Gene Therapy Shows Promise in Congential Blindness Patients

Delivering working copies of the gene GUCY2D found to improve vision in patients with severe vision impairments from childhood.

New gene therapy for a congenital blindness was found to be safe and improved patients' vision, according to a clinical trial led by researchers at the Scheie Eye Institute in the Perelman School of Medicine at the University of Pennsylvania.

This gene therapy delivers copies of GUCY2D gene to the eyes of patients who have severe vision impairments caused by mutations in the gene, according to the study, published in the journal iScience.

‘GUCY2D gene therapy could hold promise in treating patients who are blind from birth, with no serious side effects.’
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"We found sustained improvements in both day and night vision, even with a relatively low dose of the gene therapy," said study lead author Samuel G. Jacobson, MD, PhD, a professor of Ophthalmology in the Perelman School of Medicine.

GUCY2D encode an enzyme in the key pathway. Due to lack of this enzyme, the recovery of this pathway may be blocked, preventing the reset needed for further signaling. As a result, the signal from rod and cone cells becomes very weak.

Light-sensing retinal cells remain alive and intact despite their dysfunction. So, adding functional copies of GUCY2D via a gene therapy could get those cells working again and restore some vision.

In 2019, Jacobson and co-investigator Artur V. Cideciyan, PhD, a research professor of Ophthalmology in the Perelman School of Medicine, began the first clinical trial of a GUCY2D gene therapy, a solution of a harmless virus that carries the gene and is injected beneath the retina -- initially in just one eye per patient.

Researchers are following each patient for two years after treatment.

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It has improved vision in previously untreatable and incurable retinal conditions of LCA, which is an inherited disorder that caused blindness in childhood.

The first patient experienced a significant raise in light-sensitivity in rod cells, which are more light-sensitive than cone cells and are chiefly responsible for low-light or "night vision." This patient also showed improved pupil responses to light.

The second patient had a smaller but sustained increase in light-sensitivity in rod cells, starting about two months after the gene therapy.

The third patient had no improvement in rod cell sensitivity, but show significantly improved visual acuity over the nine-month follow-up period.

"These initial results from the first-ever trial of a GUCY2D gene therapy are very encouraging and will inform our ongoing and future trials of this therapy," said Cideciyan. There were no serious adverse side effects, and any side effects that occurred in the patients' retinas resolved.

Researchers hope to see continued safety and greater efficacy in later-enrolled patients who will receive higher doses.

Source-Medindia