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CRISPR-Cas9-mediated deletion of carbonic anhydrase 2 in the ciliary body to treat glaucoma.

Published version
Peer-reviewed

Repository DOI


Type

Article

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Authors

Jiang, Jiaxuan 
Kong, Kangjie 
Fang, Xiuli 
Wang, Deming 
Zhang, Yinhang 

Abstract

The carbonic anhydrase 2 (Car2) gene encodes the primary isoenzyme responsible for aqueous humor (AH) production and plays a major role in the regulation of intraocular pressure (IOP). The CRISPR-Cas9 system, based on the ShH10 adenovirus-associated virus, can efficiently disrupt the Car2 gene in the ciliary body. With a single intravitreal injection, Car2 knockout can significantly and sustainably reduce IOP in both normal mice and glaucoma models by inhibiting AH production. Furthermore, it effectively delays and even halts glaucomatous damage induced by prolonged high IOP in a chronic ocular hypertension model, surpassing the efficacy of clinically available carbonic anhydrase inhibitors such as brinzolamide. The clinical application of CRISPR-Cas9 based disruption of Car2 is an attractive therapeutic strategy that could bring additional benefits to patients with glaucoma.

Description

Keywords

Animals, Glaucoma, CRISPR-Cas Systems, Ciliary Body, Carbonic Anhydrase II, Intraocular Pressure, Mice, Aqueous Humor, Humans, Disease Models, Animal, Carbonic Anhydrase Inhibitors, Gene Deletion, Mice, Inbred C57BL, Ocular Hypertension

Journal Title

Cell Rep Med

Conference Name

Journal ISSN

2666-3791
2666-3791

Volume Title

5

Publisher

Elsevier BV
Sponsorship
National Institute for Health and Care Research (IS-BRC-1215-20014)