Nucleic acid therapeutics最新文献

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Sequence-Controlled Spherical Nucleic Acids: Gene Silencing, Encapsulation, and Cellular Uptake. 序列控制的球形核酸:基因沉默、包封和细胞摄取。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-08-01 DOI: 10.1089/nat.2022.0062
Sepideh Kaviani, Hassan H Fakih, Jathavan Asohan, Adam Katolik, Masad J Damha, Hanadi F Sleiman
{"title":"Sequence-Controlled Spherical Nucleic Acids: Gene Silencing, Encapsulation, and Cellular Uptake.","authors":"Sepideh Kaviani,&nbsp;Hassan H Fakih,&nbsp;Jathavan Asohan,&nbsp;Adam Katolik,&nbsp;Masad J Damha,&nbsp;Hanadi F Sleiman","doi":"10.1089/nat.2022.0062","DOIUrl":"https://doi.org/10.1089/nat.2022.0062","url":null,"abstract":"<p><p>Antisense oligonucleotides (ASOs) can predictably alter RNA processing and control protein expression; however, challenges in the delivery of these therapeutics to specific tissues, poor cellular uptake, and endosomal escape have impeded progress in translating these agents into the clinic. Spherical nucleic acids (SNAs) are nanoparticles with a DNA external shell and a hydrophobic core that arise from the self-assembly of ASO strands conjugated to hydrophobic polymers. SNAs have recently shown significant promise as vehicles for improving the efficacy of ASO cellular uptake and gene silencing. However, to date, no studies have investigated the effect of the hydrophobic polymer sequence on the biological properties of SNAs. In this study, we created a library of ASO conjugates by covalently attaching polymers with linear or branched [dodecanediol phosphate] units and systematically varying polymer sequence and composition. We show that these parameters can significantly impact encapsulation efficiency, gene silencing activity, SNA stability, and cellular uptake, thus outlining optimized polymer architectures for gene silencing.</p>","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 4","pages":"265-276"},"PeriodicalIF":4.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10472929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rosalind Franklin Society Proudly Announces the 2022 Award Recipient for Nucleic Acid Therapeutics. 罗莎琳德·富兰克林协会自豪地宣布2022年核酸治疗奖获得者。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-08-01 DOI: 10.1089/nat.2023.29007.rfs2022
Laura Sepp-Lorenzino
{"title":"Rosalind Franklin Society Proudly Announces the 2022 Award Recipient for <i>Nucleic Acid Therapeutics</i>.","authors":"Laura Sepp-Lorenzino","doi":"10.1089/nat.2023.29007.rfs2022","DOIUrl":"https://doi.org/10.1089/nat.2023.29007.rfs2022","url":null,"abstract":"","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 4","pages":"233"},"PeriodicalIF":4.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10033538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Failure to Meet the Clinical Endpoint to U.S. Food and Drug Administration Approval: 15th Antisense Oligonucleotide Therapy Approved Qalsody (Tofersen) for Treatment of SOD1 Mutated Amyotrophic Lateral Sclerosis. 从未能达到临床终点到美国食品和药物管理局批准:第15个反义寡核苷酸疗法Qalsody (Tofersen)被批准用于治疗SOD1突变的肌萎缩侧索硬化症。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-08-01 DOI: 10.1089/nat.2023.0027
Willeke van Roon-Mom, Chantal Ferguson, Annemieke Aartsma-Rus
{"title":"From Failure to Meet the Clinical Endpoint to U.S. Food and Drug Administration Approval: 15th Antisense Oligonucleotide Therapy Approved Qalsody (Tofersen) for Treatment of <i>SOD1</i> Mutated Amyotrophic Lateral Sclerosis.","authors":"Willeke van Roon-Mom,&nbsp;Chantal Ferguson,&nbsp;Annemieke Aartsma-Rus","doi":"10.1089/nat.2023.0027","DOIUrl":"https://doi.org/10.1089/nat.2023.0027","url":null,"abstract":"","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 4","pages":"234-237"},"PeriodicalIF":4.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10033539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Positive Allosteric Modulation of Antithrombin's Inhibitory Activity by RNA Aptamers. RNA适体对抗凝血酶抑制活性的正变构调节。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-08-01 DOI: 10.1089/nat.2022.0047
Khalequz Zaman, Adi Breitman, Isa Malik, Yolanda M Fortenberry
