Skip to main content

Gene and Cell Therapy for AIPL1-Associated Leber Congenital Amaurosis: Challenges and Prospects

  • Conference paper
  • First Online:
Retinal Degenerative Diseases

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1185))

Abstract

Leber congenital amaurosis (LCA) caused by AIPL1 mutations is one of the most severe forms of inherited retinal degeneration (IRD). The rapid and extensive photoreceptor degeneration challenges the development of potential treatments. Nevertheless, preclinical studies show that both gene augmentation and photoreceptor transplantation can regenerate and restore retinal function in animal models of AIPL1-associated LCA. However, questions regarding long-term benefit and safety still remain as these therapies advance towards clinical application. Ground-breaking advances in stem cell technology and genome editing are examples of alternative therapeutic approaches and address some of the limitations associated with previous methods. The continuous development of these cutting-edge biotechnologies paves the way towards a bright future not only for AIPL1-associated LCA patients but also other forms of IRD.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 299.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 379.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aboshiha J, Dubis AM, van der Spuy J, Nishiguchi KM, Cheeseman EW, Ayuso C, Ehrenberg M, Simonelli F, Bainbridge JW, Michaelides M (2015) Preserved outer retina in AIPL1 Leber’s congenital amaurosis: implications for gene therapy. Ophthalmology 122:862–864

    Article  Google Scholar 

  • Auricchio A, Smith AJ, Ali RR (2017) The future looks brighter after 25 years of retinal gene therapy. Hum Gene Ther 28:982–987

    Article  CAS  Google Scholar 

  • Burnight ER, Giacalone JC, Cooke JA, Thompson JR, Bohrer LR, Chirco KR, Drack AV, Fingert JH, Worthington KS, Wiley LA, Mullins RF, Stone EM, Tucker BA (2018) CRISPR-Cas9 genome engineering: treating inherited retinal degeneration. Prog Retin Eye Res 65:28–49

    Article  CAS  Google Scholar 

  • Day TP, Byrne LC, Schaffer DV, Flannery JG (2014) Advances in AAV vector development for gene therapy in the retina. Adv Exp Med Biol 801:687–693

    Article  Google Scholar 

  • de Rham C, Villard J (2014) Potential and limitation of HLA-based banking of human pluripotent stem cells for cell therapy. J Immunol Res 2014, 518135

    Google Scholar 

  • den Hollander AI, Roepman R, Koenekoop RK, Cremers FPM (2008) Leber congenital amaurosis: genes, proteins and disease mechanisms. Prog Retin Eye Res 27:391–419

    Article  Google Scholar 

  • Gonzalez-Cordero A et al (2017) Recapitulation of human retinal development from human pluripotent stem cells generates transplantable populations of cone photoreceptors. Stem Cell Rep 9:820–837

    Article  Google Scholar 

  • Hidalgo-de-Quintana J, Evans RJ, Cheetham ME, van der Spuy J (2008) The Leber congenital amaurosis protein AIPL1 functions as part of a chaperone heterocomplex. Invest Ophthalmol Vis Sci 49:2878–2887

    Article  Google Scholar 

  • Kolandaivelu S, Huang J, Hurley JB, Ramamurthy V (2009) AIPL1, a protein associated with childhood blindness, interacts with α-subunit of rod phosphodiesterase (PDE6) and is essential for its proper assembly. J Biol Chem 284:30853–30861

    Article  CAS  Google Scholar 

  • Kolandaivelu S, Singh RK, Ramamurthy V (2014) AIPL1, A protein linked to blindness, is essential for the stability of enzymes mediating cGMP metabolism in cone photoreceptor cells. Hum Mol Genet 23:1002–1012

    Article  CAS  Google Scholar 

  • Komor AC, Badran AH, Liu DR (2017) CRISPR-based technologies for the manipulation of eukaryotic genomes. Cell 168:20–36

    Article  CAS  Google Scholar 

  • Kruczek K, Gonzalez-Cordero A, Goh D, Naeem A, Jonikas M, Blackford SJI, Kloc M, Duran Y, Georgiadis A, Sampson RD, Maswood RN, Smith AJ, Decembrini S, Arsenijevic Y, Sowden JC, Pearson RA, West EL, Ali RR (2017) Differentiation and transplantation of embryonic stem cell-derived cone photoreceptors into a mouse model of end-stage retinal degeneration. Stem Cell Rep 8:1659–1674

