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Article

AAV-Mediated Targeting of the Activin A-ACVR1R206H Signaling in Fibrodysplasia Ossificans Progressiva

1
Department of Medicine, Division of Rheumatology, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA
2
Horae Gene Therapy Center, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA
3
Department of Microbiology and Physiological Systems, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA
4
Viral Vector Core, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA
5
Department of Orthopaedic Surgery, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA
6
Department of Medicine, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA
7
The Center for Research in FOP and Related Disorders, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA
8
Li Weibo Institute for Rare Diseases Research, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
Biomolecules 2023, 13(9), 1364; https://doi.org/10.3390/biom13091364
Submission received: 28 July 2023 / Revised: 6 September 2023 / Accepted: 6 September 2023 / Published: 8 September 2023

Abstract

Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare genetic disorder characterized by progressive disabling heterotopic ossification (HO) at extra-skeletal sites. Here, we developed adeno-associated virus (AAV)-based gene therapy that suppresses trauma-induced HO in FOP mice harboring a heterozygous allele of human ACVR1R206H (Acvr1R206H/+) while limiting the expression in non-skeletal organs such as the brain, heart, lung, liver, and kidney. AAV gene therapy carrying the combination of codon-optimized human ACVR1 (ACVR1opt) and artificial miRNAs targeting Activin A and its receptor ACVR1R206H ablated the aberrant activation of BMP-Smad1/5 signaling and the osteogenic differentiation of Acvr1R206H/+ skeletal progenitors. The local delivery of AAV gene therapy to HO-causing cells in the skeletal muscle resulted in a significant decrease in endochondral bone formation in Acvr1R206H/+ mice. These mice showed little to no expression in a major AAV-targeted organ, the liver, due to liver-abundant miR-122-mediated repression. Thus, AAV gene therapy is a promising therapeutic strategy to explore in suppressing HO in FOP.
Keywords: fibrodysplasia ossificans progressiva; heterotopic ossificans; Activin A; ACVR1; AAV; gene therapy fibrodysplasia ossificans progressiva; heterotopic ossificans; Activin A; ACVR1; AAV; gene therapy

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MDPI and ACS Style

Yang, Y.-S.; Lin, C.; Ma, H.; Xie, J.; Kaplan, F.S.; Gao, G.; Shim, J.-H. AAV-Mediated Targeting of the Activin A-ACVR1R206H Signaling in Fibrodysplasia Ossificans Progressiva. Biomolecules 2023, 13, 1364. https://doi.org/10.3390/biom13091364

AMA Style

Yang Y-S, Lin C, Ma H, Xie J, Kaplan FS, Gao G, Shim J-H. AAV-Mediated Targeting of the Activin A-ACVR1R206H Signaling in Fibrodysplasia Ossificans Progressiva. Biomolecules. 2023; 13(9):1364. https://doi.org/10.3390/biom13091364

Chicago/Turabian Style

Yang, Yeon-Suk, Chujiao Lin, Hong Ma, Jun Xie, Frederick S. Kaplan, Guangping Gao, and Jae-Hyuck Shim. 2023. "AAV-Mediated Targeting of the Activin A-ACVR1R206H Signaling in Fibrodysplasia Ossificans Progressiva" Biomolecules 13, no. 9: 1364. https://doi.org/10.3390/biom13091364

APA Style

Yang, Y.-S., Lin, C., Ma, H., Xie, J., Kaplan, F. S., Gao, G., & Shim, J.-H. (2023). AAV-Mediated Targeting of the Activin A-ACVR1R206H Signaling in Fibrodysplasia Ossificans Progressiva. Biomolecules, 13(9), 1364. https://doi.org/10.3390/biom13091364

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