timesofindia.indiatimes.com/
Hereditary blindness curable via gene therapy
ANI 13 August 2009, 12:47pm IST
WASHINGTON: Three patients, who received gene therapy for an 
inherited form of blindness,
continued having vision improvements even after a year, a new study 
has revealed.
This is the first study to report one-year gene therapy safety and 
efficacy results
in treating young adults with Leber Congenital Amaurosis (LCA), a 
hereditary condition
that causes severe vision impairment in infants and children. 
Previously, such improvement
in vision after was observed within weeks of undergoing gene therapy.
The three patients - 22, 24 and 25 years old- who received the gene 
therapy, have
a specific type of LCA caused by a genetic mutation in the RPE65 gene.
The gene normally makes a critical protein in the visual cycle. 
Without this RPE65
protein, light-sensitive photoreceptor cells are starved of a 
retina-specific form
of vitamin A and cannot function, blocking vision. For correcting 
this genetic defect,
researchers targeted retinal regions with impaired, but intact, 
photoreceptors and
injected healthy copies of the RPE65 gene under the retina.
One patient was able to read an illuminated clock for the first time, 
and the new
ability was not caused by a further increase in light sensitivity, 
which remained
unchanged from 1 to 12 months after the treatment.
One year after the single injection, the healthy genes continue to 
make this critical
protein, increasing the retina's sensitivity to light. "We had 
previously shown that
RPE65 gene therapy can completely reverse
one of the two components of this complex disease and provide 
patients with increased
day and night vision within weeks. We now show that the longevity of 
the visual improvements
extends to at least one year," said
Dr. Artur V. Cideciyan, Research Associate Professor of Ophthalmology 
at the University
of Pennsylvania School of Medicine and lead author of the publications.
But the visual improvement was caused by a slow change in the 
direction of focus
to her treated retina. The change appeared 12 months after gene 
therapy, but not
before.
The findings are published in Human Gene Therapy, now online, and in 
the New England
Journal of Medicine (NEJM).
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http://timesofindia.indiatimes.com/articleshow/msid-4889124,prtpage-1.cms



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