TY - JOUR
T1 - On-demand cell-autonomous gene therapy for brain circuit disorders
AU - Qiu, Yichen
AU - O’Neill, Nathanael
AU - Maffei, Benito
AU - Zourray, Clara
AU - Almacellas-Barbanoj, Amanda
AU - Carpenter, Jenna C.
AU - Jones, Steffan P.
AU - Leite, Marco
AU - Turner, Thomas J.
AU - Moreira, Francisco C.
AU - Snowball, Albert
AU - Shekh-Ahmad, Tawfeeq
AU - Magloire, Vincent
AU - Barral, Serena
AU - Kurian, Manju A.
AU - Walker, Matthew C.
AU - Schorge, Stephanie
AU - Kullmann, Dimitri M.
AU - Lignani, Gabriele
N1 - Publisher Copyright:
© 2022 American Association for the Advancement of Science. All rights reserved.
PY - 2022/11/4
Y1 - 2022/11/4
N2 - Several neurodevelopmental and neuropsychiatric disorders are characterized by intermittent episodes of pathological activity. Although genetic therapies offer the ability to modulate neuronal excitability, a limiting factor is that they do not discriminate between neurons involved in circuit pathologies and “healthy” surrounding or intermingled neurons. We describe a gene therapy strategy that down-regulates the excitability of overactive neurons in closed loop, which we tested in models of epilepsy. We used an immediate early gene promoter to drive the expression of Kv1.1 potassium channels specifically in hyperactive neurons, and only for as long as they exhibit abnormal activity. Neuronal excitability was reduced by seizure-related activity, leading to a persistent antiepileptic effect without interfering with normal behaviors. Activity-dependent gene therapy is a promising on-demand cell-autonomous treatment for brain circuit disorders.
AB - Several neurodevelopmental and neuropsychiatric disorders are characterized by intermittent episodes of pathological activity. Although genetic therapies offer the ability to modulate neuronal excitability, a limiting factor is that they do not discriminate between neurons involved in circuit pathologies and “healthy” surrounding or intermingled neurons. We describe a gene therapy strategy that down-regulates the excitability of overactive neurons in closed loop, which we tested in models of epilepsy. We used an immediate early gene promoter to drive the expression of Kv1.1 potassium channels specifically in hyperactive neurons, and only for as long as they exhibit abnormal activity. Neuronal excitability was reduced by seizure-related activity, leading to a persistent antiepileptic effect without interfering with normal behaviors. Activity-dependent gene therapy is a promising on-demand cell-autonomous treatment for brain circuit disorders.
UR - http://www.scopus.com/inward/record.url?scp=85141956149&partnerID=8YFLogxK
U2 - 10.1126/science.abq6656
DO - 10.1126/science.abq6656
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C2 - 36378958
AN - SCOPUS:85141956149
SN - 0036-8075
VL - 378
SP - 523
EP - 532
JO - Science
JF - Science
IS - 6619
ER -