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Downregulation of rhodopsin is an effective therapeutic strategy in ameliorating peripherin-2-associated inherited retinal disorders

Christian T. Rutan Woods, Mustafa S. Makia, Tylor R. Lewis, Ryan Crane, Stephanie Zeibak, Paul Yu, Mashal Kakakhel, Carson M. Castillo, Vadim Y. Arshavsky, Muna I. Naash () and Muayyad R. Al-Ubaidi ()
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Christian T. Rutan Woods: University of Houston
Mustafa S. Makia: University of Houston
Tylor R. Lewis: Department of Ophthalmology, Duke University Medical Center
Ryan Crane: University of Houston
Stephanie Zeibak: University of Houston
Paul Yu: University of Houston
Mashal Kakakhel: University of Houston
Carson M. Castillo: Department of Ophthalmology, Duke University Medical Center
Vadim Y. Arshavsky: Department of Ophthalmology, Duke University Medical Center
Muna I. Naash: University of Houston
Muayyad R. Al-Ubaidi: University of Houston

Nature Communications, 2024, vol. 15, issue 1, 1-16

Abstract: Abstract Given the absence of approved treatments for pathogenic variants in Peripherin-2 (PRPH2), it is imperative to identify a universally effective therapeutic target for PRPH2 pathogenic variants. To test the hypothesis that formation of the elongated discs in presence of PRPH2 pathogenic variants is due to the presence of the full complement of rhodopsin in absence of the required amounts of functional PRPH2. Here we demonstrate the therapeutic potential of reducing rhodopsin levels in ameliorating disease phenotype in knockin models for p.Lys154del (c.458-460del) and p.Tyr141Cys (c.422 A > G) in PRPH2. Reducing rhodopsin levels improves physiological function, mitigates the severity of disc abnormalities, and decreases retinal gliosis. Additionally, intravitreal injections of a rhodopsin-specific antisense oligonucleotide successfully enhance the physiological function of photoreceptors and improves the ultrastructure of discs in mutant mice. Presented findings shows that reducing rhodopsin levels is an effective therapeutic strategy for the treatment of inherited retinal degeneration associated with PRPH2 pathogenic variants.

Date: 2024
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DOI: 10.1038/s41467-024-48846-5

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