Safe and neuroprotective vectors for long-term traumatic brain injury gene therapy

Gene Ther. 2020 Feb;27(1-2):96-103. doi: 10.1038/s41434-019-0073-8. Epub 2019 Mar 29.

Abstract

Traumatic brain injury (TBI) is a complex and progressive brain injury with no approved treatments that needs both short- and long-term therapeutic strategies to cope with the variety of physiopathological mechanisms involved. In particular, neuroinflammation is a key process modulating TBI outcome, and the potentiation of these mechanisms by pro-inflammatory gene therapy vectors could contribute to the injury progression. Here, we evaluate in the controlled cortical impact model of TBI, the safety of integrative-deficient lentiviral vectors (IDLVs) or the non-viral HNRK recombinant modular protein/DNA nanovector. These two promising vectors display different tropisms, transduction efficiencies, short- or long-term transduction or inflammatory activation profile. We show that the brain intraparenchymal injection of these vectors overexpressing green fluorescent protein after a CCI is not neurotoxic, and interestingly, can decrease the short-term sensory neurological deficits, and diminish the brain tissue loss at 90 days post lesion (dpl). Moreover, only IDLVs were able to mitigate the memory deficits elicited by a CCI. These vectors did not alter the microglial or astroglial reactivity at 90 dpl, suggesting that they do not potentiate the on-going neuroinflammation. Taken together, these data suggest that both types of vectors could be interesting tools for the design of gene therapy strategies targeting immediate or long-term neuropathological mechanisms of TBI.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brain / metabolism
  • Brain Injuries, Traumatic / genetics
  • Brain Injuries, Traumatic / therapy*
  • Disease Models, Animal
  • Genetic Therapy / methods*
  • Infusions, Intraventricular
  • Lentivirus / genetics
  • Male
  • Microglia / metabolism
  • Neuroimmunomodulation / genetics
  • Neuroimmunomodulation / immunology
  • Neuroprotection / genetics*
  • Neuroprotective Agents / therapeutic use
  • Parenchymal Tissue
  • Rats
  • Rats, Wistar
  • Recombinant Proteins / metabolism
  • Recombinant Proteins / pharmacology

Substances

  • Neuroprotective Agents
  • Recombinant Proteins