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AAV-Mediated Gene Delivery to the Spinal Cord by Intrathecal Injection

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Adeno-Associated Virus Vectors

Part of the book series: Methods in Molecular Biology ((MIMB,volume 1950))

Abstract

Gene therapy targeting the spinal cord is an important tool for analyzing mechanisms of nervous system diseases and the development of gene therapies. Analogous to a lumbar puncture in humans, the rodent spinal cord can be accessed through an efficient, noninvasive injection. Here we describe a method for AAV-mediated gene transfer to cells of the spinal cord by intrathecal injection of small quantities of AAV vector.

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References

  1. Yaksh TL, Rudy TA (1976) Chronic catheterization of the spinal subarachnoid space. Physiol Behav 17:1031–1036

    Article  CAS  PubMed  Google Scholar 

  2. Wang JK, Nauss LA, Thomas JE (1979) Pain relief by intrathecally applied morphine in man. Anesth 50(2):149–151

    Article  CAS  Google Scholar 

  3. Krames E, Buchser E, Hassenbusch SJ, Levy R (1999) Future trends in the development of local drug delivery systems: intraspinal, intracerebral, and intraparenchymal therapies. Neuromodulation 2(2):133–148. https://doi.org/10.1046/j.1525-1403.1999.00133.x

    Article  CAS  PubMed  Google Scholar 

  4. Munsat TL, Taft J, Jackson IM, Andres PL, Hollander D, Skerry L, Ordman M, Kasdon D, Finison L (1992) Intrathecal thyrotropin-releasing hormone does not alter the progressive course of ALS: experience with an intrathecal drug delivery system. Neurology 42(5):1049–1053

    Article  CAS  PubMed  Google Scholar 

  5. Gutierrez J, Federici T, Peterson B, Bartus R, Betourne A, Boulis NM (2016) 321 development of intrathecal riluzole: a new route of administration for the treatment of amyotrophic lateral sclerosis patients. Neurosurgery 63(Suppl 1):193. https://doi.org/10.1227/01.neu.0000489810.52605.80

    Article  Google Scholar 

  6. Patel P, Kriz J, Gravel M, Soucy G, Bareil C, Gravel C, Julien JP (2014) Adeno-associated virus-mediated delivery of a recombinant single-chain antibody against misfolded superoxide dismutase for treatment of amyotrophic lateral sclerosis. Mol Ther 22(3):498–510. https://doi.org/10.1038/mt.2013.239

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Dirren E, Aebischer J, Rochat C, Towne C, Schneider BL, Aebischer P (2015) SOD1 silencing in motoneurons or glia rescues neuromuscular function in ALS mice. Ann Clin Transl Neurol 2(2):167–184. https://doi.org/10.1002/acn3.162

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Hardcastle N, Boulis NM, Federici T (2018) AAV gene delivery to the spinal cord: serotypes, methods, candidate diseases, and clinical trials. Expert Opin Biol Ther 18(3):293–307. https://doi.org/10.1080/14712598.2018.1416089

    Article  CAS  PubMed  Google Scholar 

  9. Avexis (2017) Study of intrathecal administration of AVXS-101 for spinal muscular atrophy. https://www.clinicaltrials.gov/ct2/show/record/NCT03381729. Accessed 1 Aug 2018

  10. Institute of Medicine. Committee on Advance Pain Research C, and Education (2011) In: Relieving pain in America: a blueprint for transforming prevention, care, education, and research. The National Academies Collection: Reports funded by National Institutes of Health, Washington (DC). https://doi.org/10.17226/13172

  11. Health OotASf (2016) National pain strategy: a comprehensive population health level strategy for pain. US Department of Health and Human Services, Washington, DC

    Google Scholar 

  12. Zheng C, Baum BJ, Iadarola MJ, O’Connell BC (2000) Genomic integration and gene expression by a modified adenoviral vector. Nat Biotechnol 18(2):176–180

    Article  CAS  PubMed  Google Scholar 

  13. Goss JR, Krisky D, Wechuck J, Wolfe D (2014) Herpes simplex virus-based nerve targeting gene therapy in pain management. J Pain Res 7:71–79. https://doi.org/10.2147/JPR.S36619

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Guedon JM, Wu S, Zheng X, Churchill CC, Glorioso JC, Liu CH, Liu S, Vulchanova L, Bekker A, Tao YX, Kinchington PR, Goins WF, Fairbanks CA, Hao S (2015) Current gene therapy using viral vectors for chronic pain. Mol Pain 11:27. https://doi.org/10.1186/s12990-015-0018-1

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Kozarsky KF, Wilson JM (1993) Gene therapy: adenovirus vectors. Curr Opin Genet Dev 3(3):499–503

    Article  CAS  PubMed  Google Scholar 

  16. Buchschacher GL Jr, Wong-Staal F (2000) Development of lentiviral vectors for gene therapy for human diseases. Blood 95(8):2499–2504

    CAS  PubMed  Google Scholar 

  17. Dunbar CE, Bodine DM, Sorrentino B, Donahue R, McDonagh K, Cottler-Fox M, O’Shaughnessy J, Cowan K, Carter C, Doren S et al (1994) Gene transfer into hematopoietic cells. Implications for cancer therapy. Ann N Y Acad Sci 716:216–224; discussion 224–217

