
NCT04278131).
Here
we
present
preclinical
efficacy
safety
data
the
NCT04278131
trial,
which
uses
an
AAV2
vector
Chronos
protein.
Efficacy
was
assessed
mice
dose-dependent
manner
electroretinograms
(ERGs).
Safety
rats,
nonhuman
primates,
mice,
several
tests,
including
immunohistochemical
analyses
cell
counts
(rats),
(nonhuman
primates),
ocular
toxicology
assays
(mice).
The
results
showed
that
Chronos-expressing
were
efficacious
over
broad
range
of
doses
stimulating
light
intensities,
well
tolerated:
no
test
article-related
findings
observed
anatomical
electrophysiological
performed.
Progress in Retinal and Eye Research,
Journal Year:
2021,
Volume and Issue:
86, P. 100975 - 100975
Published: May 29, 2021
Inherited
and
age-related
retinal
degeneration
is
the
hallmark
of
a
large
group
heterogeneous
diseases
main
cause
untreatable
blindness
today.
Genetic
factors
play
major
pathogenic
role
in
degenerations
for
both
monogenic
(such
as
retinitis
pigmentosa)
complex
with
established
genetic
risk
macular
degeneration).
Progress
genotyping
techniques
back
eye
imaging
are
completing
our
understanding
these
their
manifestations
patient
populations
suffering
from
degenerations.
It
clear
that
whatever
cause,
majority
vision
loss
results
photoreceptor
function.
The
timing
circumstances
surrounding
function
determine
adequate
therapeutic
approach
to
use
each
patient.
Among
such
approaches,
gene
therapy
rapidly
becoming
reality
applicable
clinic.
This
massive
move
laboratory
work
towards
clinical
application
has
been
propelled
by
advances
disease
genetics
mechanisms,
delivery
vectors,
editing
systems,
compensatory
strategies
Here,
we
provide
an
overview
existing
modalities
relevance
based
on
needs
inherited
Frontiers in Cellular Neuroscience,
Journal Year:
2022,
Volume and Issue:
15
Published: Jan. 3, 2022
Optogenetics,
a
field
concentrating
on
controlling
cellular
functions
by
means
of
light-activated
proteins,
has
shown
tremendous
potential
in
neuroscience.
It
possesses
superior
spatiotemporal
resolution
compared
to
the
surgical,
electrical,
and
pharmacological
methods
traditionally
used
studying
brain
function.
A
multitude
optogenetic
tools
for
neuroscience
have
been
created
that,
example,
enable
control
action
generation
via
ion
channels.
Other
proteins
brain,
long-term
potentiation
or
ablate
specific
subtypes
neurons.
In
vivo
applications,
however,
majority
are
operated
with
blue,
green,
yellow
light,
which
all
limited
penetration
biological
tissues
red
light
especially
infrared
light.
This
difference
is
significant,
considering
size
rodent
major
research
model
Our
review
will
focus
utilization
light-operated
We
first
outline
advantages
studies.
Then
we
provide
brief
overview
systems
new
developments
field.
Finally,
highlight
different
further
facilitate
use
optogenetics
Frontiers in Molecular Neuroscience,
Journal Year:
2023,
Volume and Issue:
15
Published: Jan. 9, 2023
Inherited
retinal
diseases
(IRDs)
are
associated
with
mutations
in
over
250
genes
and
represent
a
major
cause
of
irreversible
blindness
worldwide.
While
gene
augmentation
or
editing
therapies
could
address
the
underlying
genetic
small
subset
patients,
their
utility
remains
limited
by
great
heterogeneity
IRDs
costs
developing
individualised
therapies.
Gene-agnostic
therapeutic
approaches
target
common
pathogenic
pathways
that
drive
degeneration
provide
functional
rescue
vision
independent
cause,
thus
offering
potential
clinical
benefits
to
all
IRD
patients.
Here,
we
review
key
gene-agnostic
approaches,
including
cell
reprogramming
replacement,
neurotrophic
support,
immune
modulation
optogenetics.
The
relative
limitations
these
strategies
timing
interventions
discussed.
Biomedicines,
Journal Year:
2025,
Volume and Issue:
13(2), P. 429 - 429
Published: Feb. 10, 2025
Retinal
degenerations,
such
as
age-related
macular
degeneration
and
retinitis
pigmentosa,
present
significant
challenges
due
to
genetic
heterogeneity,
limited
therapeutic
options,
the
progressive
loss
of
photoreceptors
in
advanced
stages.
These
are
compounded
by
difficulties
precisely
targeting
residual
retinal
neurons
ensuring
sustained
efficacy
interventions.
Optogenetics
offers
a
novel
approach
vision
restoration
inducing
light
sensitivity
through
gene
delivery
light-sensitive
opsins.
This
review
traces
evolution
opsins
optogenetic
therapies,
highlighting
advancements
from
early
research
on
channelrhodopsin-2
(ChR2)
engineered
variants
addressing
key
limitations.
Red-shifted
opsins,
including
ReaChR
ChrimsonR,
reduced
phototoxicity
enabling
activation
under
longer
wavelengths,
while
Chronos
introduced
superior
temporal
kinetics
for
dynamic
visual
tracking.
Further
innovations,
Multi-Characteristic
Opsin
1
(MCO1),
optimized
opsin
performance
ambient
light,
bridging
gap
real-world
applications.
Key
milestones
include
first
partial
human
patient
using
ChrimsonR
with
light-amplifying
goggles
ongoing
clinical
trials
exploring
opsin-based
therapies
degeneration.
While
progress
has
been
made,
remain
achieving
sufficient
functional
normal
lighting
conditions
manner
that
is
both
effective
safe,
eliminating
need
external
light-enhancing
devices.
As
progresses,
positioned
redefine
management
degenerative
diseases,
offering
new
hope
millions
affected
loss.