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Progress report on
Proof of principle experiments towards
gene therapy for epidermolysis bullosa simplex.

Name of Researchers: Dr W H Irwin McLean
Prof. Dennis Roop
Places of Research: University of Dundee, UK
Baylor College of Medicine, Houston, U.S.A.
Approved by DebRA
Medical & Scientific Advisory Panel:
Budget approved by
DebRA central Committee:
11 / 2001 1year

 

PROGRESS REPORT OF RESEARCH BEING UNDERTAKEN march 2003

Proof-of-principle experiments towards gene therapy for epidermolysis bullosa simplex.

Section A:

Development of an inducible EBS mouse model expressing a mutant form of human K14 Dennis Roop, Baylor College of Medicine, Houston.

1. Generation of recombinant mouse embryonic stem (ES) cells
As indicated in our last progress report, we repeated the gene targeting experiment to generate heterozygous ES cells that carry the EBS-DM allele. Approximately 25% of the ES cell clones tested by Southern blots carried the mutant K14 allele. Six recombinant ES cell clones were injected into C57Bl/6 blastocysts.

2. Establishing mouse lines that carry the EBS-DM mutation

We obtained chimeric mice from all ES cell clones that were injected. Chimeric males were intercrossed with C57Bl/6 females. Five chimeras produced agouti offspring. The coat colour marker agouti is dominant over the black coat colour of the C57Bl/6 mice, and indicates that ES cell-derived sperm have contributed to the offspring. Unless haplo-insufficiency occurs, 50% of the agouti offspring is expected to be heterozygous for the mutation originating from the recombinant ES cell genome.

We have genotyped the first litters of agouti offspring by PCR. Among these pups, we identified two animals that carried the EBS-DM allele. As expected, the expression of the mutant allele in these mice is suppressed by the neomycin antibiotic-resistance cassette that was placed in intron 1 of the K14 gene. Consequently, these pups are phenotypically normal.

3. Plan for the next budget period

We are in the process of establishing a colony of EBS-DM mutant mice. Once we have established this line, we will intercross these mutants with transgenic mice that carry the K14.CrePR1 transgene. Offspring that carry both the EBS-DM allele and the K14.CrePR1 transgene, will then be treated with the inducer RU486. This treatment will result in the excision of the neomycin resistance cassette from intron 1 and, consequently, the activation of the EBSDM allele. Treated mice are expected to develop an EBS phenotype in RU486-treated areas.

Once activation of the EBS-DM allele has been confirmed, these mice will be shipped to Prof. McLean. Thus, unless something unanticipated occurs, the goals of our part of the joint application with Prof. McLean will be completed on time.

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Section B:

Phenotypic reversion of an inducible EBS mouse model by expression of anti-K14 ribozyme transgenes Irwin McLean, Epithelial Genetics Group, Human Genetics Unit, University of Dundee

1. Transgenic mice expressing Rz2(18) construct

Further to the last progress report (June 2002), we have now generated a number of transgenic mouse lines expressing the anti-human K14 ribozyme mini-gene, Rz2(18). This construct, which has two 18 bp targeting sequences, was found to give the most efficient cleavage of target mRNA from in vitro experiments. We also plan to express 14 bp constructs as transgenes later this year.

Out of 80 mice generated from pronuclear injection experiments, 8 of these were positive for more than one PCR specific for the transgene. Of the 8 positive founders, one mouse was a litter runt and died for reasons apparently unconnected with transgene expression. From the remaining

7, there are mice with a range of transgene copy numbers, estimated from ~1 copy to ~50 copies by semi-quantitative PCR and therefore a range of ribozyme expression can be investigated for efficiency at reversing the EBS phenotype, as outlined in the original proposal.

Currently, the founders are being bred and all have produced litters. Therefore, there are no immediately obvious ill-effects on the health of mice, even those carrying high numbers of the ribozyme transgene. In view of this, we are optimistic that we will be able to progress to the next stage of the project where these are bred with the "humanized" EBS mice being produced by the Roop laboratory.

2. Plans for the next budget period

We are currently breeding the 7 Rz2(18) mouse lines to obtain sufficient mice for characterisation. These should be ready within the next 6 weeks and will be characterised as follows: (a) RT-PCR of various tissues, particularly skin, for the expression of the transgene and endogenous K14 levels; (b) immunoblot characterisation of keratin expression in the epidermis, particularly K5, K14, K15; (c) a full histological screen for any deleterious effects of transgene expression, with particular emphasis on skin and other stratified epithelia; and (d) ultrastructural characterisation, again with emphasis on the epidermis. In all cases, comparisons will be made to non-transgenic littermates. Some mice will also be maintained and characterised again as above at 6 months and 12 months of age in case there are deleterious effects at these later time points.

During the next year, we should also be able to import the "humanized" EBS mice from the Roop laboratory and cross these with mice expressing various levels of the Rz2(18) transgene to see if this can prevent the EBS phenotype and thus provide proof-of-principle for ribozyme gene therapy in EBS and other dominant-negative genetic disorders.

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Combined Lay Summary

The two halves of the project (in Houston and Dundee) are proceeding well and are on target for completion within the projected period, provided no unforeseen problems arise. In Houston, mice have been genetically engineered that carry the human K14 gene containing the most common EB Simplex mutation. This gene exists in a silent form that can be activated by topical application of a drug once these mice are crossed with another strain of genetically modified mice. Crossing of these mice and testing of the drug-inducible skin blistering system is on-going in Houston. Mice will also be characterised to show that they are a true model of human EBS. Once this work is completed, these animals will be exported to Dundee. These mice are the most accurate and useful animal model of EBS developed so far and will be a test bed for a variety of therapeutic strategies.

In Dundee, a number of lines of genetically engineered mice have been made that carry a therapeutic ribozyme gene which should be able to prevent EBS in an animal model system.
These mice carry different doses of the ribozyme gene to allow testing over a wide range of conditions. Currently, these mice appear healthy and so there appear to be no immediately obvious side-effects even from large doses of the therapeutic gene. These mice will be characterised in detail over the next year for any subtle effects. Once the inducible EBS mice are imported from Houston, these will be crossed with the ribozyme mice to see if the therapeutic gene really works and prevents skin blistering.


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