2010
DOI: 10.1002/jbmr.201
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Prolonged survival and phenotypic correction of Akp2/− hypophosphatasia mice by lentiviral gene therapy

Abstract: Hypophosphatasia (HPP) is an inherited systemic skeletal disease caused by mutations in the gene encoding the tissue-nonspecific alkaline phosphatase (TNALP) isozyme. The clinical severity of HPP varies widely, with symptoms including rickets and osteomalacia. TNALP knockout (Akp2−/−) mice phenotypically mimic the severe infantile form of HPP; that is, TNALP-deficient mice are born with a normal appearance but die by 20 days of age owing to growth failure, hypomineralization, and epileptic seizures. In this st… Show more

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Cited by 55 publications
(53 citation statements)
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“…Furthermore, mounting evidence indicates that a continuous supply of soluble TNALP from the circulation might be sufficient to improve mineralization. Indeed, our previous studies showed that systemic injection of lentiviral vector or AAV8 vector harboring either mineral-targeting TNALP or soluble nontargeted TNALP into neonatal mice resulted in sustained expression of TNALP in plasma and successful treatment of HPP, although transduction into bone was low (Yamamoto et al, 2010;Matsumoto et al, 2011). Our present study demonstrates high ALP activity in the bones of treated mice.…”
Section: Discussionsupporting
confidence: 48%
See 1 more Smart Citation
“…Furthermore, mounting evidence indicates that a continuous supply of soluble TNALP from the circulation might be sufficient to improve mineralization. Indeed, our previous studies showed that systemic injection of lentiviral vector or AAV8 vector harboring either mineral-targeting TNALP or soluble nontargeted TNALP into neonatal mice resulted in sustained expression of TNALP in plasma and successful treatment of HPP, although transduction into bone was low (Yamamoto et al, 2010;Matsumoto et al, 2011). Our present study demonstrates high ALP activity in the bones of treated mice.…”
Section: Discussionsupporting
confidence: 48%
“…Another important possibility for the treatment of HPP is gene therapy. We have demonstrated that a single injection of either lentiviral or adeno-associated viral (AAV) vector expressing TNALP-D10 into postnatal HPP mice resulted in prolonged seizure-free survival and phenotypic correction (Yamamoto et al, 2010;Matsumoto et al, 2011). This gene therapy approach is referred to as viral vectormediated ERT, and it is more practical than classical ERT, which requires repeated injections.…”
Section: Introductionmentioning
confidence: 99%
“…Similarly, TNAP knockout mice (Akp2−/−) accumulate extracellular PP i , reveal hypomineralization [488][489][490][491], and can serve as a model for the infantile form of hypophosphatasia [492]. The defect can be eliminated by subcutaneous injections of soluble TNAP targeted to mineralizing tissue [493,494] or by lentiviral application of a bone-targeted form of TNAP [495].…”
Section: Substrates and Catalytic Propertiesmentioning
confidence: 99%
“…Recently, many studies have been conducted using the HPP mouse model (Alpl -/-) to clarify the mechanisms underlying the abnormal calcification in hard tissue accompanying Alpl gene mutations (6,7). Several reports contained histological examination of the dentin and cementum defects in Alpl -/-mice (8)(9)(10).…”
Section: Oral Manifestations Of Hpp Include a Characteristicmentioning
confidence: 99%