Metabolic therapy for oxidative stress in the brain through targeted neuronal catabolism of N-acetyl-aspartic acid
The present invention provides a novel method of treatment for treating brain disorders that manifest oxidative stress by providing targeted populations of neurons with the ability to catabolize the acetylated amino acid derivative, N-acetylaspatic acid (NAA) and further supply extraphysiological levels of ATP to neurons via the targeted expression of the NAA catabolic enzyme aspartoacylase (ASPA) in neurons and astrocytes.
1 . A method of reducing oxidative stress in a subject suffering from or at risk for Huntington's disease, the method comprising:
(a) identifying a subject suffering from or at risk for Huntington's disease; and
(b) administering to the subject an effective amount of a formulation comprising an isolated nucleic acid comprising a nucleotide sequence that encodes aspartoacylase (ASPA) under conditions whereby the nucleic acid is expressed in a host cell of the subject and whereby expression of ASPA leads to enhanced catabolism of NAA, increased concentration of AcCoA, and reduced oxidative stress.
2 . The method of claim 1 , wherein the host cell is a nerve cell selected from the group consisting of oligodendrocytes, neurons, astrocytes, and any combination thereof.
3 . The method of claim 1 , wherein the host cell is a central nervous system cell.
4 . The method of claim 3 , wherein the central nervous system cell is a neuron.
5 . The method of claim 1 , further comprising administration of a secondary therapeutic product to treat a condition arising from or related to Huntington's disease selected from the group consisting of an antibody, a cultured cell, an active substance and a diagnostic agent.
6 . The method of claim 1 , wherein the nucleic acid is in a vector and operatively linked to a promoter.
7 . The method of claim 6 , wherein the vector is an adeno-associated virus (AAV) vector comprising a regulatory element.
8 . The method of claim 7 , wherein the AAV vector is an AAV2 vector.
9 . The method of claim 1 , wherein the nucleotide sequence that encodes ASPA is set forth in SEQ ID NO: 1.
10 . The method of claim 1 , wherein the AAV2 vector further comprises bovine growth hormone polyA, the promoter is neuron specific enolase, and the regulatory element is woodchuck hepatitis virus post-translational regulatory element.
11 . A method for improving the disease phenotype of a subject at risk for or suffering from Huntington's disease, the method comprising administering to the subject an effective amount of a formulation comprising an isolated nucleic acid comprising a nucleotide sequence that encodes ASPA under conditions whereby the nucleic acid is expressed in a host cell of the subject and whereby expression of ASPA leads to enhanced catabolism of NAA, increased concentration of AcCoA, and reduced oxidative stress, wherein the formulation is administered to a tissue afflicted by the disease.
12 . The method of claim 11 , wherein the tissue is selected from the group consisting of cerebral cortex, intracranial white matter, basal ganglia, thalamus, hypothalamus, brain stem, and cerebellum.
13 . The method of claim 11 , wherein the nucleotide sequence that encodes ASPA is set forth in SEQ ID NO: 1.
14 . The method of claim 13 , further comprising administration of a secondary therapeutic product to treat a condition arising from or related to Huntington's disease selected from the group consisting of an antibody, a cultured cell, an active substance and a diagnostic agent.
15 . The method of claim 11 , wherein the host cell is a nerve cell selected from the group consisting of oligodendrocytes, neurons, astrocytes, and any combination thereof.
16 . The method of claim 11 , wherein the host cell is a central nervous system cell.
17 . The method of claim 16 , wherein the central nervous system cell is a neuron.
18 . The method of claim 11 , wherein the nucleic acid is in a vector and operatively linked to a promoter.
19 . The method of claim 18 , wherein the vector is an adeno-associated virus (AAV) vector comprising a regulatory element.
20 . The method of claim 19 , wherein the AAV vector is an AAV2 vector.