{"title":"Positive Allosteric Modulation of Antithrombin's Inhibitory Activity by RNA Aptamers.","authors":"Khalequz Zaman,&nbsp;Adi Breitman,&nbsp;Isa Malik,&nbsp;Yolanda M Fortenberry","doi":"10.1089/nat.2022.0047","DOIUrl":"https://doi.org/10.1089/nat.2022.0047","url":null,"abstract":"<p><p>The leading cause of death in adults in the United States is cardiovascular disease, with mortality and morbidity mainly attributed to thromboembolism. Heparin is the most common therapy used for treating venous and arterial thrombosis. Heparin effectively accelerates the inhibition of coagulation proteases thrombin and factor Xa through the serine protease inhibitor (serpin) antithrombin (AT). Heparin is an essential therapeutic anticoagulant because of its effectiveness and the availability of protamine sulfate as an antidote. However, heparin therapy has several limitations. Thus, new anticoagulants, including direct thrombin inhibitors (ie, argatroban) and low-molecular-weight heparins (ie, fondaparinux), are used to treat some thromboembolic disorders. We developed and characterized a family of novel RNA-based aptamers that bind AT using two novel selection schemes. One of the aptamers, AT-16, accelerates factor Xa inhibition by AT in the absence of heparin. AT-16's effect on thrombin inhibition by AT is less effective compared to factor Xa. AT-16 induces a conformational change in AT that is different from that induced by heparin. This study demonstrates that an AT-specific RNA aptamer, AT-16, exhibits a positive allosteric modulator effect on AT's inhibition of factor Xa.</p>","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 4","pages":"277-286"},"PeriodicalIF":4.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
mTOR Inhibition Enhances Delivery and Activity of Antisense Oligonucleotides in Uveal Melanoma Cells. mTOR抑制增强葡萄膜黑色素瘤细胞中反义寡核苷酸的传递和活性。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-08-01 DOI: 10.1089/nat.2023.0008
Shanna Dewaele, Louis Delhaye, Boel De Paepe, Bram Bogaert, Ramiro Martinez, Jasper Anckaert, Nurten Yigit, Justine Nuytens, Rudy Van Coster, Sven Eyckerman, Koen Raemdonck, Pieter Mestdagh
{"title":"mTOR Inhibition Enhances Delivery and Activity of Antisense Oligonucleotides in Uveal Melanoma Cells.","authors":"Shanna Dewaele,&nbsp;Louis Delhaye,&nbsp;Boel De Paepe,&nbsp;Bram Bogaert,&nbsp;Ramiro Martinez,&nbsp;Jasper Anckaert,&nbsp;Nurten Yigit,&nbsp;Justine Nuytens,&nbsp;Rudy Van Coster,&nbsp;Sven Eyckerman,&nbsp;Koen Raemdonck,&nbsp;Pieter Mestdagh","doi":"10.1089/nat.2023.0008","DOIUrl":"https://doi.org/10.1089/nat.2023.0008","url":null,"abstract":"<p><p>Uveal melanoma (UM) is the most common primary intraocular malignancy in adults. Owing to a lack of effective treatments, patients with metastatic disease have a median survival time of 6-12 months. We recently demonstrated that the Survival Associated Mitochondrial Melanoma Specific Oncogenic Non-coding RNA <i>(SAMMSON)</i> is essential for UM cell survival and that antisense oligonucleotide (ASO)-mediated silencing of <i>SAMMSON</i> impaired cell viability and tumor growth <i>in vitro</i> and <i>in vivo</i>. By screening a library of 2911 clinical stage compounds, we identified the mammalian target of rapamycin (mTOR) inhibitor GDC-0349 to synergize with <i>SAMMSON</i> inhibition in UM. Mechanistic studies revealed that mTOR inhibition enhanced uptake and reduced lysosomal accumulation of lipid complexed <i>SAMMSON</i> ASOs, improving <i>SAMMSON</i> knockdown and further decreasing UM cell viability. We found mTOR inhibition to also enhance target knockdown in other cancer cell lines as well as normal cells when combined with lipid nanoparticle complexed or encapsulated ASOs or small interfering RNAs (siRNAs). Our results are relevant to nucleic acid treatment in general and highlight the potential of mTOR inhibition to enhance ASO and siRNA-mediated target knockdown.</p>","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 4","pages":"248-264"},"PeriodicalIF":4.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10020238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Experimental Model Systems Used in the Preclinical Development of Nucleic Acid Therapeutics. 用于核酸治疗临床前开发的实验模型系统。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-08-01 Epub Date: 2023-05-05 DOI: 10.1089/nat.2023.0001
