WO2025042663A1 - Compositions and methods of treating, preventing, or delaying the progression of neurodegenerative disease - Google Patents
Compositions and methods of treating, preventing, or delaying the progression of neurodegenerative disease Download PDFInfo
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- A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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- A61K48/00—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
- A61K48/005—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy characterised by an aspect of the 'active' part of the composition delivered, i.e. the nucleic acid delivered
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- C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
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- C07K14/46—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
- C07K14/47—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
- C07K14/4701—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals not used
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- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
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- C12N15/79—Vectors or expression systems specially adapted for eukaryotic hosts
- C12N15/85—Vectors or expression systems specially adapted for eukaryotic hosts for animal cells
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- A61K48/00—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
- A61K48/005—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy characterised by an aspect of the 'active' part of the composition delivered, i.e. the nucleic acid delivered
- A61K48/0058—Nucleic acids adapted for tissue specific expression, e.g. having tissue specific promoters as part of a contruct
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- A—HUMAN NECESSITIES
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- A61K48/00—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
- A61K48/005—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy characterised by an aspect of the 'active' part of the composition delivered, i.e. the nucleic acid delivered
- A61K48/0066—Manipulation of the nucleic acid to modify its expression pattern, e.g. enhance its duration of expression, achieved by the presence of particular introns in the delivered nucleic acid
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- C12N2750/00011—Details
- C12N2750/14011—Parvoviridae
- C12N2750/14111—Dependovirus, e.g. adenoassociated viruses
- C12N2750/14141—Use of virus, viral particle or viral elements as a vector
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- C12N2830/00—Vector systems having a special element relevant for transcription
- C12N2830/008—Vector systems having a special element relevant for transcription cell type or tissue specific enhancer/promoter combination
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- C12N2830/00—Vector systems having a special element relevant for transcription
- C12N2830/48—Vector systems having a special element relevant for transcription regulating transport or export of RNA, e.g. RRE, PRE, WPRE, CTE
Definitions
- the present invention is in the field of molecular biology, more particularly, the present invention relates to methods and compositions for manipulating metabolism in astrocytes to improve astrocytic and neuronal function, as well as individual pathology hallmarks and symptoms during the development of neurodegeneration.
- it relates to increasing PPARa expression and activity, specifically in astrocytes within the central nervous system, to treat a variety of neurodegenerative conditions, and specifically those which cause neuronal lipid dysregulation, synaptic loss, oxidative damages, accumulation of p-amyloid or other protein aggregates, dementia, and motor dysfunction.
- AD Alzheimer’s disease
- PD Parkinson’s disease
- HD Huntington’s disease
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- prion diseases are increasingly being recognized to share common cellular and molecular mechanisms related to abnormal lipid metabolism.
- Fatty acids are the essential component of most lipid species.
- the brain critically depends on astrocytes to eliminate fatty acids (FAs) and maintain lipid balance.
- FAs fatty acids
- PPARa Peroxisome proliferator-activated receptor a
- the present invention features a method of treating a neurodegenerative disease in a subject in need thereof.
- the method may comprise administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease.
- the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
- the present invention features a method of delaying the onset of or preventing a neurodegenerative disease in a subject in need thereof.
- the method may comprise administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene to a subject at risk of having a neurodegenerative disease.
- the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
- a fragment e.g., a functional fragment
- PPARA gene e.g., a PPARA gene.
- Non-limiting examples of neurodegenerative disease may include but are not limited to Alzheimer’s disease (AD), Parkinson’s disease (PD) and other forms of Parkinsonism, Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), frontotemporal dementia, Lewy body dementia, Gaucher's disease, progressive supranuclear palsy, stroke, depression, vascular dementia, and prion diseases.
- One of the unique and inventive technical features of the present invention is the use of a viral vector, e.g., AAV-Astrocyte-PPARa, that increases the expression of PPARa in astrocytes.
- a viral vector e.g., AAV-Astrocyte-PPARa
- the technical feature of the present invention advantageously provides for targeted treatment of neurodegenerative disorders, e.g., AD. None of the presently known prior references or works have the unique inventive technical feature of the present invention.
- PPARa agonists lack cell selectivity, affecting all cells in the brain — including neurons, astrocytes, and other cell types — as well as other organs throughout the body. Specifically, targeting neurons may suppress pyruvate metabolism, which is critical for ATP production in the brain, and there are concerns about the potential carcinogenic effects of PPARa agonists on the liver.
- inventive technical features of the present invention contributed to a surprising result.
- selectively upregulating PPARa protein expression in astrocytes can limit the progression of neurodegenerative diseases such as Alzheimer's disease (AD) while minimizing adverse effects on other cell types within the central nervous system and other organs.
- AD Alzheimer's disease
- the present invention provides a method of using a viral vector, e.g., an adeno-associated viral (AAV) comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene, e.g., AAV-Astrocyte-PPARa, for treating or preventing neurodegenerative diseases.
- a viral vector e.g., an adeno-associated viral (AAV) comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene, e.g., AAV-Astrocyte-PPARa
- a PPARA gene e.g., AAV-Astrocyte-PPARa
- the method comprises administering to the subject a therapeutically effective amount of viral vectors that upregulates the expression of PPARa specifically inside astrocytes in the subject.
- the methods disclosed herein are useful in modulating the expression of PPARa protein in astrocytes for the treatment or delay the development, onset, and symptoms related to neurodegenerative diseases.
- the disclosed AAV-Astrocyte-PPARa is useful in the treatment of AD.
- PPARa agonists nonselective to treat AD demonstrated herein is the novel and unexpected finding that
- the neurodegenerative disease is associated with protein aggregation, such as p-amyloid plaques.
- neurodegenerative disease is associated with neuroinflammation, oxidative stress, and lipid dysregulation.
- the neurodegenerative disease is selected from the group consisting of Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), Huntington’s disease (HD), frontotemporal dementia, Lewy Body dementia, stroke, depression, vascular dementia, and prion diseases.
- the AAV-Astrocyte- PPARa decreases the level of reactive oxygen species (ROS), diminishing the production of PLIN2 in brain tissues, and restoring the morphology and phenotype of astrocytes to non-disease conditions.
- ROS reactive oxygen species
- the AAV-Astrocyte-PPARa increases synaptic, improves the short-term and long-term plasticity, rescues the nest building and the novel object recognition behavior compared to those in AD subjects.
- the subject may be a human subject, for example, a human subject exhibiting symptoms of AD and dementia.
- the composition may be administered by intravenous injection with appropriate AAV vectors.
- the composition is administered by an intranasal delivery, direct injection into the brain (including through a small hole in the skull or using a catheter), implantable devices, Nanoparticle-based delivery (transport drugs across the blood-brain barrier).
- FIG. 1 shows the map of the design of the AAV5-GFAP-PPARa construct in mouse (top) and human (bottom) isoforms.
- FIG. 2 shows the expression of PPARa in astrocytes in the 5xFAD mouse brain which are injected with AAV5-GFAP-EGFP-mPpara-WPRE.
- EGFP expression (co-expressed with PPARa)
- GFAP expression (co-expressed with PPARa)
- DAPI levels and a merged image are shown.
- 88.5% of the GFAP positive cells are also expressing EGFP (co-expressed with PPARa).
- Scale bar 50 pm.
- FIGs. 3A, 3B,and 3C show AAV5-GFAP-EGFP-PPARa treatment improves fEPSP and long-term potentiation (LTP) in 5xFAD mice.
- FIG. 3A shows a brightfield photomicrograph of a hippocampal slice on a MED64 electrode array.
- FIG. 3B shows a time course for Theta-burst induced LTP.
- FIG. 3C shows the mean LTP 35-40 min after Theta-burst. Closed circle, wildtype (WT); triangle, AAV5-GFAP-EGFP treated 5xFAD (5xFAD); square, AAV5-GFAP-EGFP-PPARa treated 5xFAD mice (5xFAD-PPARa).
- n 3 mice for each group. ** p ⁇ 0.01, *** p ⁇ 0.001.
- FIGs. 4A and 4B show AAV5-GFAP-EGFP-PPARa treatment rescues the short-term plasticity (STP) in 5xFAD mice.
- FIG. 4A shows the mean STP 15-20 min after Theta-burst, *** p ⁇ 0.001.
- FIGs. 5A and 5B show AAV5-GFAP-EGFP-PPARa treatment alleviates behavioral deficits in 5xFAD mice.
- FIG. 5A shows results from nest building tests, including Nest scores and unshredded nestle weight.
- FIG. 6 shows immunostaining results of perilipin-2 (PLIN2) from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa.
- PLIN2 perilipin-2
- FIG. 6 shows immunostaining results of perilipin-2 (PLIN2) from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa.
- Left PLIN2 and DAPI single-channel images and merged images are shown.
- Right quantification of the PLIN2 expression.
- Scale bar 50 pm. Closed circle, WT; triangle, 5xFAD; square, 5xFAD-PPARa.
- n 4 mice for each group.
- FIG. 7 shows immunostaining results of 4-Hydroxynonenal (4-HNE; a marker for lipid peroxidation and oxidative stress) from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa.
- Scale bar 50 pm.
- n 4 mice for each group. * p ⁇ 0.05, ** p ⁇ 0.01.
- FIG. 8 shows immunostaining results of amyloid antibody 6E10 from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa.
- Left 6E10 and DAPI single-channel images and merged images.
- Right quantification of the amyloid levels.
- Scale bar 50 m.
- n 4 mice for each group. ** p ⁇ 0.01 , *** p ⁇ 0.001.
- FIG. 9 shows immunostaining results of GFAP from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa.
- Left GFAP and DAPI single-channel images and merged images.
- Right quantification of the length of astrocyte processes including primary branches and secondary branches. Each dot indicates the average branch length of one individual cell from 4 mice per group. Scale bar, 50 pm.
- a subject can be a mammal such as a non-primate (e.g., cows, pigs, horses, cats, dogs, rats, etc.) or a primate (e.g., monkey and human).
- the subject is a human.
