The most common form of the childhood neurodegenerative disease late
infantile neuronal ceroid lipofuscinosis (also called Batten disease) is caused
by deficiency of the soluble lysosomal enzyme tripeptidyl peptidase 1 (TPP1)
resulting from mutations in the TPP1 gene. We tested whether
TPP1 gene transfer to the ependyma, the epithelial lining
of the brain ventricular system, in TPP1-deficient dogs would be therapeutically
beneficial. A one-time administration of recombinant adeno-associated virus
(rAAV) expressing canine TPP1 (rAAV.caTPP1) resulted in high expression of TPP1
predominantly in ependymal cells and secretion of the enzyme into the
cerebrospinal fluid leading to clinical benefit. Diseased dogs treated with
rAAV.caTPP1 showed delays in onset of clinical signs and disease progression,
protection from cognitive decline, and extension of life span. By immunostaining
and enzyme assay, recombinant protein was evident throughout the brain and
spinal cord, with correction of the neuropathology characteristic of the
disease. This study in a naturally occurring canine model of TPP1 deficiency
highlights the utility of AAV transduction of ventricular lining cells to
accomplish stable secretion of recombinant protein for broad distribution in the
central nervous system and therapeutic benefit.