Therapeutic potential of CERE-110 (AAV2-NGF): Targeted, stable, and sustained NGF delivery and trophic activity on rodent basal forebrain cholinergic neurons

被引:67
作者
Bishop, Kathie M. [1 ]
Hofer, Eva K. [1 ]
Mehta, Arpesh [1 ]
Ramirez, Anthony [1 ]
Sun, Liangwu [1 ]
Tuszynski, Mark [2 ]
Bartus, Raymond T. [1 ]
机构
[1] Ceregene Inc, San Diego, CA 92121 USA
[2] Univ Calif San Diego, Dept Neurosci, La Jolla, CA 92093 USA
关键词
adeno-associated virus; Alzheimer's disease; basal forebrain cholinergic neurons; CERE-110; dose-response; gene delivery; nerve growth factor; neurotrophin; nucleus basalis of Meynert; trophic activity;
D O I
10.1016/j.expneurol.2008.03.004
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Treatment of degenerating basal forebrain cholinergic neurons with nerve growth factor (NGF) in Alzheimer's disease has long been contemplated, but an effective and safe delivery method has been lacking. Towards achieving this goal, we are currently developing CERE-110, an adeno-associated virus-based gene delivery vector that encodes for human NGF, for stereotactic surgical delivery to the human nucleus basalis of Meynert. Results indicate that NGF transgene delivery to the targeted brain region via CERE-110 is reliable and accurate, that NGF transgene distribution can be controlled by altering CERE-I 10 dose, and that it is possible to achieve restricted NGF expression limited to but covering the target brain region. Results from animals examined at longer time periods of 3, 6, 9 and 12 months after CERE-110 delivery indicate that NGF transgene expression is stable and sustained at all time points, with no loss or build-up of protein over the long-term. In addition, results from a series of experiments indicate that CERE-110 is neuroprotective and neurorestorative to basal forebrain cholinergic neurons in the rat fimbria-fornix lesion and aged rat models, and has bioactive effects on young rat basal forebrain cholinergic neurons. These findings, as well as those from several additional non-clinical experiments conducted in both rats and monkeys, led to the initiation of a Phase I clinical study to evaluate the safety and efficacy of CERE-110 in Alzheimer's disease subjects, which is currently ongoing. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:574 / 584
页数:11
相关论文
共 82 条
[1]  
ARVANITAKIS Z, 2007, AM AC NEUR ANN M BOS
[2]   On neurodegenerative diseases, models, and treatment strategies: Lessons learned and lessons forgotten a generation following the cholinergic hypothesis [J].
Bartus, RT .
EXPERIMENTAL NEUROLOGY, 2000, 163 (02) :495-529
[3]   SHORT-TERM-MEMORY IN RHESUS-MONKEY - DISRUPTION FROM ANTI-CHOLINERGIC SCOPOLAMINE [J].
BARTUS, RT ;
JOHNSON, HR .
PHARMACOLOGY BIOCHEMISTRY AND BEHAVIOR, 1976, 5 (01) :39-46
[4]   Cognitive functions of the basal forebrain [J].
Baxter, MG ;
Chiba, AA .
CURRENT OPINION IN NEUROBIOLOGY, 1999, 9 (02) :178-183
[5]  
BIERER LM, 1995, J NEUROCHEM, V64, P749
[6]   Cholinesterase inhibitors for Alzheimer's disease [J].
Birks, J .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (01)
[7]   Regulated lentiviral NGF gene transfer controls rescue of medial septal cholinergic neurons [J].
Blesch, A ;
Conner, J ;
Pfeifer, A ;
Gasmi, M ;
Ramirez, A ;
Britton, W ;
Alfa, R ;
Verma, I ;
Tuszynski, MH .
MOLECULAR THERAPY, 2005, 11 (06) :916-925
[8]   The cholinergic neuronal phenotype in Alzheimer's disease [J].
Blusztajn, JK ;
Berse, B .
METABOLIC BRAIN DISEASE, 2000, 15 (01) :45-64
[9]  
Bucci DJ, 1998, J NEUROSCI, V18, P8038
[10]   Clinical practice with anti-dementia drugs: a consensus statement from British Association for Psychopharmacology [J].
Burns, Atistair ;
O'Brien, John .
JOURNAL OF PSYCHOPHARMACOLOGY, 2006, 20 (06) :732-755