The critical role of large animal models in developing treatments for human genetic diseases
In 2025, a medical breakthrough captured headlines worldwide: doctors successfully treated an infant with a rare genetic disorder using a personalized CRISPR therapy developed in just six months. This remarkable achievement didn't emerge from thin air—it was built upon decades of research in an unlikely group of heroes: large animals with human genetic diseases. From hemophiliac dogs to blind sheep, these animal counterparts are quietly transforming how we treat some of humanity's most devastating inherited conditions, serving as the critical bridge between laboratory discoveries and human cures.
Fixing genetic errors at their source to treat inherited diseases
Dogs, cats, sheep, pigs, and non-human primates with human-like genetic conditions
Gene therapy—the concept of fixing genetic errors at their source—has long captured the imagination of scientists and patients alike. Yet the journey from this compelling idea to safe, effective treatments has been filled with challenges and setbacks. This is where large animal models come in: dogs, cats, sheep, pigs, and non-human primates that naturally develop or are engineered to have conditions mirroring human diseases. Their similar body size, longer lifespans, and genetic diversity make them uniquely suited for testing genetic treatments before they reach human patients1 9 .
For decades, mice have been the workhorses of biomedical research. Their short reproductive cycles and genetic malleability make them ideal for initial experiments. However, they often fail to accurately recreate important aspects of human diseases, limiting their predictive value for clinical trials3 . This is where larger animals provide critical advantages that have proven essential for gene therapy development.
A dog's eye closely resembles a human's in both structure and size, making canine models invaluable for developing gene therapies for inherited blindness1 .
The blood volume in a 30-40 kg dog approximates human levels, enabling realistic testing of therapies for blood disorders like hemophilia1 .
The brains of larger animals have a folded cortex and overall structure much more similar to humans than the smooth cortex of rodents1 .
| Feature | Rodent Models | Large Animal Models | Translation to Humans |
|---|---|---|---|
| Body/Organ Size | Small (≤500g) | Closer to human neonates/children | Enables testing of surgical techniques & dosing scalability1 |
| Lifespan | Short (1-3 years) | Longer (years to decades) | Allows long-term efficacy & safety studies1 |
| Genetic Background | Often inbred | Outbred, like humans | Better predicts variation in treatment response9 |
| Disease Progression | Rapid | Slower, more gradual | Closer to human disease timeline3 |
| Clinical Monitoring | Limited | Can use human clinical equipment (MRI, PET) | Direct comparison of diagnostic results1 |
"The value of these models extends beyond their physical attributes. Large animals in research colonies typically have a single known genetic mutation causing their disease, yet their overall genetic background is relatively outbred compared to inbred strains of mice."
The value of these models extends beyond their physical attributes. Large animals in research colonies typically have a single known genetic mutation causing their disease, yet their overall genetic background is relatively outbred compared to inbred strains of mice. This combination provides both the consistency needed for controlled experiments and the genetic diversity that better mirrors human populations1 . Furthermore, the longer lifespans of these species enable studies on long-term effects—both beneficial and adverse—of gene therapies, information that would be impossible to gather from short-lived rodents1 .
To understand how these animal models contribute to medical breakthroughs, let's examine a landmark experiment that demonstrated the potential of gene therapy to treat a devastating inherited metabolic disorder.
Mucopolysaccharidosis VII (MPS VII), also known as Sly syndrome, is a rare lysosomal storage disease caused by deficiency of the enzyme β-glucuronidase. Without this enzyme, complex carbohydrates accumulate in cells throughout the body, leading to progressive damage to bones, joints, heart valves, and the nervous system9 . A natural model of this disease was discovered in dogs, presenting an opportunity to test whether gene therapy could correct these widespread abnormalities.
The therapeutic gene was inserted into a Moloney murine leukemia virus-based retroviral vector, chosen for its ability to integrate into the host's genome and provide long-term expression9 .
Newborn puppies with MPS VII received the vector intravenously within days of birth. This timing was strategic—the neonatal immune system is less likely to mount a destructive response against the vector9 .
The approach deliberately targeted liver cells, which then became "factories" for producing the missing enzyme. The enzyme could then be released into the bloodstream and distributed throughout the body9 .