- the subject is a mammal (e.g., a human) having a disease, disorder, or condition described herein.
- the subject is a mammal (e.g., a human) at risk of developing a disease, disorder, or condition described herein.
- the term patient refers to a human.
- the terms “treat,” “treating,” or “treatment” refer to both therapeutic treatment and prophylactic or preventative measures, with the objective of preventing, reducing, slowing down (lessen), inhibiting, or eliminating an undesired physiological change, symptom, disease, or disorder.
- the disease may be a neurodegenerative disease.
- beneficial or desired clinical results include, but are not limited to, alleviation of symptoms, diminishment of extent of disease, stabilized (i.e., not worsening) state of disease, delay or slowing of disease progression, amelioration or palliation of the disease state, and remission (whether partial or total), whether detectable or undetectable.
- Treatment can also mean prolonging survival as compared to expected survival if not receiving treatment.
- Those in need of treatment include those already with the condition or disorder as well as those prone to have the condition or disorder or those in which the condition or disorder is to be prevented or onset delayed.
- the subject or patient may be identified (e.g., diagnosed) as one suffering from the disease or condition prior to administration of the compositions of the invention.
- Subjects at risk for the disease can be identified by, for example, any or a combination of appropriate diagnostic or prognostic assays known in the art.
- clinical improvement may refer to a noticeable reduction in the symptoms of a disorder, or cessation thereof.
- the terms “manage,” “managing,” and “management” refer to preventing or slowing the progression, spread, or worsening of a disease or disorder, or of one or more symptoms thereof. In certain cases, the beneficial effects that a subject derives from a prophylactic or therapeutic agent do not result in a cure of the disease or disorder.
- administering and “administration” refer to methods of providing a pharmaceutical preparation, composition, or formulation to a subject.
- the compositions described herein can be administered in a number of ways depending on whether local or systemic treatment is desired, and on the area to be treated. Such methods are well known to those skilled in the art and include, but are not limited to, administering the compositions orally, intranasally, parenterally (e.g., intravenously and subcutaneously), by intramuscular injection, by intraperitoneal injection, intrathecally, transdermally, extracorporeally, topically or the like.
- a “therapeutically effective amount” refers to an amount that is sufficient to achieve the desired therapeutic result or to have an effect on undesired symptoms, but is generally insufficient to cause adverse side effects.
- the specific therapeutically effective dose level for any particular patient will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the specific composition employed; the age, body weight, general health, sex, and diet of the patient; the time of administration; the route of administration; the rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed and like factors well known in the medical arts.
- the effective daily dose can be divided into multiple doses for purposes of administration. Consequently, single-dose compositions can contain such amounts or submultiples thereof to make up the daily dose.
- the dosage can be adjusted by the individual physician in the event of any contraindications. Dosage can vary, and can be administered in one or more dose administrations daily, for one or several days, weekly, twice weekly, etc. Guidance can be found in the literature for appropriate dosages for given classes of pharmaceutical products.
- compositions required will vary from subject to subject, depending on the species, age, weight, and general condition of the subject, the severity of the disorder being treated, the particular composition used, its mode of administration, and the like. Thus, it is not possible to specify an exact amount for every composition. However, an appropriate amount can be determined by one of ordinary skill in the art using only routine experimentation given the teachings herein.
- the present invention features methods and compositions for manipulating metabolism in astrocytes to improve astrocytic and neuronal function, as well as individual pathology hallmarks and symptoms during the development of neurodegeneration.
- it relates to increasing PPARa expression and activity, specifically in astrocytes within the central nervous system, to treat a variety of neurodegenerative conditions, specifically those that cause neuronal lipid dysregulation, oxidative damages, accumulation of p-amyloid or other protein aggregates, dementia, and motor dysfunction.
- the present invention features methods of treating a neurodegenerative disease in a subject in need thereof.
- the method comprises administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease.
- the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
- the present invention may also feature methods of delaying the onset of or preventing a neurodegenerative disease in a subject in need thereof.
- the method comprises administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion PPARA gene to a subject at risk of having a neurodegenerative disease.
- the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene
- the present invention features a method of preventing or treating a neurodegenerative disease in a subject in need thereof, the method comprising: (a) identifying the subject presenting with the neurodegenerative disease; and (b) administering a viral vector with an astrocyte-specific promoter that carries and upregulates expression of PPARA gene to promote lipid metabolism.
- identifying a subject presenting a neurodegenerative disease involves clinically diagnosing the subject with at least one of the neurodegenerative diseases mentioned herein.
- neurodegenerative diseases that may be treated or prevented using the methods and viral vectors described herein include, but are not limited to, the following: Alzheimer’s disease (AD), Parkinson’s disease (PD) and other forms of Parkinsonism, Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), frontotemporal dementia, Lewy body dementia, Gaucher's disease, progressive supranuclear palsy, stroke, depression, vascular dementia, and prion diseases.
- Non-limiting examples of prion disease may include but are not limited to Creutzfeldt-Jakob disease and variant Creutzfeldt-Jakob disease.
- the viral vector is an adeno-associated viral (AAV) vector.
- the viral vector is a lentiviral vector.
- AAV vectors include but are not limited to AAV2, AAV5, AAV6, AAV9, AAV-PHP.eB, AAV-PHP.B, or AAVrhIO serotypes. Other efficient gene delivery and selective transduction systems may also be employed in the methods described herein.
- the astrocyte-specific promoter is a Glial Fibrillary Acidic Protein (GFAP) promoter.
- GFAP Glial Fibrillary Acidic Protein
- the astrocyte-specific promoter is a human GFAP promoter, e.g., a 2.2 kb human GFAP promoter (e.g., gfa2).
- the astrocyte-specific promoter is monkey GFAP promoter (e.g., GfaABCI D, 0.7kb).
- the astrocyte-specific promoter is a gfa2 (2.2 kb), gfa2(B)3 (2.6kb), or gfa2(ABD)3.
- astrocyte-specific promoters may be utilized. Additionally, truncated or variant forms of these promoters may be employed, including, but not limited to, human or rat ALDH1 L1 (0.9-2.1 kb), mouse Slc1a3 (Glast) (0.64 kb), and human GJB3 (0x30) (0.5 kb).
- the viral vector may be administered intravenously, intranasally, intrathecally, intracisternally, intracerebroventricularly, or a combination thereof.
- the viral vector may be administered via intravenous injection, subcutaneous injection, intramuscular injection, or a combination thereof.
- the viral vector may be administered via intranasal delivery, intrathecal delivery, or a combination thereof.
- the viral vector may be administered directly into the brain, such as through a small hole in the skull, using a catheter, or via intraparenchymal or intracerebral injection.
- the viral vector may be administered via a nanoparticle delivery system. Regardless of the administration method, the viral vectors described herein are capable of crossing the blood-brain barrier.
- the viral vector is administered intravenously.
- IV intravenous
- the viral vector must exhibit enhanced blood-brain barrier penetrability.
- this requirement may be achieved through the use of specific AAV serotypes, such as AAV-PHP.eB, AAV-PHP.B, AAVrhIO, and AAV9, or through other modifications of existing AAV serotypes.
- the present invention may feature methods of treating a neurodegenerative disease in a subject in need thereof.
- the method comprises administering an AAV vector comprising an astrocyte-specific promoter (e.g., a GFAP promoter) operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease.
- the method comprises intravenously administering an AAV vector comprising an astrocyte-specific promoter (e.g., a GFAP promoter) operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease.
- the present invention may feature methods of delaying the onset of a neurodegenerative disease in a subject in need thereof.
- the method comprises administering an AAV vector comprising an astrocyte-specific promoter (e.g., a GFAP promoter) operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease.
- the method comprises intravenously administering an AAV vector comprising an astrocyte-specific promoter (e.g., a GFAP promoter) operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease.
- a therapeutically effective dose of the viral vector is administered to treat (or prevent) the neurodegenerative disease.
- the precise amount required will vary depending on the species, age, weight, and general condition of the subject, as well as the severity of the disorder being treated, the specific viral vector used, and its mode of administration. Therefore, it is not feasible to specify an exact dosage for every situation. However, one of ordinary skill in the art can determine the appropriate amount through routine experimentation, given the teachings herein.
- the present invention features a method of delaying the onset of, treating, or preventing a neurodegenerative disease in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a viral vector comprising a nucleic acid molecule encoding for one or more homologous genes encoding PPARa (e.g., a functional isoform or functional fragment) which upregulate the expression and/or activity of PPARa selectively inside of astrocytes in the central nervous system.
- the viral vector further comprises an astrocytes-specific promoter operatively linked to the PPARa nucleic acid molecule.
- homologous genes may refer to genes that share a common evolutionary origin with the human PPARA gene but from a different species (e.g., mouse Ppara gene).
- the nucleic acid molecule encoding PPARa for upregulating the expression of PPARa and its functional fragments or isoforms refers to a nucleic acid that encodes a polypeptide capable of functioning, such as a transcription factor, in a subject, similar to the full-length nucleic acid encoding PPARa.
- the astrocyte-specific promoter is selected from the nucleic acid molecule consisting of different forms of GFAP promoter (human gfa2, 2.2kb; GfaABCID, 0.7kb; gfa2(B)3, 2.6kb; gfa28, 0.45kb) or other astrocyte-specific promoters and their truncates or variants (human I rat ALDH1L1, 0.9-2.1 kb; mouse Slc1a3(Glast), 0.64 kb; human GJB3 (0x30), 0.5kb).
- GFAP promoter human gfa2, 2.2kb; GfaABCID, 0.7kb; gfa2(B)3, 2.6kb; gfa28, 0.45kb
- other astrocyte-specific promoters and their truncates or variants human I rat ALDH1L1, 0.9-2.1 kb; mouse Slc1a3(Glast), 0.64 k
- the viral vector is an adeno-associated viral (AAV) vector.
- the viral vector is a lentiviral vector.
- AAV vectors include but are not limited to AAV2, AAV5, AAV6, AAV9, AAV-PHP.eB, AAV-PHP.B, or AAVrhIO serotypes.
