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The Usefulness Of Viral Vectors

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The Usefulness of Viral Vectors in Treating Dravet Syndrome
Voltage-gated sodium channels initiate the development action potentials in neurons; mutations of genes encoding these channels are responsible for genetic epilepsy syndromes with varying degrees of severity1. Dravet syndrome, or severe myoclonic epilepsy of infancy (SMEI), is a complex and severe form of childhood epilepsy, caused by a nonsense mutation in the sodium voltage-gated channel alpha subunit 1 (SCN1a) gene. Severe loss of function mutation in Nav1.1 causes SMEI, which involves intractable epilepsy, ataxia, and cognitive impairment 1. It is important to study this disease because of its early mortality in children and because of its high resistance to drug therapy 2. …show more content…

Adeno-associated viral vectors (AAV):
Adeno-associated viral vectors are non-enveloped single stranded DNA viruses used in treating diseases of the central nervous system 3. AAV vectors have been widely used in clinical trials to deliver therapeutic genes to mutated ones, and are efficient and safe in vivo application3. However one major drawback is the limited packaging capacity for genes with larger sizes 3. Fortunately, this can be overcome with the treatment of the dystrophin gene (DMD), which encodes the cohesive protein dystrophin that supports the cytoskeleton of a cell3. There are two methods can be used with AAV vectors to decrease the duration of epilepsy: inducing somatostatin into AAV vectors and direct injection of glial targeting AAV vectors.
Method 1:
Somatostatin (SST) is a neuromodulator known to have diverse functions in sleep and motor activity and it plays a putative anticonvulsant role, such as in maintaining hippocampal homeostasis4. Some studies have suggested that AAV vector-mediated expression of SST suppresses hippocampus related seizure development in rats4. Viral vector gene therapy using SST as an anti-seizure-related neuropeptide in a kindling model of epilepsy was implemented, where over successive electrical stimulation of the same intensity, seizures evolve from partial to generalized states 4. The duration of seizures was lower for the vector infused with SST (pAAV-CBa-SST), than compared to the vector that was

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