<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">ppan</journal-id><journal-title-group><journal-title xml:lang="en">Personalized Psychiatry and Neurology</journal-title><trans-title-group xml:lang="ru"><trans-title>Personalized Psychiatry and Neurology</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2712-9179</issn><publisher><publisher-name>V. M. Bekhterev National Medical Research Centre for Psychiatry and Neurology of the Ministry of Health of the Russian Federation (Bekhterev NMRC PN)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52667/2712-9179-2025-5-4-69-76</article-id><article-id custom-type="elpub" pub-id-type="custom">ppan-148</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ARTICLE</subject></subj-group></article-categories><title-group><article-title>Effectiveness and Safety of Intravenous Administration of Mesenchymal Stem Cells Overexpressing Arylsulfatase A for the Treatment of Metachromatic Leukodystrophy in a Pig Model</article-title><trans-title-group xml:lang="ru"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Ayupova</surname><given-names>Aisilu I.</given-names></name></name-alternatives><bio xml:lang="en"><p>Kazan, 420008</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Fattakhova</surname><given-names>Alisa A.</given-names></name></name-alternatives><bio xml:lang="en"><p>Kazan, 420008</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Solovyeva</surname><given-names>Valeria V.</given-names></name></name-alternatives><bio xml:lang="en"><p>Kazan, 420008</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Mukhamedshina</surname><given-names>Yana O.</given-names></name></name-alternatives><bio xml:lang="en"><p>Kazan, 420008; Kazan, 420111; 420012 Kazan</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Rizvanov</surname><given-names>Albert A.</given-names></name></name-alternatives><bio xml:lang="en"><p>Kazan, 420008; Kazan, 420111</p></bio><email xlink:type="simple">albert.rizvanov@kpfu.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff xml:lang="en" id="aff-1"><institution>Institute of Fundamental Medicine and Biology, Kazan Federal University</institution><country>Russian Federation</country></aff><aff xml:lang="en" id="aff-2"><institution>Institute of Fundamental Medicine and Biology, Kazan Federal University;  Division of Medical and Biological Sciences, Tatarstan Academy of Sciences; Department of Histology, Cytology, and Embryology, Kazan State Medical University</institution><country>Russian Federation</country></aff><aff xml:lang="en" id="aff-3"><institution>Institute of Fundamental Medicine and Biology, Kazan Federal University;  Division of Medical and Biological Sciences, Tatarstan Academy of Sciences</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>24</day><month>12</month><year>2025</year></pub-date><volume>5</volume><issue>4</issue><fpage>69</fpage><lpage>76</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ayupova A.I., Fattakhova A.A., Solovyeva V.V., Mukhamedshina Y.O., Rizvanov A.A., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Ayupova A.I., Fattakhova A.A., Solovyeva V.V., Mukhamedshina Y.O., Rizvanov A.A.</copyright-holder><copyright-holder xml:lang="en">Ayupova A.I., Fattakhova A.A., Solovyeva V.V., Mukhamedshina Y.O., Rizvanov A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.jppn.ru/jour/article/view/148">https://www.jppn.ru/jour/article/view/148</self-uri><abstract><p>This study evaluated intravenous administration of allogeneic mesenchymal stem cells (MSCs) transduced with AAV9-ARSA to pigs. The MSCs were modified to overexpress human arylsulfatase A (ARSA). Thirty-five days after treatment, ARSA activity significantly increased in CNS tissues. No hepatotoxicity or systemic inflammation was observed. The results confirm the safety and efficacy of this MSC-based gene therapy for metachromatic leukodystrophy (MLD).