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Neurodegenerative Diseases Research Laboratory:
Late Infantile Batten Disease
Rebecca Whiting, Christopher Tracy, Martin Katz; University of Missouri, School of Medicine, Columbia, MO 65202
http://medicine.missouri.edu/neurodegenerativediseases/
THREE APPROACHES TO THERAPEUTIC ENZYME DELIVERY
WHAT THIS
MEANS FOR
THERAPY
We use a Dachshund
model of CLN2
We grow the cells and tell
them to produce lots of TPP1
enzyme through genetic
modification
Enzyme Replacement Therapy
delivers the enzyme to the brain with
an infusion every 2 weeks
We are testing 3 methods
for delivering TPP1 enzyme
to the brain and eye
Funding: BioMarin Pharmaceutical Inc.,
Children‘s Hospital of Philadelphia, University of
Missouri, National Institutes of Health, Knights
Templar Eye Foundation.
INTRODUCTION
(Laboratory Objectives)
 CLN2 disease is caused by
a lack of TPP1 enzyme
 Supplying the enzyme to
the brain delays symptom
progression
 Our laboratory is working
to optimize long-term
delivery of the enzyme to
the brain and eye
Direct Gene Therapy
gives existing cells in the brain
instructions to make the enzyme
Ex Vivo Gene Therapy
uses stem cells as tiny enzyme factories to
produce TPP1 long term
1
3
Enzyme replacement
therapy offers an
effective treatment for
CLN2, but requires on-
going infusion of the
enzyme every 2 weeks
In the dog model,
Ex vivo and direct gene
therapies have shown
long term therapeutic
benefits with a single
treatment.
We are making progress
toward a one-time
curative treatment for
CLN2.
take cells from
the bone marrow
Modify the cells
to produce TPP1
Inject the cells into
the eye or brain
where they continue
to produce TPP1
2
BioMarin BMN190 preliminary data
from Phase 1/2 clinical trial
http://investors.bmrn.com/releasedetail.cfm?ReleaseID=890846
0
0.5
1
1.5
2
2.5
3
2 3 4 5 6 7 8 9 10 11
ResponseofRetina
toLightFlash
Age (Months)
Normal
CLN2, Untreated
CLN2, Ex Vivo Gene Therapy
Acknowledgements: Our thanks to collaborators on these
projects including BioMarin Pharmaceutical, Joan Coates,
Beverly Davidson, Jacqueline Pearce, Fred Wininger, and
Jeffrey Bryan; to the Veterinary Postdocs Baye Williamson,
Whitney Young, Missy Carpentier, Christy Sibigtroth, Camille
Fluornoy, and Shin Kanazono; to Lani Castaner for assistance
with all aspects of the project and to the many students and
dogs who made essential contributions to these studies.

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Full Handwritten notes of RA by Ayush Kumar M pharm - Al ameen college of pha...
 

BDSRA 2015 CLN2 Whiting, Tracy, Katz

  • 1. Neurodegenerative Diseases Research Laboratory: Late Infantile Batten Disease Rebecca Whiting, Christopher Tracy, Martin Katz; University of Missouri, School of Medicine, Columbia, MO 65202 http://medicine.missouri.edu/neurodegenerativediseases/ THREE APPROACHES TO THERAPEUTIC ENZYME DELIVERY WHAT THIS MEANS FOR THERAPY We use a Dachshund model of CLN2 We grow the cells and tell them to produce lots of TPP1 enzyme through genetic modification Enzyme Replacement Therapy delivers the enzyme to the brain with an infusion every 2 weeks We are testing 3 methods for delivering TPP1 enzyme to the brain and eye Funding: BioMarin Pharmaceutical Inc., Children‘s Hospital of Philadelphia, University of Missouri, National Institutes of Health, Knights Templar Eye Foundation. INTRODUCTION (Laboratory Objectives)  CLN2 disease is caused by a lack of TPP1 enzyme  Supplying the enzyme to the brain delays symptom progression  Our laboratory is working to optimize long-term delivery of the enzyme to the brain and eye Direct Gene Therapy gives existing cells in the brain instructions to make the enzyme Ex Vivo Gene Therapy uses stem cells as tiny enzyme factories to produce TPP1 long term 1 3 Enzyme replacement therapy offers an effective treatment for CLN2, but requires on- going infusion of the enzyme every 2 weeks In the dog model, Ex vivo and direct gene therapies have shown long term therapeutic benefits with a single treatment. We are making progress toward a one-time curative treatment for CLN2. take cells from the bone marrow Modify the cells to produce TPP1 Inject the cells into the eye or brain where they continue to produce TPP1 2 BioMarin BMN190 preliminary data from Phase 1/2 clinical trial http://investors.bmrn.com/releasedetail.cfm?ReleaseID=890846 0 0.5 1 1.5 2 2.5 3 2 3 4 5 6 7 8 9 10 11 ResponseofRetina toLightFlash Age (Months) Normal CLN2, Untreated CLN2, Ex Vivo Gene Therapy Acknowledgements: Our thanks to collaborators on these projects including BioMarin Pharmaceutical, Joan Coates, Beverly Davidson, Jacqueline Pearce, Fred Wininger, and Jeffrey Bryan; to the Veterinary Postdocs Baye Williamson, Whitney Young, Missy Carpentier, Christy Sibigtroth, Camille Fluornoy, and Shin Kanazono; to Lani Castaner for assistance with all aspects of the project and to the many students and dogs who made essential contributions to these studies.