- methods described herein e.g., administering a therapeutically effective dose of a viral vector, e.g., AAV-Astrocyte-PPARa, reduces the levels of reactive oxygen species (ROS) and oxidative stress in brain tissues affected by neurodegenerative diseases such as Alzheimer's disease (AD).
- ROS reactive oxygen species
- AD Alzheimer's disease
- Oxidative stress primarily caused by the generation of ROS, is a hallmark of AD, leading to damage to proteins, lipids, and DNA, as well as inflammation and cell death.
- the methods described herein such as administering a therapeutically effective dose of a viral vector like AAV-Astrocyte-PPARa, reduce the accumulation of neutral lipid species in brain tissues affected by neurodegenerative diseases such as Alzheimer's disease (AD).
- AD Alzheimer's disease
- the accumulation of neutral lipids in the form of lipid droplets is a hallmark of AD brains and is associated with disease progression.
- the methods described herein such as administering a therapeutically effective dose of a viral vector like AAV-Astrocyte-PPARa, increases synaptic function, including improvements in both short-term and long-term plasticity in the subject. Additionally, in some embodiments, the methods described herein restore cognitive function, including cognitive and spatial memory, in the subject through the therapeutically effective dose of AAV-Astrocyte-PPARa.
- methods described herein alleviates Alzheimer’s disease-associated astrocyte reactivity and morphological features in the subject.
- the upregulation of PPARa can be effectuated by administering a small molecule that selectively targets astrocytes and promotes PPARa expression and/or activity.
- small molecules can be identified by routine drug screening protocols.
- a cell line such as HepG2 can be engineered to express a reporter gene, like luciferase, under the control of a PPARa-responsive promoter. After treating the cells with potential agonist compounds, the activity of the reporter gene (e.g., luciferase luminescence) is measured.
- an increase in reporter activity compared to a vehicle-treated control group indicates activation of PPARa by the tested compound, suggesting it may be a potential agonist.
- the screening methods described herein are well-established for identifying PPARa agonists, and variations of these methods may be utilized in accordance with the present invention.
- the cell lines used for the aforementioned screening methods may include HepG2, HEK293, HepaRG, or C2C12.
- Non-limiting examples of reporter genes or reporters may include luciferase, green fluorescent protein (GFP), or p-Galactosidase (LacZ).
- the present invention may also feature a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene for use in a method of treating a neurodegenerative disease in a subject diagnosed with a neurodegenerative disease.
- the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
- the present invention may feature a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene for use in a method of preventing a neurodegenerative disease in a subject at risk of having a neurodegenerative disease.
- the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
- the present invention may further feature the use of a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene in the manufacture of a medicament for the treatment of a neurodegenerative disease.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene.
- the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
- Example 1- Therapeutic AAV vector upregulating astrocytic PPARa expression rescued hippocampal synaptic function in an amyloidosis mouse model of Alzheimer’s disease.
- Alzheimer’s disease mouse model 5xFAD hemizygous
- Virus production- The pAAV-GFAP-EGFP-T2A-mPpara[NM_011144.6]-WPRE was packaged into AAV5 serotype viral vector (FIG. 1 upper construct).
- mice and their wildtype littermates were produced by crossing with C57BL/6J females.
- 5xFAD mice were injected with AAV particles into bilateral hippocampi at 2 months of age. Briefly, mice were anesthetized with Ketamine (100 mg/kg) and Xylazine (10 mg/kg), and their heads placed in a stereotactic apparatus (KOPF Instruments, USA). The skull was exposed, and a small craniotomy was performed.
- mice were bilaterally microinjected using the following coordinates: anteroposterior (AP), -3.6 mm from bregma, mediolateral (ML), ⁇ 2.3 mm, dorsoventral (DV), 2.7 mm. All microinjections were carried out using a 5 pL syringe (Hamilton Company, USA) and a glass pipette (WPI, USA). The injection volume and flow rate (100 nL/min) were controlled by an injection pump (WPI). Each mouse received 500 nL of virus on each site individually. Following each injection, the needle was left in place for 10 additional minutes to allow for diffusion of the viral vector away from the needle track and was then slowly withdrawn. The incision was closed using Vetbond tissue adhesive. For postoperative care, mice were subcutaneously injected with Ethiqa XR (3.25 mg/kg).
- Multi-Electrode Array recording-. Five months after virus injection mice were anesthetized. Acute hippocampal slices were prepared by a vibratome (Leica VT1200, Leica Microsystems Inc., USA) and positioned over a multi-microelectrode array on a MED64 probe (FIG. 3A) as previously described. Three slices per animal (three animals for each group) were used. Evoked extracellular field recordings were acquired with Med64 Mobius software (Alpha Med Scientific Inc., Japan). Schaffer collateral/commissural pathways were stimulated with biphasic current pulses (200ps).
- the Input-Output (I/O) curves were obtained by applying stimuli with increasing amplitudes from 10 to 100 pA. Then stimulation intensity was applied to elicite 30% of the maximum response to evoke fEPSPs. Paired pulse facilitation was measured with two stimulations applied at a different inter-pulse varying from 10 to 50 ms. The percentage of facilitation was determined by calculating the paired-pulse ratio (PPR), i.e., dividing the fEPSP slope of the second response by the fEPSP slope of the first response.
- PPR paired-pulse ratio
- LTP long-term potentiation
- TBS theta burst stimulation protocol
- a stable baseline was established for at least 15 min.
- the magnitude of LTP was quantified as the percentage change in the fEPSP initial slope (10-40%), measured during the 40-60 min interval after the TBS.
- Data were analyzed with Mobius software (FIG. 3B).
- AAV5-GFAP-EGFP-T2A-mPpara[NM_011144.6]-WPRE transduction allows the specific expression of PPARa in astrocytes (FIG. 2).
- 5xFAD mice were injected with either AAV5-GFAP-EGFP-T2A-mPpara[NM_011144.6]-WPRE virus (5xFAD-PPARa) or vehicle control viruses without the mPpara sequence (5xFAD-EGFP). Wildtype mice were also injected with control viruses (WT-EGFP).
- Results from the multielectrode array showed that impaired long-term synaptic plasticity and short-term synaptic plasticity in 5xFAD mice are rescued in 5xFAD-PPARa mice (FIG. 3D and FIG. 4A-4B).
- Field excitatory postsynaptic potentials fEPSPs were evoked by stimulating Schaffer collateral fibers and recorded in the CA1 stratum radiatum in slices obtained from 7 months old WT-EGFP, 5xFAD-EGFP, and 5xFAD-PPARa mice.
- the 5xFAD-PPARa group showed a significantly improved LTP response compared to the slices from the 5xFAD-EGFP group (FIG. 3C).
- the upregulation of PPARa in astrocytes rescued the LTP decline in 7 months old 5xFAD mice, which contributes to the improvement in long-term plasticity.
- Example 2- Therapeutic AAV vector upregulating astrocytic PPARa expression alleviated the behavioral impairments in an amyloidosis mouse model of Alzheimer’s disease.
- Cognitive function Mice were assessed for novel object recognition (NOR) and novel object placement, tasks that measure recognition memory, presumed to critically involve perirhinal cortex and dorsal hippocampus. Nest-building indexes, which have been identified as highly correlated with motor and hippocampal impairments, were assessed.
- Example 3- Enhancing PPARa expression in hippocampal astrocytes reduced lipid accumulation and lipid peroxidation in an amyloidosis mouse model of Alzheimer’s disease.
- PPARa overexpression in hippocampal astrocytes substantially reduced LD marker PLIN2 (-60%) (FIG. 6) and lipid peroxidation marker 4-HNE (-73%) in the hippocampus (FIG. 7).
- LD marker PLIN2 -60%)
- lipid peroxidation marker 4-HNE 4-HNE
- Example 4- Enhancing PPARa expression in hippocampal astrocytes reduced amyloid deposition in an amyloidosis mouse model of Alzheimer’s disease.
- descriptions of the inventions described herein using the phrase “comprising” includes embodiments that could be described as “consisting essentially of’ or “consisting of’, and as such the written description requirement for claiming one or more embodiments of the present invention using the phrase consisting essentially of” or “consisting of” is met.
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Abstract
Methods for manipulating metabolism in astrocytes to improve astrocytic and neuronal function, as well as individual pathology hallmarks and symptoms during the development of neurodegeneration by increasing PPARa expression and activity specifically in astrocytes within the central nervous system to treat a variety of neurodegenerative conditions including but not limited to conditions involving neuronal lipid dysregulation, oxidative damage, accumulation of β-amyloid or other protein aggregates, dementia, and motor dysfunction.
Description
COMPOSITIONS AND METHODS OF TREATING, PREVENTING, OR DELAYING THE PROGRESSION OF NEURODEGENERATIVE DISEASE
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims benefit of U.S. Provisional Application No. 63/578,608 filed August 24, 2023, the specification of which is incorporated herein in their entirety by reference.
STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT
[0002] This invention was made with government support under Grant No. AG068175 awarded by National Institutes of Health. The government has certain rights in the invention.
FIELD OF THE INVENTION
[0003] The present invention is in the field of molecular biology, more particularly, the present invention relates to methods and compositions for manipulating metabolism in astrocytes to improve astrocytic and neuronal function, as well as individual pathology hallmarks and symptoms during the development of neurodegeneration. In particular, it relates to increasing PPARa expression and activity, specifically in astrocytes within the central nervous system, to treat a variety of neurodegenerative conditions, and specifically those which cause neuronal lipid dysregulation, synaptic loss, oxidative damages, accumulation of p-amyloid or other protein aggregates, dementia, and motor dysfunction.
