Gene-replacement therapy in neurodevelopmental disorders: progress and challenges
Journal of Clinical Investigation,
Год журнала:
2025,
Номер
135(3)
Опубликована: Фев. 2, 2025
Heterozygous
loss-of-function
variants
in
the
SLC6A1
gene,
encoding
GAT1,
which
is
main
GABA
transporter
brain,
lead
to
a
broad
spectrum
of
neuropsychiatric
and
neurodevelopmental
disorders
including
epilepsy,
developmental
delay,
intellectual
disability,
autism.
Gene-replacement
strategies
involving
adeno-associated
viruses
(AAV)
require
delivery
genes
specific
types
neurons
or
areas
likely
during
certain
time
points.
In
this
issue
JCI,
Guo
colleagues
from
Gray
lab
evaluated
two
promoters,
three
injection
modalities,
various
timing
for
replacement
GAT1
via
AAV
type
9
heterozygous
homozygous
knockout
mouse
models.
Intrathecal
administration
vectors
containing
either
promoter
at
postnatal
day
5
achieved
high
expression
was
best
tolerated
approach.
Notably,
gene-replacement
therapy
failed
later
disease
stages,
suggesting
importance
early
gene
reconstitution
confirming
metabolism
brain
development.
Язык: Английский
Behavioral, neurodevelopmental profile, and epilepsy trajectory in two series of SLC6A1-NDD: a retrospective study with comprehensive assessment, and a participatory database study
European Journal of Paediatric Neurology,
Год журнала:
2025,
Номер
54, С. 121 - 129
Опубликована: Янв. 1, 2025
Язык: Английский
A transporter’s doom or destiny: SLC6A1 in health and disease, novel molecular targets and emerging therapeutic prospects
Frontiers in Molecular Neuroscience,
Год журнала:
2024,
Номер
17
Опубликована: Авг. 29, 2024
As
the
first
member
of
solute
carrier
6
(SLC6)
protein
family,
γ-aminobutyric
acid
(GABA)
transporter
1
(GAT1,
SLC6A1
),
plays
a
pivotal
role
in
uptake
GABA
from
synaptic
cleft
into
neurons
and
astrocytes.
This
process
facilitates
subsequent
storage
presynaptic
vesicles.
The
human
gene
is
highly
susceptible
to
missense
mutations,
leading
severe
clinical
outcomes,
such
as
epilepsy,
afflicted
patients.
molecular
mechanisms
-associated
disorders
are
discerned
some
degree;
many
mutations
now
known
impair
folding,
consequently
fail
reach
plasma
membrane.
Inherently,
once
inside
endoplasmic
reticulum
(ER),
GAT1
abides
by
complex
cascade
events
that
enable
efficient
intracellular
trafficking.
involves
association
with
specialized
chaperones
responsible
for
steering
folding
process,
oligomerization,
sorting
through
Golgi
apparatus,
ultimately
delivery
cell
surface.
entire
subject
stringent
quality
control
at
multiple
checkpoints.
While
majority
existing
loss-of-function
variants
interfere
membrane
targeting,
certain
mutants
retain
abundant
surface
expression.
In
either
scenario,
suppressed
activity
disrupts
GABAergic
neurotransmission,
preceding
disease
manifestation
individuals
harboring
these
mutations.
nervous
system
enthralling
calls
systematic,
groundbreaking
research
efforts
dissect
precise
factors
associated
onset
neurological
disorders,
uncover
additional
non-canonical
therapeutic
targets.
Recent
has
given
hope
misfolded
variants,
which
can
be
salvaged
small
molecules,
i.e.,
chemical
pharmacological
chaperones,
acting
on
upstream
targets
secretory
pathway.
We
here
highlight
significance
pharmacochaperoning
strategy
treatment
-related
disorders.
Язык: Английский
AAV9/SLC6A1 gene therapy rescues abnormal EEG patterns and cognitive behavioral deficiencies in Slc6a1-/- mice
Journal of Clinical Investigation,
Год журнала:
2024,
Номер
135(3)
Опубликована: Ноя. 26, 2024
The
solute
carrier
family
6
member
1
(SLC6A1)
gene
encodes
the
γ-aminobutyric
acid
(GABA)
transporter
GAT-1,
deficiency
of
which
is
associated
with
infantile
encephalopathy
intellectual
disability.
We
designed
2
AAV9
vectors,
either
JeT
or
MeP
promoter,
and
conducted
preclinical
therapy
studies
using
heterozygous
homozygous
Slc6a1-KO
mice
at
different
developmental
ages
various
routes
administration.
Neonatal
intracerebroventricular
administration
vector
resulted
in
significantly
normalized
EEG
patterns
Slc6a1-/-
Slc6a1+/-
as
well
improvement
several
behavioral
phenotypes
mice.
