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TSHA-105 is an investigational gene therapy developed for the treatment of SLC13A5 deficiency, a rare autosomal recessive epileptic encephalopathy. The therapy uses an adeno-associated virus serotype 9 (AAV9) vector to deliver a codon-optimized human SLC13A5 gene, aiming to restore function of the sodium-dependent citrate transporter (NaCT) that is deficient in affected patients. SLC13A5 deficiency leads to early-onset seizures and developmental delays due to impaired neuronal uptake of citrate and other metabolites critical for brain energy metabolism. Preclinical studies have shown that TSHA-105 can normalize plasma citrate levels, reduce seizure activity, and improve survival in knockout mouse models. There are currently no approved disease-modifying treatments for this condition.
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