BACKGROUND OF THE INVENTION
[0004] Neurodegenerative diseases, including but not limited to Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), and prion diseases, are increasingly being recognized to share common cellular and molecular mechanisms related to abnormal lipid metabolism. Fatty acids are the essential component of most lipid species. The brain critically depends on astrocytes to eliminate fatty acids (FAs) and maintain lipid balance. Recently, It was revealed that impaired FA removal by astrocytic mitochondria induces lipid accumulation, followed by neurodegeneration that recapitulates key features of Alzheimer’s disease (AD), including synaptic loss, neuroinflammation, demyelination, and cognitive impairment. Further, it was discovered that impaired FA degradation is an early event in the brain of a mouse model of AD. Findings suggest that increasing the activity of FA degradation in astrocytes, but not in neurons, may have better therapeutic benefits. Peroxisome proliferator-activated receptor a (PPARa) is a metabolic regulator of lipid metabolism, particularly in the degradation of excessive lipids in the form of free fatty acids. While the agonists of PPARa have shown protective effects in some animal experiments or pre-clinical studies of AD, the expression and function of PPARa in modulating metabolism and its potential adverse effects in treating neurodegenerative diseases,
including AD, remain unclear and contradictory. Therefore, there is a pressing need for novel therapeutics and effective gene therapies to modulate PPARa expression precisely and delay or reverse the development of neurodegeneration by restoring astrocyte metabolic function. Thus, it is necessary to elucidate the cell type-specific role of PPARa in the brain and in the development of neurodegenerative diseases, as well as to develop precise therapeutic strategies that target PPARa and its downstream pathways with minimal adverse effects. These efforts could ultimately lead to efficacious treatments for patients with neurodegenerative diseases for which disease-modifying treatments are lacking.
BRIEF SUMMARY OF THE INVENTION
[0005] It is an objective of the present invention to provide methods that allow for the treatment of neurodegenerative diseases by specifically upregulating the expression of PPARa in astrocytes, as specified in the independent claims. Embodiments of the invention are given in the dependent claims. Embodiments of the present invention can be freely combined with each other if they are not mutually exclusive.
[0006] In some embodiments, the present invention features a method of treating a neurodegenerative disease in a subject in need thereof. The method may comprise administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease. In some embodiments, the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain. In some embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene. In other embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
[0007] In other embodiments, the present invention features a method of delaying the onset of or preventing a neurodegenerative disease in a subject in need thereof. The method may comprise administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene to a subject at risk of having a neurodegenerative disease. In some embodiments, the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain. In some embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene. In other embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
[0008] Non-limiting examples of neurodegenerative disease may include but are not limited to Alzheimer’s disease (AD), Parkinson’s disease (PD) and other forms of Parkinsonism, Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), frontotemporal dementia, Lewy body dementia, Gaucher's disease, progressive supranuclear palsy, stroke, depression, vascular dementia, and prion diseases.
[0009] One of the unique and inventive technical features of the present invention is the use of a viral vector, e.g., AAV-Astrocyte-PPARa, that increases the expression of PPARa in astrocytes. Without wishing to limit the invention to any theory or mechanism, it is believed that the technical feature of the present invention advantageously provides for targeted treatment of neurodegenerative disorders, e.g., AD. None of the presently known prior references or works have the unique inventive technical feature of the present invention.
[0010] Moreover, the prior references teach away from the present invention. For example, current PPARa agonists lack cell selectivity, affecting all cells in the brain — including neurons, astrocytes, and other cell types — as well as other organs throughout the body. Specifically, targeting neurons may suppress pyruvate metabolism, which is critical for ATP production in the brain, and there are concerns about the potential carcinogenic effects of PPARa agonists on the liver.
[0011] Furthermore, the inventive technical features of the present invention contributed to a surprising result. For example, selectively upregulating PPARa protein expression in astrocytes can limit the progression of neurodegenerative diseases such as Alzheimer's disease (AD) while minimizing adverse effects on other cell types within the central nervous system and other organs.
[0012] In some embodiments, the present invention provides a method of using a viral vector, e.g., an adeno-associated viral (AAV) comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene, e.g., AAV-Astrocyte-PPARa, for treating or preventing neurodegenerative diseases. For example, provided herein are methods for treating or preventing AD in a subject. In some embodiments, the method comprises administering to the subject a therapeutically effective amount of viral vectors that upregulates the expression of PPARa specifically inside astrocytes in the subject. More specifically, the methods disclosed herein are useful in modulating the expression of PPARa protein in astrocytes for the treatment or delay the development, onset, and symptoms related to neurodegenerative diseases. For example, the disclosed AAV-Astrocyte-PPARa is useful in the treatment of AD. In contrast to the
prior art administration of PPARa agonists nonselective to treat AD, demonstrated herein is the novel and unexpected finding that
[0013] In one embodiment, the neurodegenerative disease is associated with protein aggregation, such as p-amyloid plaques. In another embodiment, neurodegenerative disease is associated with neuroinflammation, oxidative stress, and lipid dysregulation. In certain embodiments, the neurodegenerative disease is selected from the group consisting of Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), Huntington’s disease (HD), frontotemporal dementia, Lewy Body dementia, stroke, depression, vascular dementia, and prion diseases.
[0014] Another aspect of the invention provides a method for improving neuronal health and brain function. In one embodiment, the AAV-Astrocyte- PPARa decreases the level of reactive oxygen species (ROS), diminishing the production of PLIN2 in brain tissues, and restoring the morphology and phenotype of astrocytes to non-disease conditions. In another embodiment, the AAV-Astrocyte-PPARa increases synaptic, improves the short-term and long-term plasticity, rescues the nest building and the novel object recognition behavior compared to those in AD subjects.
[0015] The subject may be a human subject, for example, a human subject exhibiting symptoms of AD and dementia. The composition may be administered by intravenous injection with appropriate AAV vectors. Alternatively, the composition is administered by an intranasal delivery, direct injection into the brain (including through a small hole in the skull or using a catheter), implantable devices, Nanoparticle-based delivery (transport drugs across the blood-brain barrier).
[0016] Any feature or combination of features described herein are included within the scope of the present invention provided that the features included in any such combination are not mutually inconsistent as will be apparent from the context, this specification, and the knowledge of one of ordinary skill in the art. Additional advantages and aspects of the present invention are apparent in the following detailed description and claims.
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWING(S)
[0017] The features and advantages of the present invention will become apparent from a consideration of the following detailed description presented in connection with the accompanying drawings in which:
[0018] FIG. 1 shows the map of the design of the AAV5-GFAP-PPARa construct in mouse (top) and human (bottom) isoforms.
[0019] FIG. 2 shows the expression of PPARa in astrocytes in the 5xFAD mouse brain which are injected with AAV5-GFAP-EGFP-mPpara-WPRE. EGFP expression (co-expressed with PPARa), GFAP expression, DAPI levels, and a merged image are shown. 88.5% of the GFAP positive cells are also expressing EGFP (co-expressed with PPARa). Scale bar, 50 pm.
[0020] FIGs. 3A, 3B,and 3C show AAV5-GFAP-EGFP-PPARa treatment improves fEPSP and long-term potentiation (LTP) in 5xFAD mice. FIG. 3A shows a brightfield photomicrograph of a hippocampal slice on a MED64 electrode array. FIG. 3B shows a time course for Theta-burst induced LTP. FIG. 3C shows the mean LTP 35-40 min after Theta-burst. Closed circle, wildtype (WT); triangle, AAV5-GFAP-EGFP treated 5xFAD (5xFAD); square, AAV5-GFAP-EGFP-PPARa treated 5xFAD mice (5xFAD-PPARa). n = 3 mice for each group. ** p < 0.01, *** p < 0.001.
[0021] FIGs. 4A and 4B show AAV5-GFAP-EGFP-PPARa treatment rescues the short-term plasticity (STP) in 5xFAD mice. FIG. 4A shows the mean STP 15-20 min after Theta-burst, *** p < 0.001. FIG. 4B shows paired-pulse ratio (PPR) measured at different inter-stimulus intervals (30, 40, and 50 ms). Closed circle, WT; triangle, 5xFAD; square, 5xFAD-PPARa. n = 3 mice for each group. **WT vs. 5xFAD, ##5xFAD vs. 5xFAD-PPARa. * p < 0.05; ** or ## p < 0.01.
[0022] FIGs. 5A and 5B show AAV5-GFAP-EGFP-PPARa treatment alleviates behavioral deficits in 5xFAD mice. FIG. 5A shows results from nest building tests, including Nest scores and unshredded nestle weight. FIG. 5B. shows the discrimination index by novel object recognition (NOR) test. Closed circle, WT; triangle, 5xFAD; square, 5xFAD-PPARa. n = 4-6 mice for each group. * p < 0.05.
[0023] FIG. 6 shows immunostaining results of perilipin-2 (PLIN2) from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa. Left: PLIN2 and DAPI single-channel images and merged images are shown. Right: quantification of the PLIN2 expression. Scale bar, 50 pm. Closed circle, WT; triangle, 5xFAD; square, 5xFAD-PPARa. n = 4 mice for each group. * p < 0.05, ** p < 0.01.
[0024] FIG. 7 shows immunostaining results of 4-Hydroxynonenal (4-HNE; a marker for lipid peroxidation and oxidative stress) from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa. Left: 4-HNE and DAPI single-channel images and merged images. Right: quantification of the 4-HNE levels. Scale bar, 50 pm. Closed circle, WT; triangle, 5xFAD; square, 5xFAD-PPARa. n = 4 mice for each group. * p < 0.05, ** p < 0.01.
[0025] FIG. 8 shows immunostaining results of amyloid antibody 6E10 from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa. Left: 6E10 and DAPI single-channel images and merged images. Right: quantification of the amyloid levels. Scale
bar, 50 m. Closed circle, WT; triangle, 5xFAD; square, 5xFAD-PPARa. n = 4 mice for each group. ** p < 0.01 , *** p < 0.001.
[0026] FIG. 9 shows immunostaining results of GFAP from the hippocampal region of 5xFAD mice injected with AAV5-GFAP-EGFP-PPARa. Left: GFAP and DAPI single-channel images and merged images. Right: quantification of the length of astrocyte processes including primary branches and secondary branches. Each dot indicates the average branch length of one individual cell from 4 mice per group. Scale bar, 50 pm. Closed circle, WT; triangle, 5xFAD; square, 5xFAD-PPARa. * p < 0.05, ** p < 0.01 , *** p < 0.001.