    Article  CAS  PubMed  Google Scholar 

  18. Jasmin L, Rabkin SD, Granato A, Boudah A, Ohara PT (2003) Analgesia and hyperalgesia from GABA-mediated modulation of the cerebral cortex. Nature 424(6946):316–320

    Article  CAS  PubMed  Google Scholar 

  19. Xu Y, Gu Y, Xu GY, Wu P, Li GW, Huang LY (2003) Adeno-associated viral transfer of opioid receptor gene to primary sensory neurons: a strategy to increase opioid antinociception. Proc Natl Acad Sci U S A 100(10):6204–6209

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Hylden JL, Wilcox GL (1980) Intrathecal morphine in mice: a new technique. Eur J Pharmacol 67(2–3):313–316

    Article  CAS  PubMed  Google Scholar 

  21. Mestre C, Pelissier T, Fialip J, Wilcox G, Eschalier A (1994) A method to perform direct transcutaneous intrathecal injection in rats. J Pharmacol Toxicol Methods 32(4):197–200

    Article  CAS  PubMed  Google Scholar 

  22. Merkel SF, Andrews AM, Lutton EM, Mu D, Hudry E, Hyman BT, Maguire CA, Ramirez SH (2017) Trafficking of adeno-associated virus vectors across a model of the blood-brain barrier; a comparative study of transcytosis and transduction using primary human brain endothelial cells. J Neurochem 140(2):216–230. https://doi.org/10.1111/jnc.13861

    Article  CAS  PubMed  Google Scholar 

  23. Fairbanks CA (2003) Spinal delivery of analgesics in experimental models of pain and analgesia. Adv Drug Deliv Rev 55(8):1007–1041

    Article  CAS  PubMed  Google Scholar 

  24. Towne C, Pertin M, Beggah AT, Aebischer P, Decosterd I (2009) Recombinant adeno-associated virus serotype 6 (rAAV2/6)-mediated gene transfer to nociceptive neurons through different routes of delivery. Mol Pain 5:52. https://doi.org/10.1186/1744-8069-5-52

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Vulchanova L, Schuster DJ, Belur LR, Riedl MS, Podetz-Pedersen KM, Kitto KF, Wilcox GL, McIvor RS, Fairbanks CA (2010) Differential adeno-associated virus mediated gene transfer to sensory neurons following intrathecal delivery by direct lumbar puncture. Mol Pain 6:31. https://doi.org/10.1186/1744-8069-6-31

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Schuster DJ, Dykstra JA, Riedl MS, Kitto KF, Honda CN, McIvor RS, Fairbanks CA, Vulchanova L (2013) Visualization of spinal afferent innervation in the mouse colon by AAV8-mediated GFP expression. Neurogastroenterol Motil 25(2):e89–e100. https://doi.org/10.1111/nmo.12057

    Article  CAS  PubMed  Google Scholar 

  27. Schuster DJ, Dykstra JA, Riedl MS, Kitto KF, Belur LR, McIvor RS, Elde RP, Fairbanks CA, Vulchanova L (2014) Biodistribution of adeno-associated virus serotype 9 (AAV9) vector after intrathecal and intravenous delivery in mouse. Front Neuroanat 8:42. https://doi.org/10.3389/fnana.2014.00042

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Schuster DJ, Belur LR, Riedl MS, Schnell SA, Podetz-Pedersen KM, Kitto KF, McIvor RS, Vulchanova L, Fairbanks CA (2014) Supraspinal gene transfer by intrathecal adeno-associated virus serotype 5. Front Neuroanat 8:66. https://doi.org/10.3389/fnana.2014.00066

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Bey K, Ciron C, Dubreil L, Deniaud J, Ledevin M, Cristini J, Blouin V, Aubourg P, Colle MA (2017) Efficient CNS targeting in adult mice by intrathecal infusion of single-stranded AAV9-GFP for gene therapy of neurological disorders. Gene Ther 24(5):325–332. https://doi.org/10.1038/gt.2017.18

    Article  CAS  PubMed  Google Scholar 

  30. Artru AA (1999) In: Yaksh TL (ed) Spinal cerebrospinal fluid chemistry and physiology. Spinal Drug Delivery, Amsterdam, pp 177–237, (p. 216)

    Google Scholar 

  31. Gutierrez-Mecinas M, Polgar E, Bell AM, Herau M, Todd AJ (2018) Substance P-expressing excitatory interneurons in the mouse superficial dorsal horn provide a propriospinal input to the lateral spinal nucleus. Brain Struct Funct 223(5):2377–2392. https://doi.org/10.1007/s00429-018-1629-x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This work was supported by DoD grant W81XWH-15-1-0494 to C.P. and C.F., F32 NS 100438 to A.G.J.S., R01 DE021996 to L.V.

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Correspondence to Carolyn A. Fairbanks .

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Peterson, C.D., Skorput, A.G.J., Kitto, K.F., Wilcox, G.L., Vulchanova, L., Fairbanks, C.A. (2019). AAV-Mediated Gene Delivery to the Spinal Cord by Intrathecal Injection. In: Castle, M. (eds) Adeno-Associated Virus Vectors. Methods in Molecular Biology, vol 1950. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-9139-6_11

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  • DOI: https://doi.org/10.1007/978-1-4939-9139-6_11

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-9138-9

  • Online ISBN: 978-1-4939-9139-6

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