Haiyan Zhou, Virginia Arechavala-Gomeza, Alejandro Garanto
{"title":"Experimental Model Systems Used in the Preclinical Development of Nucleic Acid Therapeutics.","authors":"Haiyan Zhou, Virginia Arechavala-Gomeza, Alejandro Garanto","doi":"10.1089/nat.2023.0001","DOIUrl":"10.1089/nat.2023.0001","url":null,"abstract":"<p><p>Preclinical evaluation of nucleic acid therapeutics (NATs) in relevant experimental model systems is essential for NAT drug development. As part of COST Action \"DARTER\" (Delivery of Antisense RNA ThERapeutics), a network of researchers in the field of RNA therapeutics, we have conducted a survey on the experimental model systems routinely used by our members in preclinical NAT development. The questionnaire focused on both cellular and animal models. Our survey results suggest that skin fibroblast cultures derived from patients is the most commonly used cellular model, while induced pluripotent stem cell-derived models are also highly reported, highlighting the increasing potential of this technology. Splice-switching antisense oligonucleotide is the most frequently investigated RNA molecule, followed by small interfering RNA. Animal models are less prevalent but also widely used among groups in the network, with transgenic mouse models ranking the top. Concerning the research fields represented in our survey, the mostly studied disease area is neuromuscular disorders, followed by neurometabolic diseases and cancers. Brain, skeletal muscle, heart, and liver are the top four tissues of interest reported. We expect that this snapshot of the current preclinical models will facilitate decision making and the share of resources between academics and industry worldwide to facilitate the development of NATs.</p>","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 4","pages":"238-247"},"PeriodicalIF":4.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10472910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Considerations for the Terminal Sterilization of Oligonucleotide Drug Products. 寡核苷酸药品终端灭菌的注意事项。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-06-01 DOI: 10.1089/nat.2022.0073
Daniel Paul DeCollibus, Justin Searcy, Anna Tivesten, Nadim Akhtar, Christian Lindenberg, Nounja Abarrou, Sujana Pradhan, Maggie Fiandaca, Jenny Franklin, Geetha Govindan, Hung-Yi Liu, David Royle, Patrick Lim Soo, Kirsten Storch
{"title":"Considerations for the Terminal Sterilization of Oligonucleotide Drug Products.","authors":"Daniel Paul DeCollibus,&nbsp;Justin Searcy,&nbsp;Anna Tivesten,&nbsp;Nadim Akhtar,&nbsp;Christian Lindenberg,&nbsp;Nounja Abarrou,&nbsp;Sujana Pradhan,&nbsp;Maggie Fiandaca,&nbsp;Jenny Franklin,&nbsp;Geetha Govindan,&nbsp;Hung-Yi Liu,&nbsp;David Royle,&nbsp;Patrick Lim Soo,&nbsp;Kirsten Storch","doi":"10.1089/nat.2022.0073","DOIUrl":"https://doi.org/10.1089/nat.2022.0073","url":null,"abstract":"<p><p>A primary function of the parenteral drug product manufacturing process is to ensure sterility of the final product. The two most common methods for sterilizing parenteral drug products are terminal sterilization (TS), whereby the drug product is sterilized in the final container following filling and finish, and membrane sterilization, whereby the product stream is sterilized by membrane filtration and filled into presterilized containers in an aseptic processing environment. Although TS provides greater sterility assurance than membrane sterilization and aseptic processing, not all drug products are amenable to TS processes, which typically involve heat treatment or exposure to ionizing radiation. Oligonucleotides represent an emerging class of therapeutics with great potential for treating a broad range of indications, including previously undruggable targets. Owing to their size, structural complexity, and relative lack of governing regulations, several challenges in drug development are unique to oligonucleotides. This exceptionality justifies a focused assessment of traditional chemistry, manufacturing, and control strategies before their adoption. In this article, we review the current state of sterile oligonucleotide drug product processing, highlight the key aspects to consider when assessing options for product sterilization, and provide recommendations to aid in the successful evaluation and development of TS processes. We also explore current regulatory expectations and provide our interpretation as it pertains to oligonucleotide drug products.