Development of Gene Therapy Approaches for Neurodevelopmental Disorders
Neurodevelopmental
disorders such as autism spectrum disorders (ASD) and intellectual disability
are some of the most debilitating brain disorders and we currently have no
effective treatment for them. Although the genetic factors underlying these
disorders are complex, many rare single-gene mutations have been causatively
linked to severe ASD and intellectual disability (monogenic disorders). Because
most genes have multiple functions in different brain regions and during
different developmental stages, developing effective pharmacological treatments
for these disorders has proven daunting. The most effective treatment may come
from correcting the genetic defect itself through gene therapy. For most
monogenic disorders, only one of the two copies of the gene is disrupted and
thus upregulation of the expression of the normal copy to compensate for the
loss of the disrupted copy is a promising approach for gene therapy. We aim to
develop and test two different drug-inducible CRISPR/dCas9-transcription activator
(CRISPR/dCas9-TA) approaches for precise control of the Shank3 gene activation.
Shank3 is a postsynaptic scaffolding protein critical for the development and
function of synapses. Heterozygous deletions and mutations of the Shank3 gene
in humans lead to severe neurodevelopmental disorder and ASD. In the first
approach, we will develop a system that uses a drug to stabilize the
Cas9-transcription activator for precise control of Shank3 gene expression. In
the second approach, we will develop a drug-induced dimerization of the split
Cas9 system to control Cas9-transcription activator activity on Shank3
expression. We will use Shank3 heterozygous mutant mice (Shank3+/-)
as our ASD model to test the system. Initially, we will test and calibrate the
system in cultured Shank3+/- neurons. After we achieve precise
control of gene activation in cultured neurons, we will then test the system in
Shank3+/- mice using a blood-brain barrier-penetrating AAV virus to
systemically deliver the CRISPR/Cas9-transcription activator system to the
brain. In addition to testing the precise control of Shank3 expression in these
mice, we will also test whether the system can reverse synaptic and behavioral
defects in Shank3+/- mice. If successful, this could be a viable
approach to be developed into gene therapy in humans in the future.
Importantly, this system can be easily applied to many other neurodevelopmental
disorders by simply changing the CRISPR guide RNA sequences to match the gene
of interest.