</p></abstract><kwd-group xml:lang="en"><kwd>metachromatic leukodystrophy</kwd><kwd>arylsulfatase A</kwd><kwd>gene-cell therapy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Shaimardanova, A.A.; Chulpanova, D.S.; Solovyeva, V.V.; Mullagulova, A.I.; Kitaeva, K.V.; Allegrucci, C.; Rizvanov, A.A. Metachromatic Leukodystrophy: Diagnosis, Modeling, and Treatment Approaches. Front Med (Lausanne). 2020; 7:576221, https://doi.org/10.3389/fmed.2020.576221.</mixed-citation><mixed-citation xml:lang="en">Shaimardanova, A.A.; Chulpanova, D.S.; Solovyeva, V.V.; Mullagulova, A.I.; Kitaeva, K.V.; Allegrucci, C.; Rizvanov, A.A. Metachromatic Leukodystrophy: Diagnosis, Modeling, and Treatment Approaches. Front Med (Lausanne). 2020; 7:576221, https://doi.org/10.3389/fmed.2020.576221.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Shaimardanova, A.A.; Chulpanova, D.S.; Solovyeva,; Mullagulova, A.I.; Kitaeva, K.V.; Rizvanov, A.A. New therapeutic strategies for the treatment of metachromatic leukodystrophy. Genes &amp; Cells. 2020; 15:41-50.</mixed-citation><mixed-citation xml:lang="en">Shaimardanova, A.A.; Chulpanova, D.S.; Solovyeva,; Mullagulova, A.I.; Kitaeva, K.V.; Rizvanov, A.A. New therapeutic strategies for the treatment of metachromatic leukodystrophy. Genes &amp; Cells. 2020; 15:41-50.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Piguet, F.; Sondhi, D.; Piraud, M.; Fouquet, F.; Hackett, N.R.; Ahouansou, O.; Vanier, M.T.; Bieche, I.; Aubourg, P.; Crystal, R.G.; et al. Correction of brain oligodendrocytes by AAVrh.10 intracerebral gene therapy in metachromatic leukodystrophy mice. Hum Gene Ther. 2012; 23:903-914, https://doi.org/10.1089/hum.2012.015.</mixed-citation><mixed-citation xml:lang="en">Piguet, F.; Sondhi, D.; Piraud, M.; Fouquet, F.; Hackett, N.R.; Ahouansou, O.; Vanier, M.T.; Bieche, I.; Aubourg, P.; Crystal, R.G.; et al. Correction of brain oligodendrocytes by AAVrh.10 intracerebral gene therapy in metachromatic leukodystrophy mice. Hum Gene Ther. 2012; 23:903-914, https://doi.org/10.1089/hum.2012.015.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Mullagulova, A.I.; Timechko, E.E.; Solovyeva, V.V.; Yakimov, A.M.; Ibrahim, A.; Dmitrenko, D.D.; Sufianov, A.A.; Sufianova, G.Z.; Rizvanov, A.A. Adeno-Associated Viral Vectors in the Treatment of Epilepsy. Int J Mol Sci. 2024; 25, https://doi.org/10.3390/ijms252212081.</mixed-citation><mixed-citation xml:lang="en">Mullagulova, A.I.; Timechko, E.E.; Solovyeva, V.V.; Yakimov, A.M.; Ibrahim, A.; Dmitrenko, D.D.; Sufianov, A.A.; Sufianova, G.Z.; Rizvanov, A.A. Adeno-Associated Viral Vectors in the Treatment of Epilepsy. Int J Mol Sci. 2024; 25, https://doi.org/10.3390/ijms252212081.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Issa, S.S.; Shaimardanova, A.A.; Solovyeva, V.V.; Rizvanov, A.A. Various AAV Serotypes and Their Applications in Gene Therapy: An Overview. Cells. 2023; 12, https://doi.org/10.3390/cells12050785.</mixed-citation><mixed-citation xml:lang="en">Issa, S.S.; Shaimardanova, A.A.; Solovyeva, V.V.; Rizvanov, A.A. Various AAV Serotypes and Their Applications in Gene Therapy: An Overview. Cells. 2023; 12, https://doi.org/10.3390/cells12050785.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Xu, L.; Yao, S.; Ding, Y.E.; Xie, M.; Feng, D.; Sha, P.; Tan, L.; Bei, F.; Yao, Y. Designing and optimizing AAV-mediated gene therapy for neurodegenerative diseases: from bench to bedside. J Transl Med. 2024; 22:866, https://doi.org/10.1186/s12967-024-05661-2.