Abstract
LAMA2-related congenital muscular dystrophy(LAMA2-CMD),characterized by laminin-α2 deficiency,is debilitating and ultimately fatal.To date,no effective therapy has been clinically available.Laminin-α1,which shares significant similarities with laminin-α2,has been proven as a viable compensatory modifier.To evaluate its clinical applicability,we establish a Lama2 exon-3-deletion mouse model(dyH/dyH).The dyH/dyH mice exhibit early lethality and typical LAMA2-CMD phenotypes,allowing the evaluation of various endpoints.In dyH/dyH mice treated with synergistic activation mediator-based CRISPRa-mediated Lama1 upregulation,a nearly doubled median survival is observed,as well as improvements in weight and grip.Significant therapeutical effects are revealed by MRI,serum biochemical indices,and muscle pathology studies.Treating LAMA2-CMD with LAMA1 upregulation is feasible,and early intervention can alleviate symptoms and extend lifespan.Additionally,we reveal the limitations of LAMA1 upregulation,including high-dose mortality and non-sustained expression,which require further optimization in future studies.
基金项目
National Natural Science Foundation of China(82171393)
National High Level Hospital Clinical Research Funding(High Quality Clinical Research Project of Peking University First Hospita(2022CR69)
Natural Science Foundation of Beijing Municipality(7212116)
National Key Research and Development Program of China(2016YFC0901505)
Beijing Key Laboratory of Molecular Diagnosis and Study on Pediatric Genetic Diseases(BZ0317)
Research Foundation for Youth Talents of the First Affiliated Hospital of Nanchang University(YFYPY202223)
Natural Science Foundation of Beijing Municipality(7242149)