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Gene Therapy Sniffs out another Success Robert M. Frederickson, PhD – Editor, Molecular Therapy Scientists have successfully treated a mouse model of a congenital human genetic disorder that causes the inability to smell. The approach uses gene therapy to regrow the cilia that are essential for olfactory function, and was published online in the 2 September issue of Nature Medicine. Ciliopathies include diseases as diverse as polycystic kidney disease and retinitis pigmentosa, an inherited, degenerative eye disease that causes severe vision impairment and blindness. In the olfactory system, multiple cilia project from olfactory sensory neurons found in the olfactory epithelium. Receptors that bind odorants are localized on the cilia, which is why a loss of cilia results in a loss in the ability to smell. The researchers used an adenoviral vector to introduce a normal copy of the IFT88 gene, the expression of which was reduced in the mutant mice. The gene plays an important role in maintaining cilia function in various organ systems. The mice received intranasal gene delivery over three days and then were allowed 10 days for the transfected sensory neurons to express the viral-encoded IFT88 protein. The treatment led to restoration of cilia growth and enabled the mice to respond to the odorant, amyl nirate. Treatment increased bodyweight by 60 percent, indicating that the restored olfactory function was motivating feeding. Adapted from a press release issued by Rice University Summary In Reference to: Gene Therapy Rescues Clia Defects and Restores Olfactory Function in a Mammalian Cliopathy Model Nature Medicine (2012) doi:10.1038/nm.2860 Received 04 April 2012 Accepted 11 June 2012 Published online 02 September 2012