</mixed-citation><mixed-citation xml:lang="en">Xu, L.; Yao, S.; Ding, Y.E.; Xie, M.; Feng, D.; Sha, P.; Tan, L.; Bei, F.; Yao, Y. Designing and optimizing AAV-mediated gene therapy for neurodegenerative diseases: from bench to bedside. J Transl Med. 2024; 22:866, https://doi.org/10.1186/s12967-024-05661-2.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Miyake, N.; Miyake, K.; Asakawa, N.; Yamamoto, M.; Shimada, T. Long-term correction of biochemical and neurological abnormalities in MLD mice model by neonatal systemic injection of an AAV serotype 9 vector. Gene Ther. 2014; 21:427-433, https://doi.org/10.1038/gt.2014.17.</mixed-citation><mixed-citation xml:lang="en">Miyake, N.; Miyake, K.; Asakawa, N.; Yamamoto, M.; Shimada, T. Long-term correction of biochemical and neurological abnormalities in MLD mice model by neonatal systemic injection of an AAV serotype 9 vector. Gene Ther. 2014; 21:427-433, https://doi.org/10.1038/gt.2014.17.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Mullagulova, A.; Shaimardanova, A.; Solovyeva, V.; Mukhamedshina, Y.; Chulpanova, D.; Kostennikov, A.; Issa, S.; Rizvanov, A. Safety and Efficacy of Intravenous and Intrathecal Delivery of AAV9-Mediated ARSA in Minipigs. Int J Mol Sci. 2023, 24, https://doi.org/10.3390/ijms24119204.</mixed-citation><mixed-citation xml:lang="en">Mullagulova, A.; Shaimardanova, A.; Solovyeva, V.; Mukhamedshina, Y.; Chulpanova, D.; Kostennikov, A.; Issa, S.; Rizvanov, A. Safety and Efficacy of Intravenous and Intrathecal Delivery of AAV9-Mediated ARSA in Minipigs. Int J Mol Sci. 2023, 24, https://doi.org/10.3390/ijms24119204.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Moldavskii, D.; Gilazieva, Z.; Fattakhova, A.; Solovyeva, V.; Issa, S.; Sufianov, A.; Sufianova, G.; Rizvanov, A. AAV-Based Gene Therapy: Opportunities, Risks, and Scale-Up Strategies. Int J Mol Sci. 2025, 26, https://doi.org/10.3390/ijms26178282.</mixed-citation><mixed-citation xml:lang="en">Moldavskii, D.; Gilazieva, Z.; Fattakhova, A.; Solovyeva, V.; Issa, S.; Sufianov, A.; Sufianova, G.; Rizvanov, A. AAV-Based Gene Therapy: Opportunities, Risks, and Scale-Up Strategies. Int J Mol Sci. 2025, 26, https://doi.org/10.3390/ijms26178282.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Issa, S.S.; Shaimardanova, A.A.; Valiullin, V.V.; Rizvanov, A.A.; Solovyeva, V.V. Mesenchymal Stem Cell-Based Therapy for Lysosomal Storage Diseases and Other Neurodegenerative Disorders. Front Pharmacol. 2022; 13:859516, https://doi.org/10.3389/fphar.2022.859516.</mixed-citation><mixed-citation xml:lang="en">Issa, S.S.; Shaimardanova, A.A.; Valiullin, V.V.; Rizvanov, A.A.; Solovyeva, V.V. Mesenchymal Stem Cell-Based Therapy for Lysosomal Storage Diseases and Other Neurodegenerative Disorders. Front Pharmacol. 2022; 13:859516, https://doi.org/10.3389/fphar.2022.859516.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Han, X.; Liao, R.; Li, X.; Zhang, C.; Huo, S.; Qin, L.; Xiong, Y.; He, T.; Xiao, G.; Zhang, T. Mesenchymal stem cells in treating human diseases: molecular mechanisms and clinical studies. Signal Transduct Target Ther. 2025; 10:262, https://doi.org/10.1038/s41392-025-02313-9.</mixed-citation><mixed-citation xml:lang="en">Han, X.; Liao, R.; Li, X.; Zhang, C.; Huo, S.; Qin, L.; Xiong, Y.; He, T.; Xiao, G.; Zhang, T. Mesenchymal stem cells in treating human diseases: molecular mechanisms and clinical studies. Signal Transduct Target Ther. 2025; 10:262, https://doi.org/10.1038/s41392-025-02313-9.