Treated dogs were followed for years, with regular assessments of enzyme levels, physical symptoms, organ function, and overall health compared to untreated affected dogs and healthy controls9 .
The outcomes of this experimental therapy were profound. Treated dogs showed significant production of β-glucuronidase, reduction in carbohydrate accumulation, and improvement in bone and joint disease9 . Perhaps most impressively, the therapy prevented the devastating heart disease that typically develops in both human patients and affected dogs9 .
| Parameter | Untreated MPS VII Dogs | Treated MPS VII Dogs | Significance |
|---|---|---|---|
| β-glucuronidase Activity | Severely deficient | 2-10% of normal levels | Sufficient to clear cellular storage material9 |
| Skeletal Abnormalities | Progressive | Significant improvement | Enabled normal mobility9 |
| Cardiac Disease | Developed severe valve disease | Prevented or significantly reduced | Avoided life-threatening complication9 |
| Liver Gene Expression | None detected | Sustained for study duration | Demonstrated long-term efficacy9 |
The findings helped pave the way for human clinical trials and demonstrated the importance of early intervention before irreversible tissue damage occurs.
Developing effective gene therapies for large animal models requires specialized reagents and solutions. Here are some of the key tools enabling this critical research:
| Reagent/Solution | Function | Application Example |
|---|---|---|
| Viral Vectors | Deliver therapeutic genes into cells |
Retroviral vectors: Used in MPS VII dog studies for stable gene integration9 Adeno-associated virus (AAV): Popular for gene therapy due to low immunogenicity and long-term expression1 |
| CRISPR-Cas9 Systems | Precisely edit DNA sequences | Correct genetic mutations in large animal models of human disease2 |
| Lipid Nanoparticles (LNPs) | Deliver genetic material to specific cells | Used in recent CRISPR trials to target liver cells without viral vector immune responses |
| Somatic Cells | Genetically modify before animal creation | Fetal fibroblasts: Engineered then used in somatic cell nuclear transfer to create genetically modified large animals3 |
| Selectable Markers | Identify successfully modified cells | Antibiotic resistance genes allow growth of only those cells that have incorporated therapeutic DNA3 |
Despite their tremendous value, large animal models present significant challenges that researchers must navigate. The high costs of housing and care, long reproductive cycles, and occasional scarcity of species-specific research reagents can limit the pace of discovery1 3 . Additionally, some physiological differences between even these more relevant animal models and humans remain, requiring careful interpretation of results.
Based on current research trends and technological advancements, experts predict significant growth in successful gene therapies developed using large animal models:
The story of gene therapy in large animal models is ultimately one of collaboration—between species, between basic scientists and clinicians, and between academic research and pharmaceutical development. Veterinarians, with their expertise in animal physiology, pathology, and medicine, have played critical roles in these investigations, contributing knowledge essential for effectively studying disease pathogenesis and treatment in animal homologues of human disorders1 .
The success of large animal models in gene therapy research relies on collaboration between geneticists, veterinarians, clinicians, and bioengineers working together to translate basic science into clinical applications.
Large animal models serve as the critical translational bridge between laboratory discoveries and human treatments, providing essential safety and efficacy data before human trials.
"As we stand at the precipice of a new era in genetic medicine, with the first CRISPR-based therapies now approved for human use and personalized genetic treatments becoming reality, it's worth remembering the indispensable role played by these larger animal counterparts."
As we stand at the precipice of a new era in genetic medicine, with the first CRISPR-based therapies now approved for human use and personalized genetic treatments becoming reality, it's worth remembering the indispensable role played by these larger animal counterparts. They have served as living bridges between laboratory concepts and clinical reality, proving that the path to human therapies often runs through the veterinary clinic.
The remarkable progress to date suggests that the coming decades will see an expansion of gene therapies for an increasingly broad range of conditions, many of which will trace their origins to crucial proof-of-concept studies in these invaluable large animal models. In the grand partnership between humans and animals that characterizes this field, we find one of modern medicine's most promising paths forward.
Large animal models will continue to play a critical role in developing safe and effective treatments for genetic diseases