Table 1.
Summary of the MPS I Animals, AAV Vector Injections, and Clinical Outcome
| Animal ID |
||||||||
|---|---|---|---|---|---|---|---|---|
| 2 | 3 | 4 | 1 | |||||
| Animal research ID | I-709 | I-710 | I-712 | I-744 | ||||
| Sex | F | M | M | F | ||||
| Eye | R | L | R | L | R | L | R | L |
| Injection | ||||||||
| Vector | AAV-GFP | AAV-IDUA | AAV-IDUA | AAV-GFP | AAV-GFP | AAV-IDUA | AAV-IDUA | AAV-GFP |
| Volume injected intrastromally (μL) | 80 | 80 | 50 | 50 | 65 | 65 | 65 | 0 |
| Viral dose (vg/cornea) | 8 × 1010 | 8 × 1010 | 5 × 1010 | 5 × 1010 | 6.5 × 1010 | 6.5 × 1010 | 6.5 × 1010 | 5 × 1010 |
| Intrastromal injection procedure | uneventful | uneventful | uneventful | uneventful | uneventful | additional intrastromal needle insertion | AC needle entry; additional intrastromal needle insertion | uneventful |
| Intracorneal hemorrhagea | + | +++ | ++ | − | + | +++ | − | − |
| Pre-injection | ||||||||
| Age (months) | 13 | 13 | 13 | 9 | ||||
| Corneal disease stage | advanced | advanced | advanced | early | ||||
| Clinical scoreb | 4 | 4 | 4 | 4 | 4 | 4 | 1 | 1 |
| CCT (μm) | 782 | 828 | 725 | 720 | 790 | 795 | 479 | 522 |
| Endpoint (25 weeks post-injection) | ||||||||
| Age (months) | 19 | 19 | 19 | 15 | ||||
| Clinical scoreb | 2c | 1 | 0 | 4 | 4 | 0 | 1 | 3 |
| CCT (μm) | 570 | 629 | 493 | 867 | 802 | 543 | 465 | 583 |
| Capsid antibody titer | 1:64 | − | − | − | ||||
| Corneal Edema | ||||||||
| Onset (weeks post-injection) | 10 | 6 | − | 19 | − | − | 17 | − |
| Duration (weeks) | 3 | 3 | − | 3 | − | − | 2 | − |
| Steroid treatment | topical | topical + systemic | − | topical | − | − | topical | − |
AAV-GFP, AAV8G9-CMV-GFP; AAV-IDUA, AAV8G9-CMV-IDUA; AC, anterior chamber.
Intracorneal hemorrhage score: −, no hemorrhage; +, a small single focus of hemorrhage; ++, small multifocal hemorrhages; +++, large area of coalesced multifocal hemorrhages.
Cornea clinical score: 0 = clear, storage (−); 1 = storage (+), minimal vascularization; 2 = storage (+), midrange vascularization; 3 = storage (+), diffuse vascularization; 4 = storage (+), diffuse vascularization, crystalline deposits, fibrosis.
Reduced perfusion of diffuse vasculature.