- Authors
- Rizzo, Federica; Bono, Silvia; Ruepp, Marc David; Salani, Sabrina; Ottoboni, Linda; Abati, Elena; Melzi, Valentina; Cordiglieri, Chiara; Pagliarani, Serena; De Gioia, Roberta; Anastasia, Alessia; Taiana, Michela; Garbellini, Manuela; Lodato, Simona; Kunderfranco, Paolo; Cazzato, Daniele; Cartelli, Daniele; Lonati, Caterina; Bresolin, Nereo; Comi, Giacomo; Nizzardo, Monica; Corti, Stefania
- Part of
- Cellular and molecular life sciences : CMLS, 2023-12, Vol.80 (12), p.373-373, Article 373
- Abstract
-
- Mitofusin-2 (MFN2) is an outer mitochondrial membrane protein essential for mitochondrial networking in most cells. Autosomal dominant mutations in the
MFN2
gene cause Charcot–Marie–Tooth type 2A disease (CMT2A), a severe and disabling sensory-motor neuropathy that impacts the entire nervous system. Here, we propose a novel therapeutic strategy tailored to correcting the root genetic defect of CMT2A. Though mutant and wild-type
MFN2
mRNA are inhibited by RNA interference (RNAi), the wild-type protein is restored by overexpressing cDNA encoding functional
MFN2
modified to be resistant to RNAi. We tested this strategy in CMT2A patient-specific human induced pluripotent stem cell (iPSC)-differentiated motor neurons (MNs), demonstrating the correct silencing of endogenous
MFN2
and replacement with an exogenous copy of the functional wild-type gene. This approach significantly rescues the CMT2A MN phenotype in vitro, stabilizing the altered axonal mitochondrial distribution and correcting abnormal mitophagic processes. The
MFN2
molecular correction was also properly confirmed in vivo in the MitoCharc1 CMT2A transgenic mouse model after cerebrospinal fluid (CSF) delivery of the constructs into newborn mice using adeno-associated virus 9 (AAV9). Altogether, our data support the feasibility of a combined RNAi and gene therapy strategy for treating the broad spectrum of human diseases associated with
MFN2
mutations.
- Subjects
- Animals; Biochemistry; Biomedical and Life Sciences; Biomedicine; Cell Biology; Cell differentiation; Cerebrospinal fluid; Charcot-Marie-Tooth disease; Charcot-Marie-Tooth Disease - genetics; Charcot-Marie-Tooth Disease - metabolism; Charcot-Marie-Tooth Disease - therapy; Gene expression; Gene therapy; GTP Phosphohydrolases - genetics; GTP Phosphohydrolases - metabolism; Humans; Hydrolases - genetics; Induced Pluripotent Stem Cells - metabolism; Interference; Life Sciences; Membrane proteins; Mice; Mice, Transgenic; Mitochondria; Mitochondrial Proteins - genetics; Mitochondrial Proteins - metabolism; Motor neurons; mRNA; Mutation; Nervous system; Neuropathy; Original Article; Phenotypes; Pluripotency; Proteins; Ribonucleic acid; RNA; RNA Interference; RNA-mediated interference; Stem cells; Transgenic mice; Viruses