DETAILED DESCRIPTION OF THE INVENTION
[0027] Disclosed are the various compounds, solvents, solutions, carriers, and/or components to be used to prepare the compositions to be used within the methods disclosed herein. Also disclosed are the various steps, elements, amounts, routes of administration, symptoms, and/or treatments that are used or observed when performing the disclosed methods, as well as the methods themselves. These and other materials, steps, and/or elements are disclosed herein, and it is understood that when combinations, subsets, interactions, groups, etc. of these materials are disclosed, while specific reference of each various individual and collective combination and permutation of these compounds may not be explicitly disclosed, each is specifically contemplated and described herein.
[0028] Unless otherwise explained, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which a disclosed invention belongs. The singular terms "a," "an," and "the" include plural referents unless context clearly indicates otherwise. Similarly, the word "or" is intended to include "and" unless the context clearly indicates otherwise. The term "comprising" means that other elements can also be present in addition to the defined elements presented. The use of "comprising" indicates inclusion rather than limitation. Stated another way, the term "comprising" means "including principally, but not necessary solely". Furthermore, variation of the word "comprising", such as "comprise" and "comprises", have correspondingly the same meanings. In one respect, the technology described herein related to the herein described compositions, methods, and respective component(s) thereof, as essential to the invention, yet open to the inclusion of unspecified elements, essential or not ("comprising").
[0029] Suitable methods and materials for the practice and/or testing of embodiments of the disclosure are described below. Such methods and materials are illustrative only and are not intended to be limiting. Other methods and materials similar or equivalent to those described herein can be used. For example, conventional methods well known in the art to which the disclosure pertains are described in various general and more specific references, including, for
example, Sambrook et al., Molecular Cloning: A Laboratory Manual, 2d ed., Cold Spring Harbor Laboratory Press, 1989; Sambrook et al., Molecular Cloning: A Laboratory Manual, 3d ed., Cold Spring Harbor Press, 2001 ; Ausubel et al., Current Protocols in Molecular Biology, Greene Publishing Associates, 1992 (and Supplements to 2000); Ausubel et al., Short Protocols in Molecular Biology: A Compendium of Methods from Current Protocols in Molecular Biology, 4th ed., Wiley & Sons, 1999; Harlow and Lane, Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory Press, 1990; and Harlow and Lane, Using Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory Press, 1999, Gene Expression Technology (Methods in Enzymology, Vol. 185, edited by D. Goeddel, 1991. Academic Press, San Diego, Calif.), "Guide to Protein Purification” in Methods in Enzymology (M. P. Deutshcer, ed., (1990) Academic Press, Inc.); PCR Protocols: A Guide to Methods and Applications (Innis, et al. 1990. Academic Press, San Diego, Calif.), Culture of Animal Cells: A Manual of Basic Technique, 2nd Ed. (R. I. Freshney. 1987. Liss, Inc. New York, N.Y.), Gene Transfer and Expression Protocols, pp. 109-128, ed. E. J. Murray, The Humana Press Inc., Clifton, N.J.), and the Ambion 1998 Catalog (Ambion, Austin, Tex.), the disclosures of which are incorporated in their entirety herein by reference.
[0030] As used herein, the terms “subject” and “patient” are used interchangeably. As used herein, a subject can be a mammal such as a non-primate (e.g., cows, pigs, horses, cats, dogs, rats, etc.) or a primate (e.g., monkey and human). In specific embodiments, the subject is a human. In one embodiment, the subject is a mammal (e.g., a human) having a disease, disorder, or condition described herein. In another embodiment, the subject is a mammal (e.g., a human) at risk of developing a disease, disorder, or condition described herein. In certain instances, the term patient refers to a human.
[0031] As used herein, the terms "treat," “treating,” or "treatment" refer to both therapeutic treatment and prophylactic or preventative measures, with the objective of preventing, reducing, slowing down (lessen), inhibiting, or eliminating an undesired physiological change, symptom, disease, or disorder. For example, the disease may be a neurodegenerative disease. For purposes of this invention, beneficial or desired clinical results include, but are not limited to, alleviation of symptoms, diminishment of extent of disease, stabilized (i.e., not worsening) state of disease, delay or slowing of disease progression, amelioration or palliation of the disease state, and remission (whether partial or total), whether detectable or undetectable. "Treatment" can also mean prolonging survival as compared to expected survival if not receiving treatment. Those in need of treatment include those already with the condition or disorder as well as those prone to have the condition or disorder or those in which the condition or disorder is to be prevented or onset delayed. Optionally, the subject or patient may be identified (e.g., diagnosed)
as one suffering from the disease or condition prior to administration of the compositions of the invention. Subjects at risk for the disease can be identified by, for example, any or a combination of appropriate diagnostic or prognostic assays known in the art.
[0032] As used herein, “clinical improvement” may refer to a noticeable reduction in the symptoms of a disorder, or cessation thereof.
[0033] The terms “manage,” “managing,” and “management” refer to preventing or slowing the progression, spread, or worsening of a disease or disorder, or of one or more symptoms thereof. In certain cases, the beneficial effects that a subject derives from a prophylactic or therapeutic agent do not result in a cure of the disease or disorder.
[0034] The terms “administering” and “administration” refer to methods of providing a pharmaceutical preparation, composition, or formulation to a subject. The compositions described herein can be administered in a number of ways depending on whether local or systemic treatment is desired, and on the area to be treated. Such methods are well known to those skilled in the art and include, but are not limited to, administering the compositions orally, intranasally, parenterally (e.g., intravenously and subcutaneously), by intramuscular injection, by intraperitoneal injection, intrathecally, transdermally, extracorporeally, topically or the like.
[0035] A “therapeutically effective amount” refers to an amount that is sufficient to achieve the desired therapeutic result or to have an effect on undesired symptoms, but is generally insufficient to cause adverse side effects. The specific therapeutically effective dose level for any particular patient will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the specific composition employed; the age, body weight, general health, sex, and diet of the patient; the time of administration; the route of administration; the rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed and like factors well known in the medical arts. For example, it is well within the skill of the art to start doses of a compound at levels lower than those required to achieve the desired therapeutic effect and to gradually increase the dosage until the desired effect is achieved. If desired, the effective daily dose can be divided into multiple doses for purposes of administration. Consequently, single-dose compositions can contain such amounts or submultiples thereof to make up the daily dose. The dosage can be adjusted by the individual physician in the event of any contraindications. Dosage can vary, and can be administered in one or more dose administrations daily, for one or several days, weekly, twice weekly, etc. Guidance can be found in the literature for appropriate dosages for given classes of pharmaceutical products.
[0036] The exact amount of the compositions required will vary from subject to subject,
depending on the species, age, weight, and general condition of the subject, the severity of the disorder being treated, the particular composition used, its mode of administration, and the like. Thus, it is not possible to specify an exact amount for every composition. However, an appropriate amount can be determined by one of ordinary skill in the art using only routine experimentation given the teachings herein.
[0037] All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety for all purposes. In case of conflict, the present specification, including explanations of terms, will control.
[0038] Although methods and materials similar or equivalent to those described herein can be used to practice or test the disclosed technology, suitable methods and materials are described below. The materials, methods, and examples are illustrative only and not intended to be limiting.
[0039] Referring now to FIGs. 1-9, the present invention features methods and compositions for manipulating metabolism in astrocytes to improve astrocytic and neuronal function, as well as individual pathology hallmarks and symptoms during the development of neurodegeneration. In particular, it relates to increasing PPARa expression and activity, specifically in astrocytes within the central nervous system, to treat a variety of neurodegenerative conditions, specifically those that cause neuronal lipid dysregulation, oxidative damages, accumulation of p-amyloid or other protein aggregates, dementia, and motor dysfunction.
[0040] The present invention features methods of treating a neurodegenerative disease in a subject in need thereof. In some embodiments, the method comprises administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease. In some embodiments, the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain. In some embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene. In other embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
[0041] The present invention may also feature methods of delaying the onset of or preventing a neurodegenerative disease in a subject in need thereof. In some embodiments, the method comprises administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion PPARA gene to a subject at risk of having a neurodegenerative disease. In some embodiments, the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain. In some embodiments, the viral vector comprises an
astrocyte-specific promoter operatively linked to a full-length PPARA gene. In other embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene
[0042] In some embodiments, the present invention features a method of preventing or treating a neurodegenerative disease in a subject in need thereof, the method comprising: (a) identifying the subject presenting with the neurodegenerative disease; and (b) administering a viral vector with an astrocyte-specific promoter that carries and upregulates expression of PPARA gene to promote lipid metabolism. In some embodiments, identifying a subject presenting a neurodegenerative disease involves clinically diagnosing the subject with at least one of the neurodegenerative diseases mentioned herein.
[0043] Examples of neurodegenerative diseases that may be treated or prevented using the methods and viral vectors described herein include, but are not limited to, the following: Alzheimer’s disease (AD), Parkinson’s disease (PD) and other forms of Parkinsonism, Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), frontotemporal dementia, Lewy body dementia, Gaucher's disease, progressive supranuclear palsy, stroke, depression, vascular dementia, and prion diseases. Non-limiting examples of prion disease may include but are not limited to Creutzfeldt-Jakob disease and variant Creutzfeldt-Jakob disease.
[0044] In some embodiments, the viral vector is an adeno-associated viral (AAV) vector. In other embodiments, the viral vector is a lentiviral vector. Non-limiting examples of AAV vectors include but are not limited to AAV2, AAV5, AAV6, AAV9, AAV-PHP.eB, AAV-PHP.B, or AAVrhIO serotypes. Other efficient gene delivery and selective transduction systems may also be employed in the methods described herein.
