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EXPanding AAV gene therapy by EDITing

Descrizione del progetto

Integrazione di geni terapeutici nelle rotture del DNA

Virus come il virus adeno-associato (AAV) e l’HIV sono stati a lungo utilizzati per la veicolazione del DNA alle cellule bersaglio e hanno attirato una notevole attenzione nelle applicazioni di terapia genica. Tuttavia, l’integrazione del DNA virale nel genoma dell’ospite e la perdita di espressione del transgene nei tessuti in via di replicazione mettono a dura prova l’utilizzo di questi veicoli di diffusione. Il progetto EXPEDITE, finanziato dal Consiglio europeo della ricerca, propone un’alternativa più sicura ai virus, utilizzando sistemi di editing del DNA per un’integrazione precisa del DNA in corrispondenza delle rotture a doppio filamento indotte. La sperimentazione in tessuti e modelli animali rilevanti mira ad ampliare la portata della terapia, modificando potenzialmente il panorama della terapia genica.

Obiettivo

In vivo gene therapy based on a single administration of adeno-associated viral (AAV) vectors is emerging as an effective therapeutic option for both monogenic and complex diseases. Given the episomal nature of the AAV genome, its applications are limited to non-replicating tissues like retina or adult liver. Several AAV-based products that target these tissues are either approved or in advanced clinical development. Despite this, some limitations still remain, including: the potential for insertional mutagenesis associated with genome-wide AAV integration; the loss of transgene expression from replicating tissues like newborn liver; and the challenge to counteract toxic gain-of-function mutations, which cause dominant diseases for which canonical gene replacement is ineffective. EXPEDITE aims to integrate therapeutic DNA at desired genomic loci safely and effectively, thus overcoming the above limitations. EXPEDITE will go beyond the current state-of-the-art by implementing and comparing two parallel strategies: (i) novel Cas fusion proteins to recruit DNA repair machineries at induced double stand breaks (DSBs) to maximize on-target donor DNA integration; (ii) novel cleavage-free platforms for therapeutic DNA integration, based on transposases or bacterial single strand-DNA annealing proteins. The therapeutic relevance of these platforms will be tested in the retina and liver, two highly relevant tissues for gene therapy, using animal models of inherited retinal degenerations and lysosomal storage diseases, respectively, and, ultimately, non human primates. To reduce the risk of potential off-targets, EXPEDITE will also test non-viral vectors for transient delivery of the genome editing tools while delivering the donor DNA via AAV. The results from EXPEDITE will allow significant expansion of the patient population that can benefit from in vivo gene therapy and may represent a change of paradigm for gene therapy by replacing canonical gene addition approaches.

Meccanismo di finanziamento

HORIZON-ERC - HORIZON ERC Grants

Istituzione ospitante

FONDAZIONE TELETHON ETS
Contribution nette de l'UE
€ 2 292 303,00
Indirizzo
VIA VARESE 16/B
00185 Roma
Italia

Mostra sulla mappa

Regione
Centro (IT) Lazio Roma
Tipo di attività
Research Organisations
Collegamenti
Costo totale
€ 2 492 303,00

Beneficiari (3)