Porphobilinogen deaminase gene therapy
The present invention relates to nucleotide sequences coding for human porphobilinogen deaminase that are optimised for higher expression in mammalian cells. The invention further relates to DNA constructs comprising such optimised synthetic coding sequences for use in gene therapy of conditions caused by a deficiency in porphobilinogen deaminase, such as acute intermittent porphyria. Accordingly, the present invention relates to a nucleic acid or a nucleic acid construct comprising a nucleotide sequence coding for a human porphobilinogen deaminase, wherein at least 320 of the codons coding for the human porphobilinogen deaminase are identical to the codons in SEQ ID NO: 1 or wherein at least 305 of the codons coding for the human porphobilinogen deaminase are identical to the codons in SEQ ID NO: 3.
1. A method for treating a mammalian subject with acute intermittent porphyria, said method comprising intravenously administering to a mammalian subject in need thereof an effective amount of adeno-associated virus (AAV) virions that comprise:
(a) a nucleic acid construct comprising the nucleotide sequence as set forth in SEQ ID NO:1 that encodes human porphobilinogen deaminase (PBGD) protein, operably linked to an α1-anti-trypsin (AAT) promoter combined with a mouse albumin gene enhancer (Ealb) element, and AAV serotype 2 inverted terminal repeats (ITRs); and
(b) capsid proteins from AAV serotypes 1, 2, 5 or 8;
wherein said administration results in expression of the human PBGD protein in the liver of said mammal.
2. The method of claim 1 , wherein said AAV virions are administered as a pharmaceutical composition that further comprises a pharmaceutically acceptable carrier.
3. The method of claim 1 , wherein the promoter-enhancer element combination consists of the nucleotide sequence as set forth in SEQ ID NO: 5.
4. The method of claim 2 , wherein the promoter-enhancer element combination consists of the nucleotide sequence as set forth in SEQ ID NO: 5.
5. The method of claim 4 , wherein the subject is a human.