[0045] In some embodiments, the astrocyte-specific promoter is a Glial Fibrillary Acidic Protein (GFAP) promoter. In some embodiments, the astrocyte-specific promoter is a human GFAP promoter, e.g., a 2.2 kb human GFAP promoter (e.g., gfa2). In other embodiments, the astrocyte-specific promoter is monkey GFAP promoter (e.g., GfaABCI D, 0.7kb). In some embodiments, the astrocyte-specific promoter is a gfa2 (2.2 kb), gfa2(B)3 (2.6kb), or gfa2(ABD)3. In accordance with the viral vectors described herein, other astrocyte-specific promoters may be utilized. Additionally, truncated or variant forms of these promoters may be employed, including, but not limited to, human or rat ALDH1 L1 (0.9-2.1 kb), mouse Slc1a3 (Glast) (0.64 kb), and human GJB3 (0x30) (0.5 kb).
[0046] In some embodiments, the viral vector may be administered intravenously, intranasally, intrathecally, intracisternally, intracerebroventricularly, or a combination thereof. In some
embodiments, the viral vector may be administered via intravenous injection, subcutaneous injection, intramuscular injection, or a combination thereof. In other embodiments, the viral vector may be administered via intranasal delivery, intrathecal delivery, or a combination thereof. In other embodiments, the viral vector may be administered directly into the brain, such as through a small hole in the skull, using a catheter, or via intraparenchymal or intracerebral injection. In further embodiments, the viral vector may be administered via a nanoparticle delivery system. Regardless of the administration method, the viral vectors described herein are capable of crossing the blood-brain barrier.
[0047] In certain embodiments, the viral vector is administered intravenously. Thus, without wishing to limit the present invention to any theory or mechanism, it is believed that for intravenous (IV) administration targeting brain delivery, the viral vector must exhibit enhanced blood-brain barrier penetrability. In some embodiments, this requirement may be achieved through the use of specific AAV serotypes, such as AAV-PHP.eB, AAV-PHP.B, AAVrhIO, and AAV9, or through other modifications of existing AAV serotypes.
[0048] Thus, in some embodiments, the present invention may feature methods of treating a neurodegenerative disease in a subject in need thereof. In some embodiments, the method comprises administering an AAV vector comprising an astrocyte-specific promoter (e.g., a GFAP promoter) operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease. In other embodiments, the method comprises intravenously administering an AAV vector comprising an astrocyte-specific promoter (e.g., a GFAP promoter) operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease.
[0049] In other embodiments, the present invention may feature methods of delaying the onset of a neurodegenerative disease in a subject in need thereof. In some embodiments, the method comprises administering an AAV vector comprising an astrocyte-specific promoter (e.g., a GFAP promoter) operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease. In other embodiments, the method comprises intravenously administering an AAV vector comprising an astrocyte-specific promoter (e.g., a GFAP promoter) operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease.
[0050] In some embodiments, a therapeutically effective dose of the viral vector is administered to treat (or prevent) the neurodegenerative disease. The precise amount required will vary depending on the species, age, weight, and general condition of the subject, as well as the severity of the disorder being treated, the specific viral vector used, and its mode of
administration. Therefore, it is not feasible to specify an exact dosage for every situation. However, one of ordinary skill in the art can determine the appropriate amount through routine experimentation, given the teachings herein.
[0051] In some embodiments, the present invention features a method of delaying the onset of, treating, or preventing a neurodegenerative disease in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a viral vector comprising a nucleic acid molecule encoding for one or more homologous genes encoding PPARa (e.g., a functional isoform or functional fragment) which upregulate the expression and/or activity of PPARa selectively inside of astrocytes in the central nervous system. In some embodiments, the viral vector further comprises an astrocytes-specific promoter operatively linked to the PPARa nucleic acid molecule. As used herein, “homologous genes” may refer to genes that share a common evolutionary origin with the human PPARA gene but from a different species (e.g., mouse Ppara gene).
[0052] In some embodiments, the nucleic acid molecule encoding PPARa for upregulating the expression of PPARa and its functional fragments or isoforms. As used herein, a 'functional fragment' or 'functional isoform' refers to a nucleic acid that encodes a polypeptide capable of functioning, such as a transcription factor, in a subject, similar to the full-length nucleic acid encoding PPARa.
[0053] In some embodiments, the astrocyte-specific promoter is selected from the nucleic acid molecule consisting of different forms of GFAP promoter (human gfa2, 2.2kb; GfaABCID, 0.7kb; gfa2(B)3, 2.6kb; gfa28, 0.45kb) or other astrocyte-specific promoters and their truncates or variants (human I rat ALDH1L1, 0.9-2.1 kb; mouse Slc1a3(Glast), 0.64 kb; human GJB3 (0x30), 0.5kb).
[0054] In some embodiments, the viral vector is an adeno-associated viral (AAV) vector. In other embodiments, the viral vector is a lentiviral vector. Non-limiting examples of AAV vectors include but are not limited to AAV2, AAV5, AAV6, AAV9, AAV-PHP.eB, AAV-PHP.B, or AAVrhIO serotypes.
[0055] In certain embodiments, methods described herein, e.g., administering a therapeutically effective dose of a viral vector, e.g., AAV-Astrocyte-PPARa, reduces the levels of reactive oxygen species (ROS) and oxidative stress in brain tissues affected by neurodegenerative diseases such as Alzheimer's disease (AD). Oxidative stress, primarily caused by the generation of ROS, is a hallmark of AD, leading to damage to proteins, lipids, and DNA, as well as inflammation and cell death.
[0056] In some embodiments, the methods described herein, such as administering a therapeutically effective dose of a viral vector like AAV-Astrocyte-PPARa, reduce the accumulation of neutral lipid species in brain tissues affected by neurodegenerative diseases such as Alzheimer's disease (AD). The accumulation of neutral lipids in the form of lipid droplets is a hallmark of AD brains and is associated with disease progression.
[0057] In certain embodiments, the methods described herein, such as administering a therapeutically effective dose of a viral vector like AAV-Astrocyte-PPARa, increases synaptic function, including improvements in both short-term and long-term plasticity in the subject. Additionally, in some embodiments, the methods described herein restore cognitive function, including cognitive and spatial memory, in the subject through the therapeutically effective dose of AAV-Astrocyte-PPARa.
[0058] In some embodiments, methods described herein alleviates Alzheimer’s disease-associated astrocyte reactivity and morphological features in the subject.
[0059] In some embodiments, the upregulation of PPARa can be effectuated by administering a small molecule that selectively targets astrocytes and promotes PPARa expression and/or activity. Such small molecules can be identified by routine drug screening protocols. For example, to screen for a PPARa agonist, a cell line such as HepG2 can be engineered to express a reporter gene, like luciferase, under the control of a PPARa-responsive promoter. After treating the cells with potential agonist compounds, the activity of the reporter gene (e.g., luciferase luminescence) is measured. In some embodiments, an increase in reporter activity compared to a vehicle-treated control group indicates activation of PPARa by the tested compound, suggesting it may be a potential agonist. The screening methods described herein are well-established for identifying PPARa agonists, and variations of these methods may be utilized in accordance with the present invention. In certain embodiments, the cell lines used for the aforementioned screening methods may include HepG2, HEK293, HepaRG, or C2C12. Non-limiting examples of reporter genes or reporters may include luciferase, green fluorescent protein (GFP), or p-Galactosidase (LacZ).
[0060] The present invention may also feature a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene for use in a method of treating a neurodegenerative disease in a subject diagnosed with a neurodegenerative disease. In some embodiments, the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain. In some embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene. In other embodiments, the viral vector comprises
an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
[0061] In other embodiments, the present invention may feature a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene for use in a method of preventing a neurodegenerative disease in a subject at risk of having a neurodegenerative disease. In some embodiments, the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain. In some embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene. In other embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
[0062] The present invention may further feature the use of a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene in the manufacture of a medicament for the treatment of a neurodegenerative disease. In some embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a full-length PPARA gene. In other embodiments, the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment (e.g., a functional fragment) of a PPARA gene.
[0063] EXAMPLES
[0064] The following are non-limiting examples of the present invention. It is to be understood that said examples are not intended to limit the present invention in any way. Equivalents or substitutes are within the scope of the present invention.
[0065] Example 1- Therapeutic AAV vector upregulating astrocytic PPARa expression rescued hippocampal synaptic function in an amyloidosis mouse model of Alzheimer’s disease.
[0066] Alzheimer’s disease mouse model: 5xFAD hemizygous
(B6.Cg-Tg(APPSwFILon,PSEN1*M146L*L286V)6799Vas/Mmjax, Strain #034848-JAX) and its wildtype littermates were produced by crossing with C57BL/6J females.
[0067] Virus production-. The pAAV-GFAP-EGFP-T2A-mPpara[NM_011144.6]-WPRE was packaged into AAV5 serotype viral vector (FIG. 1 upper construct). The AAV5- GFAP-EGFP-T2A-mPpara[NM_011144.6]-WPRE (1.5x1013 GC/mL), and AAV5-GFAP-EGFP-WPRE (1.3x1013 GC/mL) were used for injection.
[0068] Stereotactic virus injection: 5xFAD hemizygous mice and their wildtype littermates were produced by crossing with C57BL/6J females. 5xFAD mice were injected with AAV particles into bilateral hippocampi at 2 months of age. Briefly, mice were anesthetized with Ketamine (100
mg/kg) and Xylazine (10 mg/kg), and their heads placed in a stereotactic apparatus (KOPF Instruments, USA). The skull was exposed, and a small craniotomy was performed. To cover the hippocampal region, mice were bilaterally microinjected using the following coordinates: anteroposterior (AP), -3.6 mm from bregma, mediolateral (ML), ± 2.3 mm, dorsoventral (DV), 2.7 mm. All microinjections were carried out using a 5 pL syringe (Hamilton Company, USA) and a glass pipette (WPI, USA). The injection volume and flow rate (100 nL/min) were controlled by an injection pump (WPI). Each mouse received 500 nL of virus on each site individually. Following each injection, the needle was left in place for 10 additional minutes to allow for diffusion of the viral vector away from the needle track and was then slowly withdrawn. The incision was closed using Vetbond tissue adhesive. For postoperative care, mice were subcutaneously injected with Ethiqa XR (3.25 mg/kg).