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Bu, Z.; Lou, J.; Xu, W.; Zhang, L.; Tang, Y. Human umbilical cord mesenchymal stem cell-based gene therapy for hemophilia B using scAAV-DJ/8-LP1-hFIXco transduction. Stem Cell Res Ther. 2024; 15:210, https://doi.org/10.1186/s13287-024-03824-y.</mixed-citation><mixed-citation xml:lang="en">Bu, Z.; Lou, J.; Xu, W.; Zhang, L.; Tang, Y. Human umbilical cord mesenchymal stem cell-based gene therapy for hemophilia B using scAAV-DJ/8-LP1-hFIXco transduction. Stem Cell Res Ther. 2024; 15:210, https://doi.org/10.1186/s13287-024-03824-y.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Zakirova, E.; Aimaletdinov, A.; Tambovsky, M.; Rizvanov, A. Comparative characteristics of mesenchymal stem cell lines of different animal species. Cytolog. 2021; 63:139-146.</mixed-citation><mixed-citation xml:lang="en">Zakirova, E.; Aimaletdinov, A.; Tambovsky, M.; Rizvanov, A. Comparative characteristics of mesenchymal stem cell lines of different animal species. Cytolog. 2021; 63:139-146.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Voitenko, N.; Makarova, M. Variability of blood biochemical parameters and establishment of reference intervals in preclinical studies. Report 3: minipigs. Laboratory animals for scientific research. 2020; 7-15.</mixed-citation><mixed-citation xml:lang="en">Voitenko, N.; Makarova, M. Variability of blood biochemical parameters and establishment of reference intervals in preclinical studies. Report 3: minipigs. Laboratory animals for scientific research. 2020; 7-15.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Cavazza, A.; Moiani, A.; Mavilio, F. Mechanisms of retroviral integration and mutagenesis. Hum Gene Ther. 2013; 24:119-131, https://doi.org/10.1089/hum.2012.203.</mixed-citation><mixed-citation xml:lang="en">Cavazza, A.; Moiani, A.; Mavilio, F. Mechanisms of retroviral integration and mutagenesis. Hum Gene Ther. 2013; 24:119-131, https://doi.org/10.1089/hum.2012.203.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Meuleman, N.; Vanhaelen, G.; Tondreau, T.; Lewalle, P.; Kwan, J.; Bennani, J.; Martiat, P.; Lagneaux, L.; Bron, D. Reduced intensity conditioning haematopoietic stem cell transplantation with mesenchymal stromal cells infusion for the treatment of metachromatic leukodystrophy: a case report. Haematologica. 2008; 93:e11-13, https://doi.org/10.3324/haematol.11802.</mixed-citation><mixed-citation xml:lang="en">Meuleman, N.; Vanhaelen, G.; Tondreau, T.; Lewalle, P.; Kwan, J.; Bennani, J.; Martiat, P.; Lagneaux, L.; Bron, D. Reduced intensity conditioning haematopoietic stem cell transplantation with mesenchymal stromal cells infusion for the treatment of metachromatic leukodystrophy: a case report. Haematologica. 2008; 93:e11-13, https://doi.org/10.3324/haematol.11802.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Tashima, T. Mesenchymal Stem Cell (MSC)-Based Drug Delivery into the Brain across the Blood-Brain Barrier. Pharmaceutics. 2024; 16, https://doi.org/10.3390/pharmaceutics16020289.</mixed-citation><mixed-citation xml:lang="en">Tashima, T. Mesenchymal Stem Cell (MSC)-Based Drug Delivery into the Brain across the Blood-Brain Barrier. Pharmaceutics. 2024; 16, https://doi.org/10.3390/pharmaceutics16020289.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Huang, Y.; Wu, Q.; Tam, P.K.H. Immunomodulatory Mechanisms of Mesenchymal Stem Cells and Their Potential Clinical Applications. Int J Mol Sci. 2022; 23, https://doi.org/10.3390/ijms231710023.</mixed-citation><mixed-citation xml:lang="en">Huang, Y.; Wu, Q.; Tam, P.K.H. Immunomodulatory Mechanisms of Mesenchymal Stem Cells and Their Potential Clinical Applications. Int J Mol Sci. 2022; 23, https://doi.org/10.3390/ijms231710023.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