</p>","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 3","pages":"159-177"},"PeriodicalIF":4.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10021709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DNAzymes: Expanding the Potential of Nucleic Acid Therapeutics. DNAzymes:扩大核酸治疗的潜力。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-06-01 DOI: 10.1089/nat.2022.0066
Leon M Larcher, Ianthe L Pitout, Niall P Keegan, Rakesh N Veedu, Sue Fletcher
{"title":"DNAzymes: Expanding the Potential of Nucleic Acid Therapeutics.","authors":"Leon M Larcher,&nbsp;Ianthe L Pitout,&nbsp;Niall P Keegan,&nbsp;Rakesh N Veedu,&nbsp;Sue Fletcher","doi":"10.1089/nat.2022.0066","DOIUrl":"https://doi.org/10.1089/nat.2022.0066","url":null,"abstract":"<p><p>Nucleic acids drugs have been proven in the clinic as a powerful modality to treat inherited and acquired diseases. However, key challenges including drug stability, renal clearance, cellular uptake, and movement across biological barriers (foremost the blood-brain barrier) limit the translation and clinical efficacy of nucleic acid-based therapies, both systemically and in the central nervous system. In this study we provide an overview of an emerging class of nucleic acid therapeutic, called DNAzymes. In particular, we review the use of chemical modifications and carrier molecules for the stabilization and/or delivery of DNAzymes in cell and animal models. Although this review focuses on DNAzymes, the strategies described are broadly applicable to most nucleic acid technologies. This review should serve as a general guide for selecting chemical modifications to improve the therapeutic performance of DNAzymes.</p>","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 3","pages":"178-192"},"PeriodicalIF":4.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9670408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Rapid and Reliable Quantification of Prime Editing Targeting Within the Porcine ABCA4 Gene Using a BRET-Based Sensor. 使用基于bret的传感器快速可靠地定量猪ABCA4基因的引体编辑靶向
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-06-01 DOI: 10.1089/nat.2022.0037
Tobias Wimmer, Hannah Sawinski, Anne M Urban, Jan Motlik, Knut Stieger
{"title":"Rapid and Reliable Quantification of Prime Editing Targeting Within the Porcine <i>ABCA4</i> Gene Using a BRET-Based Sensor.","authors":"Tobias Wimmer,&nbsp;Hannah Sawinski,&nbsp;Anne M Urban,&nbsp;Jan Motlik,&nbsp;Knut Stieger","doi":"10.1089/nat.2022.0037","DOIUrl":"https://doi.org/10.1089/nat.2022.0037","url":null,"abstract":"Stargardt disease (STGD) leads to blindness in children and young adults. So far, no curative therapy is available and gene augmentation therapies have not yet advanced to the clinics, in part, due to the limited packaging capacity of adeno-associated viruses used to transfer genes into photoreceptor cells. Prime editing offers a new perspective to treat mutations on the genomic level. A nicking variant of Cas9 fused to a reverse transcriptase complex with an elongated guideRNA force intracellular mismatch repair to correct the targeted mutation even in postmitotic cells such as photoreceptors in the eye. Using a custom-made bioluminescence resonance energy transfer (BRET)-based editing sensor in HEK293 cells, we tested 27 different prime editing guide RNAs (pegRNAs) and additional 4 nicking guide RNAs (ngRNAs) with regard to their efficiency to induce sequences changes in exon 43 of the porcine ATP binding cassette subfamily A member 4 (ABCA4) gene that eliminate a mutagenic adenine frameshift insertion, which has been associated with STGD in humans. We identified nine working pegRNAs, and in combination with ngRNAs, we achieved a correction rate of up to ≈92% measured with the BRET-based reporter system. Our data prove the high efficiency of prime editors to correct mutations and highlight the importance of optimal ngRNA design, thus offering a promising editing tool to correct ABCA4 mutations in the disease context.","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 3","pages":"226-232"},"PeriodicalIF":4.