[0069] Immunostaining'. Mice brains were perfused and sectioned 5 months after treatment. GFAP antibody was used to identify the distribution and morphological changes of astrocytes. DAPI was used to mark the nuclei.
[0070] Multi-Electrode Array (MEA) recording-. Five months after virus injection mice were anesthetized. Acute hippocampal slices were prepared by a vibratome (Leica VT1200, Leica Microsystems Inc., USA) and positioned over a multi-microelectrode array on a MED64 probe (FIG. 3A) as previously described. Three slices per animal (three animals for each group) were used. Evoked extracellular field recordings were acquired with Med64 Mobius software (Alpha Med Scientific Inc., Japan). Schaffer collateral/commissural pathways were stimulated with biphasic current pulses (200ps). The Input-Output (I/O) curves were obtained by applying stimuli with increasing amplitudes from 10 to 100 pA. Then stimulation intensity was applied to elicite 30% of the maximum response to evoke fEPSPs. Paired pulse facilitation was measured with two stimulations applied at a different inter-pulse varying from 10 to 50 ms. The percentage of facilitation was determined by calculating the paired-pulse ratio (PPR), i.e., dividing the fEPSP slope of the second response by the fEPSP slope of the first response. Then long-term potentiation (LTP) was induced with a theta burst stimulation (TBS) protocol comprising 10 trains (200 ms duration) of 4 pulses at 5kHz with 2 s intervals between trains. Before TBS, a stable baseline was established for at least 15 min. The magnitude of LTP was quantified as the percentage change in the fEPSP initial slope (10-40%), measured during the 40-60 min interval after the TBS. Data were analyzed with Mobius software (FIG. 3B).
Statistics: All data were presented as the mean±SEM. Statistical analyses were performed with GraphPad Prism9 (GraphPad Software). Electrophysiology results were compared with two-way ANOVA, followed by Tukey’s test for IO curves, and PPRs. LTP analysis was performed by Kruskal-Wallis one-way ANOVA for ranks followed by Dunn’s multiple comparisons test. In other
experiments, among groups differences were determined with one-way ANOVA, followed by Tukey’s multiple comparisons test. P-values < 0.05 were considered statistically significant.
[0071] The AAV5-GFAP-EGFP-T2A-mPpara[NM_011144.6]-WPRE transduction allows the specific expression of PPARa in astrocytes (FIG. 2). 5xFAD mice were injected with either AAV5-GFAP-EGFP-T2A-mPpara[NM_011144.6]-WPRE virus (5xFAD-PPARa) or vehicle control viruses without the mPpara sequence (5xFAD-EGFP). Wildtype mice were also injected with control viruses (WT-EGFP).
[0072] Results from the multielectrode array (MED64) showed that impaired long-term synaptic plasticity and short-term synaptic plasticity in 5xFAD mice are rescued in 5xFAD-PPARa mice (FIG. 3D and FIG. 4A-4B). Field excitatory postsynaptic potentials (fEPSPs) were evoked by stimulating Schaffer collateral fibers and recorded in the CA1 stratum radiatum in slices obtained from 7 months old WT-EGFP, 5xFAD-EGFP, and 5xFAD-PPARa mice.
[0073] Time course for Theta-burst induced LTP showed that the level of potentiation is dramatically reduced in slices from 7 months old 5xFAD-EGFP mice compared to slices from WT-EGFP mice, but partly rescued in 5XFAD-PPARa mice. Kruskal-Wallis one-way ANOVA by ranks followed by Dunn’s multiple comparison test (F = 41.16) (n = 9 slices from 3 animals per group, ***p < 0.001 , FIG. 3B). Mean LTP was measured from 35 min to 40 min after Theta-burst. The slices from both 5xFAD-EGFP and 5xFAD-PPARa mice exhibited a reduction in LTP than those from WT-EGFP mice. The 5xFAD-PPARa group showed a significantly improved LTP response compared to the slices from the 5xFAD-EGFP group (FIG. 3C). Thus, the upregulation of PPARa in astrocytes rescued the LTP decline in 7 months old 5xFAD mice, which contributes to the improvement in long-term plasticity.
[0074] Mean short-term plasticity (STP), measured during 15 min to 20 min post Theta-burst, indicated a significant deficit in 5XFAD-EGFP mice, which was rescued in 5XFAD-PPARa mice (FIG. 4A). Also, the paired-pulse ratio (PPR) measured at different inter-stimulus intervals (30, 40, and 50 ms) were notably attenuated in slices from 5XFAD-EGFP mice from 30 and 40 ms intervals stimulation, but not 50 ms stimulation relative to WT-EGFP controls (FIG. 4B). The PPR differences between 5xFAD-PPARa and WT-EGFP mice were diminished when the intervals reached more than 30 ms. These suggested that the enhancing PPARa expression in astrocytes improved the impairment of short-term potentiation, as well as PPR in 5xFAD mice, which are important parameters of short-term plasticity.
[0075] These data suggest that the enhancing PPARa expression in astrocytes of the hippocampal region improves the long-term and short-term plasticity in Alzheimer’s disease mouse models.
[0076] Example 2- Therapeutic AAV vector upregulating astrocytic PPARa expression alleviated the behavioral impairments in an amyloidosis mouse model of Alzheimer’s disease.
[0077] Cognitive function’. Mice were assessed for novel object recognition (NOR) and novel object placement, tasks that measure recognition memory, presumed to critically involve perirhinal cortex and dorsal hippocampus. Nest-building indexes, which have been identified as highly correlated with motor and hippocampal impairments, were assessed.
[0078] Nest building behavior was significantly impaired in 5xFAD-EGFP mice compared to WT-EGFP mice, indicative of motor and/or hippocampal impairments (FIG. 5A). Also, NOR test (24 hours interval) indicated a decrease in long-term memory in 5xFAD-EGFP mice (FIG. 5B). Further, a complete reversal of impairment in nest building and a trend toward improved novel object recognition were observed in 5xFAD-PPARa mice compared to 5xFAD-EGFP mice (FIG. 5A-5B).
[0079] Example 3- Enhancing PPARa expression in hippocampal astrocytes reduced lipid accumulation and lipid peroxidation in an amyloidosis mouse model of Alzheimer’s disease.
[0080] Immunostaining’. The procedure was performed as described in Example 1. PLIN2 antibody was used to indicate the expression and distribution of PLIN2, a lipid droplet marker protein. The PLIN2 expression level has been found highly correlated with triacylglycerol content and lipid droplet load. 4-HNE antibody was applied to determine the levels of 4-HNE, which is a product of lipid peroxidation and is widely accepted as a stable marker for oxidative stress.
[0081] PPARa overexpression in hippocampal astrocytes substantially reduced LD marker PLIN2 (-60%) (FIG. 6) and lipid peroxidation marker 4-HNE (-73%) in the hippocampus (FIG. 7). Thus, by enhancing PPARa expression in hippocampal astrocytes, a remarkable reduction in lipid droplet load and lipid peroxidation was observed in the 5xFAD mouse brains.
[0082] Example 4- Enhancing PPARa expression in hippocampal astrocytes reduced amyloid deposition in an amyloidosis mouse model of Alzheimer’s disease.
[0083] Immunostaining: The procedure was performed as described in Example 1. Amyloid antibody (6E10) was used to indicate the amount and distribution of amyloid deposition.
[0084] The upregulation of PPARa in hippocampal astrocytes led to a 77% decline in amyloid deposition in the 5xFAD mouse brain (Figure 8). Selective enhancement of PPARa expression in hippocampal astrocytes effectively reduced amyloid deposition, supporting its potency in mitigating amyloid proteinopathy, a key pathological hallmark of Alzheimer’s disease.
[0085] Together, these data strongly support that astrocytic PPARa, potentially via increasing FA metabolism and lipid turnover, alleviates AD pathologies and cognitive impairment.
[0086] Example 5- Enhancing PPARa expression in hippocampal astrocytes led to prolongation of both primary and secondary branch length of astrocytes in an amyloidosis mouse model of Alzheimer’s disease.
[0087] Immunostaining'. The process is described as Example 1. GFAP antibody was used to indicate the activation, distribution and morphological changes of astrocytes, and the images were analyzed by Imaged.
[0088] Upregulation of PPARa expression in hippocampal astrocytes led to a remarkable rescue of both primary (WT-EGFP: 22.3 ± 0.707 nm, 5xFAD-EGFP: 17.9 ± 0.925 nm, 5xFAD-PPARa: 24.9 ± 1.540 nm) and secondary branch lengths (WT-EGFP: 10.10 ± 0.763 nm, 5xFAD-EGFP: 6.95 ± 0.534 nm, 5xFAD-PPARa: 11.20 ± 1.040 nm) in 5xFAD mouse brains. Prominent astrocyte reactivity was also observed in 5xFAD-EGFP mouse brains, which is a common neuropathological finding in Alzheimer's disease, but not in 5xFAD-PPARa mouse brains.
[0089] This notable effect suggests the potential of PPARa modulation as a promising therapeutic approach to counteract the adverse effects of Alzheimer's disease-associated hippocampal astrocytes reactivity.
[0090] Although there has been shown and described the preferred embodiment of the present invention, it will be readily apparent to those skilled in the art that modifications may be made thereto which do not exceed the scope of the appended claims. Therefore, the scope of the invention is only to be limited by the following claims. In some embodiments, the figures presented in this patent application are drawn to scale, including the angles, ratios of dimensions, etc. In some embodiments, the figures are representative only and the claims are not limited by the dimensions of the figures. In some embodiments, descriptions of the inventions described herein using the phrase “comprising” includes embodiments that could be described as “consisting essentially of’ or “consisting of’, and as such the written description requirement for claiming one or more embodiments of the present invention using the phrase consisting essentially of” or “consisting of” is met.
