Project
Project in progress

Preclinical Evaluation of 2BAct, an eIF2B Activator, in Mouse Models of Pelizaeus-Merzbacher Disease (PMD)

Yanan Chen, Loyola University Chicago – Hui Ye, Loyola University Chicago / ELA 2025-007C4

Project abstract

Our goal of this project is to test a new drug, 2BAct, to see if it can help treat a rare and devastating childhood brain disease called Pelizaeus-Merzbacher Disease (PMD). PMD has no approved treatment and is caused by genetic problems that damage a type of brain cell called oligodendrocytes. These cells generate myelin, which is a protective coating around nerves and essential for proper brain function. When oligodendrocytes do not work properly, the brain’s communication system slows down or even stops, leading to developmental delay, movement problem, and often early death.

Our research focuses on a process inside these cells called the integrated stress response (ISR). This process can become overactive in PMD and cause harm to oligodendrocytes. We believe that calming down this stress response could help these cells survive and function better, allowing the brain to repair the myelin and improve nerve communication.

To test this idea, we will use 2BAct, which helps reduce cell stress response effectively, in three different mouse models of PMD. Each of them represents different forms of the disease. We will measure how well the drug extends lifespan of mice and improves brain health by looking at myelin repair under the microscope, testing motor function, and studying changes in gene activity. If successful, this study will lead to a new treatment strategy for PMD that probably work across different genetic subtypes of this disease as well as help other never-damaging diseases where brain cells are also under stress, such as other rare leukodystrophies.

Stay informed

Je souhaite rester informé des avancées concernant cet article



Related articles

News and results
Project
Project in progress

Accelerating gene therapy for PMLD1

Kleopas Kleopa – The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus and Fiorella Piemonte – Gesù Children’s Hospital, IRCCS, Rome, Italy – ELA 2023‐019C2

Description of the project

The goal of this project is to further develop and optimize a gene therapy protocol for Pelizaeus‐ Merzbacher‐like disease 1 (PMLD1). This disorder is caused by mutations affecting an important protein in oligodendrocytes, connexin47, which forms most of their direct communication channels with other cells in the brain, also called gap junctions. Connexin47 is found only in oligodendrocytes but not in other brain cells. Since oligodendrocytes are responsible for forming the myelin in the brain, their impairment caused by loss of connexin47 leads to inadequate formation of myelin early on during development, and to further destruction and degeneration of as the disease progresses. Previous studies in cultured cells and in experimental mouse models of the disease confirmed that loss of connexin47 function specifically in oligodendrocytes causes the disease. Therefore, in previous project funded by ELA, we developed a gene therapy approach to deliver the connexin47 gene to oligodendrocytes of mice that lack gap junction channels in these cells. These animals represent a relevant model of the human disease and present many of the characteristic pathological changes. We used an adeno‐associated viral (AAV) vector AAV1/2 serotype based on previous work showing that it targets efficiently oligodendrocytes. We injected the vector into mouse brain to deliver the connexin47 gene at the age of 10 days. We confirmed selective expression in oligodendrocytes and improvement of the brain pathology. In further preliminary studies we also tested intravenously delivered AAV9 vector (currently used in clinical treatments for other diseases) with positive results, but the intravenous approach would not be useful for PMLD1 patients beyond infancy due to limited penetration into the brain.

In order to improve the efficacy of our gene therapy approach, and make it more translatable for clinical application in all patients, we propose here to test leading viral vectors currently used in clinical trials for leukodystrophies directly injected into the brain ventricles, the AAV‐Olig001 and a new variant of it. These vectors with established safety profile and targeting efficacy all the way to clinical testing will be kindly produced and provided by a gene therapy company involved in leukodystrophy therapy development, Myrtelle Inc, in order to deliver our validated therapeutic DNA for PMLD1. This collaboration will ensure accelerated path towards translation for this otherwise orphan type of leukodystrophy. Furthermore, we will test the therapeutic effect both with early as well as with late intervention (at 10 and 21 days of age), to support the application in patients at different stages of the disease. Finally, in addition to evaluation of outcomes in motor function and brain pathology, in collaboration with an expert group in Rome we will also establish clinically relevant biomarkers of the disease that will be useful in future clinical trials and monitoring of the disease.

This is an important and highly relevant study within the priorities of the European Leukodystrophy Association, that will allow us to optimize further a very promising therapeutic approach to treat hypomyelinating leukodystrophy. It will provide a cell‐targeted gene replacement therapy that can translate into an accelerated treatment for PMLD1 patients, and may pave the way for treating other leukodystrophies as well.

Project financed by ELA up to: 97 740 €

Stay informed

Je souhaite rester informé des avancées concernant cet article



Related articles

News and results