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9666363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Next Generation Exon 51 Skipping Antisense Oligonucleotides for Duchenne Muscular Dystrophy. 杜氏肌营养不良症的下一代外显子51反义寡核苷酸跳过。
IF 4 2区 医学
Nucleic acid therapeutics Pub Date : 2023-06-01 DOI: 10.1089/nat.2022.0063
Judith van Deutekom, Chantal Beekman, Suzanne Bijl, Sieto Bosgra, Rani van den Eijnde, Dennis Franken, Bas Groenendaal, Bouchra Harquouli, Anneke Janson, Paul Koevoets, Melissa Mulder, Daan Muilwijk, Galyna Peterburgska, Bianca Querido, Janwillem Testerink, Ruurd Verheul, Peter de Visser, Rudie Weij, Annemieke Aartsma-Rus, Jukka Puoliväli, Timo Bragge, Charles O'Neill, Nicole A Datson
{"title":"Next Generation Exon 51 Skipping Antisense Oligonucleotides for Duchenne Muscular Dystrophy.","authors":"Judith van Deutekom,&nbsp;Chantal Beekman,&nbsp;Suzanne Bijl,&nbsp;Sieto Bosgra,&nbsp;Rani van den Eijnde,&nbsp;Dennis Franken,&nbsp;Bas Groenendaal,&nbsp;Bouchra Harquouli,&nbsp;Anneke Janson,&nbsp;Paul Koevoets,&nbsp;Melissa Mulder,&nbsp;Daan Muilwijk,&nbsp;Galyna Peterburgska,&nbsp;Bianca Querido,&nbsp;Janwillem Testerink,&nbsp;Ruurd Verheul,&nbsp;Peter de Visser,&nbsp;Rudie Weij,&nbsp;Annemieke Aartsma-Rus,&nbsp;Jukka Puoliväli,&nbsp;Timo Bragge,&nbsp;Charles O'Neill,&nbsp;Nicole A Datson","doi":"10.1089/nat.2022.0063","DOIUrl":"https://doi.org/10.1089/nat.2022.0063","url":null,"abstract":"<p><p>In the last two decades, antisense oligonucleotides (AONs) that induce corrective exon skipping have matured as promising therapies aimed at tackling the dystrophin deficiency that underlies the severe and progressive muscle fiber degeneration in Duchenne muscular dystrophy (DMD) patients. Pioneering first generation exon 51 skipping AONs like drisapersen and eteplirsen have more recently been followed up by AONs for exons 53 and 45, with, to date, a total of four exon skipping AON drugs having reached (conditional) regulatory US Food and Drug Administration (FDA) approval for DMD. Nonetheless, considering the limited efficacy of these drugs, there is room for improvement. The aim of this study was to develop more efficient [2'-<i>O</i>-methyl-modified phosphorothioate (2'OMePS) RNA] AONs for <i>DMD</i> exon 51 skipping by implementing precision chemistry as well as identifying a more potent target binding site. More than a hundred AONs were screened in muscle cell cultures, followed by a selective comparison in the hDMD and hDMDdel52/<i>mdx</i> mouse models. Incorporation of 5-methylcytosine and position-specific locked nucleic acids in AONs targeting the drisapersen/eteplirsen binding site resulted in 15-fold higher exon 51 skipping levels compared to drisapersen in hDMDdel52/<i>mdx</i> mice. However, with similarly modified AONs targeting an alternative site in exon 51, 65-fold higher skipping levels were obtained, restoring dystrophin up to 30% of healthy control. Targeting both sites in exon 51 with a single AON further increased exon skipping (100-fold over drisapersen) and dystrophin (up to 40%) levels. These dystrophin levels allowed for normalization of creatine kinase (CK) and lactate dehydrogenase (LDH) levels, and improved motor function in hDMDdel52/<i>mdx</i> mice. As no major safety observation was obtained, the improved therapeutic index of these next generation AONs is encouraging for further (pre)clinical development.</p>","PeriodicalId":19412,"journal":{"name":"Nucleic acid therapeutics","volume":"33 3","pages":"193-208"},"PeriodicalIF":4.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10022270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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