RT Journal Article T1 Isogenic GAA-KO Murine Muscle Cell Lines Mimicking Severe Pompe Mutations as Preclinical Models for the Screening of Potential Gene Therapy Strategies. A1 Aguilar-González, Araceli A1 González-Correa, Juan Elías A1 Barriocanal-Casado, Eliana A1 Ramos-Hernández, Iris A1 Lerma-Juárez, Miguel A A1 Greco, Sara A1 Rodríguez-Sevilla, Juan José A1 Molina-Estévez, Francisco Javier A1 Montalvo-Romeral, Valle A1 Ronzitti, Giuseppe A1 Sánchez-Martín, Rosario María A1 Martín, Francisco A1 Muñoz, Pilar K1 CRISPR/Cas9 technology K1 Pompe disease K1 adeno-associated virus K1 cellular disease models K1 lentiviral vectors K1 optimised GAA (acid alpha-glucosidase) AB Pompe disease (PD) is a rare disorder caused by mutations in the acid alpha-glucosidase (GAA) gene. Most gene therapies (GT) partially rely on the cross-correction of unmodified cells through the uptake of the GAA enzyme secreted by corrected cells. In the present study, we generated isogenic murine GAA-KO cell lines resembling severe mutations from Pompe patients. All of the generated GAA-KO cells lacked GAA activity and presented an increased autophagy and increased glycogen content by means of myotube differentiation as well as the downregulation of mannose 6-phosphate receptors (CI-MPRs), validating them as models for PD. Additionally, different chimeric murine GAA proteins (IFG, IFLG and 2G) were designed with the aim to improve their therapeutic activity. Phenotypic rescue analyses using lentiviral vectors point to IFG chimera as the best candidate in restoring GAA activity, normalising the autophagic marker p62 and surface levels of CI-MPRs. Interestingly, in vivo administration of liver-directed AAVs expressing the chimeras further confirmed the good behaviour of IFG, achieving cross-correction in heart tissue. In summary, we generated different isogenic murine muscle cell lines mimicking the severe PD phenotype, as well as validating their applicability as preclinical models in order to reduce animal experimentation. YR 2022 FD 2022-06-04 LK http://hdl.handle.net/10668/21164 UL http://hdl.handle.net/10668/21164 LA en DS RISalud RD Apr 7, 2025