However,
some
mortality
adverse
effects
were
observed
neonatal-treated
Intrathecal
P5
mice,
but
treatment
only
rescued
nest
building
without
impact
on
EEG.
Both
vectors
tolerated
all
treated
later
(including
WT
mice),
up
to
year
after
injection.
Overall,
our
data
demonstrate
compelling
efficacy
when
are
an
early
development
age.
also
identified
that
outside
neonatal
window,
severe
KO
model
more
refractory
treatment,
whereas
treatments
genotypically
match
human
patients,
have
stronger
benefits.
Язык: Английский
Analysis of exome sequencing data implicates rare coding variants in STAG1 and ZNF136 in schizophrenia
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 16, 2024
Abstract
Rare
coding
variants
across
many
genes
contribute
to
schizophrenia
liability,
but
they
have
only
been
implicated
in
12
at
exome-wide
levels
of
significance.
To
increase
power
for
gene
discovery,
we
analysed
exome-sequencing
data
rare
a
new
sample
4,650
cases
and
5,719
controls,
combined
these
with
published
sequencing
total
28,898
cases,
103,041
controls
3,444
proband-parent
trios.
Novel
associations
were
identified
STAG1
ZNF136
significance
six
additional
false
discovery
rate
5%.
Among
genes,
SLC6A1
KLC1
are
associated
damaging
missense
alone.
Four
the
eight
novel
also
enriched
other
developmental
psychiatric
disorders.
Moreover,
fine-mapped
common
variant
signals
schizophrenia.
These
findings
provide
insights
into
neurobiology
schizophrenia,
including
an
aetiological
role
disrupted
chromatin
organisation.
Язык: Английский
Abnormal Weakening of DNA Methylation around the SLC6A1 Gene Promoter in Temporal Lobe Epilepsy
Journal of Integrative Neuroscience,
Год журнала:
2024,
Номер
23(9)
Опубликована: Сен. 24, 2024
Background:
The
solute
carrier
(SLC)
superfamily,
which
transports
solutes
across
biological
membranes,
includes
four
members
(SLC2A1,
SLC6A1,
SLC9A64,
and
SLC35A2)
that
have
been
linked
to
epilepsy.
This
study
sought
examine
the
DNA
methylation
patterns
near
promoters
of
these
genes
in
temporal
lobe
epilepsy
(TLE),
as
is
a
crucial
epigenetic
modification
can
impact
gene
expression.
Methods:
comprised
38
individuals
with
TLE
healthy
controls.
Methylation
experiments
were
performed
using
peripheral
blood,
while
demethylation
carried
out
SH-SY5Y
cells
inhibitor
decitabine.
Results:
A
significant
difference
was
observed
rate
SLC6A1
between
patients
controls,
showing
lower
(4.81%
vs.
5.77%,
p
=
0.0000),
remained
even
after
Bonferroni
correction
(p
0.0000).
Based
on
hypomethylated
TLE,
predictive
model
established
showed
promise
distinguishing
calibrating
TLE.
In
group,
there
differences
rates
young
older
controls
(4.42%
5.22%,
0.0004).
similar
trend
0.0436)
noted
adjusting
for
sex,
age
at
onset,
drug
response.
addition,
found
had
silencing
expression
cells,
treated
decitabine
set
dose
gradient.
Conclusions:
evidence
suggests
may
stimulate
transcription
however,
further
investigation
necessary
confirm
exact
mechanism.
Язык: Английский
Resolution of SLC6A1 variable expressivity in a multi-generational family using deep clinical phenotyping and Drosophila models
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 28, 2024
Abstract
Purpose
Variants
in
SLC6A1
result
a
rare
neurodevelopmental
disorder
characterized
by
variable
clinical
presentation
of
symptoms
including
developmental
delay,
epilepsy,
motor
dysfunction,
and
autism
spectrum
disorder.
haploinsufficiency
has
been
confirmed
as
the
predominant
pathway
SLC6A1-
related
disorders
(NDDs),
however,
molecular
mechanism
underlying
remains
unclear.
Methods
Here,
through
work
Undiagnosed
Diseases
Network,
we
identify
an
undiagnosed
individual
with
inherited
p.(A334S)
variant
uncertain
significance.
To
resolve
this
case
better
understand
expressivity
,
assess
phenotypes
proband
cohort
cases
diagnosed
NDDs.
We
then
create
allelic
series
Drosophila
melanogaster
to
functionally
characterize
variants.
Results
significant
overlap
between
unsolved
NDDs
find
mild
severe
associated
missense
confirm
flies
expressing
variants
consistent
partial
loss-of-function
mechanism.
Conclusion
conclude
that
is
hypomorphic
allele
begin
elucidate
variability
-related
These
insights
will
inform
diagnosis,
prognosis,
treatment
therapeutic
design
for
those
living
Язык: Английский