Claims
1. A method of treating a neurodegenerative disease in a subject in need thereof, the method comprising administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene to a subject diagnosed with a neurodegenerative disease, wherein the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
2. A method of delaying the onset of or preventing a neurodegenerative disease in a subject in need thereof, the method comprising administering a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion PPARA gene to a subject at risk of having a neurodegenerative disease, wherein the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
3. The method of claim 1 or claim 2, wherein the neurodegenerative disease is selected from a group consisting of Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), frontotemporal dementia, Lewy body dementia, Gaucher's disease, progressive supranuclear palsy, stroke, depression, vascular dementia, and prion diseases.
4. The method of any one of claims 1-3, wherein the viral vector is an adeno-associated viral (AAV) vector or a lentiviral vector.
5. The method of claim 4, wherein the lentiviral vector is selected from a group consisting of AAV2, AAV5, AAV6, AAV9, AAV-PHP.eB, AAV-PHP.B, or AAVrhIO serotypes.
6. The method of any one of claims 1-5, wherein the viral vector comprises an astrocyte-specific promoter operatively linked to a full length PPARA gene.
7. The method of any one of claims 1-5, wherein the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment of a PPARA gene.
8. The method of any one of claims 1-7, wherein the astrocyte-specific promoter is a Glial Fibrillary Acidic Protein (GFAP) promoter.
9. The method of any one of claims 1-7, wherein the viral vector is administered intravenously, intranasally, intrathecally, intracisternally, intracerebroventricularly, or a combination thereof.
10. The method of any one of claims 1-7, wherein the viral vector is administered via direct injection into the brain.
11. The method of any one of claims 1-10, wherein the viral vector is administered via a nanoparticle delivery system.
12. The method of any one of claims 1-11 , wherein the viral vector is transported across the blood-brain barrier.
13. The method of any one of claims 1-12, wherein the viral vector decreases the level of reactive oxygen species (ROS) and oxidative stresses in brain tissues affected by the neurodegenerative diseases.
14. The method of any one of claims 1-13, wherein the viral vector diminishes the accumulation of neutral lipid species in brain tissues affected by the neurodegenerative disease.
15. The method of any one of claims 1-14, wherein the viral vector increases synaptic function, wherein synaptic function includes short-term and long-term plasticity.
16. The method of any one of claims 1-15, wherein the viral vector rescues cognitive function; wherein cognitive function includes cognitive memory and spatial memory.
17. A viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene for use in a method of treating a neurodegenerative disease in a subject diagnosed with a neurodegenerative disease, wherein the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
18. A viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene for use in a method of preventing a neurodegenerative disease in a subject diagnosed with a neurodegenerative disease, wherein the viral vector upregulates the expression of PPARA to promote lipid metabolism in the brain.
19. The viral vector of claim 17 or claim 18, wherein the neurodegenerative disease is selected from a group consisting of Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), frontotemporal dementia, Lewy Body dementia, Gaucher's disease, progressive supranuclear palsy, stroke, depression, vascular dementia, and prion diseases.
20. The viral vector of any one of claims 17-19, wherein the viral vector is an adeno-associated viral (AAV) vector or a lentiviral vector.
21. The method of claim 4, wherein the lentiviral vector is selected from a group consisting of AAV2, AAV5, AAV6, AAV9, AAV-PHP.eB, AAV-PHP.B, or AAVrhIO serotypes.
22. The viral vector of any one of claims 17-21, wherein the viral vector comprises an astrocyte-specific promoter operatively linked to a full length PPARA gene.
23. The viral vector of any one of claims 17-21, wherein the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment of a PPARA gene.
24. The viral vector of any one of claims 17-23, wherein the astrocyte-specific promoter is a Glial Fibrillary Acidic Protein (GFAP) promoter.
25. The viral vector of any one of claims 17-24, wherein the viral vector is administered intravenously, intranasally, intrathecally, intracisternally, intracerebroventricularly, or a combination thereof.
26. The viral vector of any one of claims 17-24, wherein the viral vector is administered via direct injection into the brain.
27. The viral vector of any one of claims 17-24, wherein the viral vector is administered via a nanoparticle delivery system.
28. The viral vector of any one of claims 17-27, wherein the viral vector is transported across the blood-brain barrier.
29. The viral vector of any one of claims 17-28, wherein the viral vector decreases the level of reactive oxygen species (ROS) and oxidative stresses in brain tissues affected by the neurodegenerative diseases.
30. The viral vector of any one of claims 17-29, wherein the viral vector diminishes the accumulation of neutral lipid species in brain tissues affected by the neurodegenerative disease.
31. The viral vector of any one of claims 17-30, wherein the viral vector increases synaptic function, wherein synaptic function includes short-term and long-term plasticity.
32. The viral vector of any one of claims 17-31, wherein the viral vector rescues cognitive function; wherein cognitive function includes cognitive memory and spatial memory.
33. Use of a viral vector comprising an astrocyte-specific promoter operatively linked to at least a portion of a PPARA gene in the manufacture of a medicament for the treatment of a neurodegenerative disease.
34. The viral vector of claim 33, wherein the neurodegenerative disease is selected from a group consisting of Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), frontotemporal dementia, Lewy Body dementia, Gaucher's disease, progressive supranuclear palsy, stroke, depression, vascular dementia, and prion diseases.
35. The viral vector of claim 33 or claim 34, wherein the viral vector is an adeno-associated viral (AAV) vector or a lentiviral vector.
36. The method of claim 35, wherein the lentiviral vector is selected from a group consisting of AAV2, AAV5, AAV6, AAV9, AAV-PHP.eB, AAV-PHP.B, or AAVrhIO serotypes.
37. The viral vector of any one of claims 33-36, wherein the viral vector comprises an astrocyte-specific promoter operatively linked to a full length PPARA gene.
38. The viral vector of any one of claims 33-36, wherein the viral vector comprises an astrocyte-specific promoter operatively linked to a fragment of a PPARA gene.
39. The viral vector of any one of claims 33-38, wherein the astrocyte-specific promoter is a Glial Fibrillary Acidic Protein (GFAP) promoter.
40. The viral vector of any one of claims 33-39, wherein the viral vector is administered intravenously, intranasally, intrathecally, intracisternally, intracerebroventricularly, or a combination thereof.
41. The viral vector of any one of claims 33-40, wherein the viral vector is administered via direct injection into the brain.
42. The viral vector of any one of claims 33-40, wherein the viral vector is administered via a nanoparticle delivery system.
43. The viral vector of any one of claims 33-40, wherein the viral vector is transported across the blood-brain barrier.
44. The viral vector of any one of claims 33-43, wherein the viral vector decreases the level of reactive oxygen species (ROS) and oxidative stresses in brain tissues affected by the neurodegenerative diseases.
45. The viral vector of any one of claims 33-44, wherein the viral vector diminishes the accumulation of neutral lipid species in brain tissues affected by the neurodegenerative disease.
46. The viral vector of any one of claims 33-45, wherein the viral vector increases synaptic function, wherein synaptic function includes short-term and long-term plasticity.
47. The viral vector of any one of claims 33-46, wherein the viral vector rescues cognitive function; wherein cognitive function includes cognitive memory and spatial memory.
48. A method of screening for a PPARa agonist, the method comprising: a) obtaining a cell line comprising a PPARa-responsive promoter operatively linked to a reporter gene; and b) contacting the cell line with a potential PPARa agonist compound; wherein a potential PPARa agonist compound is confirmed as a PPARa agonist when expression of the reporter gene increases compared to a vehicle-treated control.
49. The method of claim 48, wherein the cell line is a HepG2.
50. The method of claim 48, wherein the reporter gene is a luciferase.
51. A method of delaying the onset of, treating, or preventing a neurodegenerative disease in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a viral vector comprising a nucleic acid molecule encoding for one or
more homologous genes encoding PPARa which upregulate the expression and/or activity of PPARa selectively inside of astrocytes in the central nervous system.
52. The method of claim 51, wherein the viral vector further comprises an astrocytes specific promoter operatively linked to the PPARa nucleic acid molecule.
53. The method of claim 52, wherein the astrocyte-specific promoter is a Glial Fibrillary Acidic Protein (GFAP) promoter.
54. The method of any one of claim 51-53, wherein nucleic acid molecule encoding for one or more homologous genes upregulates expression of PPARa and its functional fragments or isoforms.
55. The method of any one of claim 51-54, wherein the viral vector is an adeno-associated viral (AAV) vector or a lentiviral vector.
56. The method of claim 55, wherein the lentiviral vector is selected from a group consisting of AAV2, AAV5, AAV6, AAV9, AAV-PHP.eB, AAV-PHP.B, or AAVrhIO serotypes.
57. The method of any on of claim 51-56, wherein the neurodegenerative disease is selected from a group consisting of Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), frontotemporal dementia, Lewy Body dementia, Gaucher's disease, progressive supranuclear palsy, stroke, depression, vascular dementia, and prion diseases.
58. The method of any one of claim 51-57, wherein the viral vector is administered intravenously, intranasally, intrathecally, intracisternally, intracerebroventricularly, or a combination thereof.
59. The method of any one of claim 51-57, wherein the viral vector is administered via direct injection into the brain.
60. The method of any one of claim 51-57, wherein the viral vector is administered via a nanoparticle delivery system.
61. The method of any one of claim 51-57, wherein the viral vector is transported across the blood-brain barrier.
62. The method of any one of claims 51-61 , wherein the viral vector is transported across the blood-brain barrier.
63. The method of any one of claims 51-62, wherein the viral vector decreases the level of reactive oxygen species (ROS) and oxidative stresses in brain tissues affected by the neurodegenerative diseases.
64. The method of any one of claims 51-63, wherein the viral vector diminishes the accumulation of neutral lipid species in brain tissues affected by the neurodegenerative disease.
65. The method of any one of claims 51-64, wherein the viral vector increases synaptic function, wherein synaptic function includes short-term and long-term plasticity in the subject.
66. The method of any one of claims 51-65, wherein the viral vector rescues cognitive function; wherein cognitive function includes cognitive memory and spatial memory.
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| WO2023039476A1 (en) * | 2021-09-08 | 2023-03-16 | The Broad Institute, Inc. | Engineered muscle and central nervous system compositions |
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