    Article  CAS  Google Scholar 

  • Ku CA, Chiodo VA, Boye SL, Goldberg AFX, Li T, Hauswirth WW, Ramamurthy V (2011) Gene therapy using self-complementary Y733F capsid mutant AAV2/8 restores vision in a model of early onset Leber congenital amaurosis. Hum Mol Genet 20:4569–4581

    Article  CAS  Google Scholar 

  • Ku CA, Chiodo VA, Boye SL, Hayes A, Goldberg AFX, Hauswirth WW, Ramamurthy V (2015) Viral-mediated vision rescue of a novel AIPL1 cone-rod dystrophy model. Hum Mol Genet 24:670–684

    Article  CAS  Google Scholar 

  • Ovando-Roche P, Georgiadis A, Smith AJ, Pearson RA, Ali RR (2017) Harnessing the potential of human pluripotent stem cells and gene editing for the treatment of retinal degeneration. Curr Stem Cell Rep 3:112–123

    Article  CAS  Google Scholar 

  • Pearson RA, Barber AC, Rizzi M, Hippert C, Xue T, West EL, Duran Y, Smith AJ, Chuang JZ, Azam SA, Luhmann UFO, Benucci A, Sung CH, Bainbridge JW, Carandini M, Yau K-W, Sowden JC, Ali RR (2012) Restoration of vision after transplantation of photoreceptors. Nature 485:99–103

    Article  CAS  Google Scholar 

  • Pennesi ME, Stover NB, Stone EM, Chiang P-W, Weleber RG (2011) Residual electroretinograms in young Leber congenital amaurosis patients with mutations of AIPL1. Invest Ophthalmol Vis Sci 52:8166–8173

    Article  CAS  Google Scholar 

  • Rees HA, Liu DR (2018) Base editing: precision chemistry on the genome and transcriptome of living cells. Nat Rev Genet

    Google Scholar 

  • Sacristan-Reviriego A, van der Spuy J (2018) The leber congenital amaurosis-linked protein AIPL1 and its critical role in photoreceptors. Adv Exp Med Biol:381–386

    Google Scholar 

  • Stern JH, Tian Y, Funderburgh J, Pellegrini G, Zhang K, Goldberg JL, Ali RR, Young M, Xie Y, Temple S (2018) Regenerating eye tissues to preserve and restore vision. Cell Stem Cell 23:453

    Article  CAS  Google Scholar 

  • Sun X, Pawlyk B, Xu X, Liu X, Bulgakov OV, Adamian M, Sandberg MA, Khani SC, Tan M-H, Smith AJ, Ali RR, Li T (2010) Gene therapy with a promoter targeting both rods and cones rescues retinal degeneration caused by AIPL1 mutations. Gene Ther 17:117–131

    Article  CAS  Google Scholar 

  • van der Spuy J, Chapple JP, Clark BJ, Luthert PJ, Sethi CS, Cheetham ME (2002) The Leber congenital amaurosis gene product AIPL1 is localized exclusively in rod photoreceptors of the adult human retina. Hum Mol Genet 11:823–831

    Article  Google Scholar 

  • Wang T, Tsang SH, Chen J (2017) Two pathways of rod photoreceptor cell death induced by elevated cGMP. Hum Mol Genet 26:2299–2306

    Article  CAS  Google Scholar 

  • Yadav RP, Artemyev NO (2017) AIPL1: a specialized chaperone for the phototransduction effector. Cell Signal 40:183–189

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jacqueline van der Spuy .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Perdigao, P.R.L., van der Spuy, J. (2019). Gene and Cell Therapy for AIPL1-Associated Leber Congenital Amaurosis: Challenges and Prospects. In: Bowes Rickman, C., Grimm, C., Anderson, R., Ash, J., LaVail, M., Hollyfield, J. (eds) Retinal Degenerative Diseases. Advances in Experimental Medicine and Biology, vol 1185. Springer, Cham. https://doi.org/10.1007/978-3-030-27378-1_16

Download citation

Publish with us

Policies and ethics