Bone-targeting AAV-mediated silencing of Schnurri-3 prevents bone loss in osteoporosis
Yang, Yeon-Suk ; Xie, Jun ; Wang, Dan ; Kim, Jung-Min ; Tai, Phillip W. L. ; Gravallese, Ellen M. ; Gao, Guangping ; Shim, Jae-Hyuck
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Abstract
RNAi-based bone anabolic gene therapy has demonstrated initial success, but many practical challenges are still unmet. Here, we demonstrate that a recombinant adeno-associated virus 9 (rAAV9) is highly effective for transducing osteoblast lineage cells in the bone. The adaptor protein Schnurri-3 (SHN3) is a promising therapeutic target for osteoporosis, as deletion of shn3 prevents bone loss in osteoporotic mice and short-term inhibition of shn3 in adult mice increases bone mass. Accordingly, systemic and direct joint administration of an rAAV9 vector carrying an artificial-microRNA that targets shn3 (rAAV9-amiR-shn3) in mice markedly enhanced bone formation via augmented osteoblast activity. Additionally, systemic delivery of rAAV9-amiR-shn3 in osteoporotic mice counteracted bone loss and enhanced bone mechanical properties. Finally, we rationally designed a capsid that exhibits improved specificity to bone by grafting the bone-targeting peptide motif (AspSerSer)6 onto the AAV9-VP2 capsid protein. Collectively, our results identify a bone-targeting rAAV-mediated gene therapy for osteoporosis.
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Nat Commun. 2019 Jul 4;10(1):2958. doi: 10.1038/s41467-019-10809-6. Link to article on publisher's site