在mdx52小鼠中,使用体内吗啉代寡核苷酸混合物靶向肌营养不良蛋白外显子45-55进行系统性多外显子跳跃的长期疗效。

Long-term efficacy of systemic multiexon skipping targeting dystrophin exons 45-55 with a cocktail of vivo-morpholinos in mdx52 mice.

作者信息

Echigoya Yusuke, Aoki Yoshitsugu, Miskew Bailey, Panesar Dharminder, Touznik Aleksander, Nagata Tetsuya, Tanihata Jun, Nakamura Akinori, Nagaraju Kanneboyina, Yokota Toshifumi

机构信息

Department of Medical Genetics, School of Human Development, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

1] Department of Molecular Therapy, National Institute of Neuroscience, National Center of Neurology and Psychiatry (NCNP), Kodaira, Japan [2] Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK.

出版信息

Mol Ther Nucleic Acids. 2015 Feb 3;4(2):e225. doi: 10.1038/mtna.2014.76.

Abstract

Antisense-mediated exon skipping, which can restore the reading frame, is a most promising therapeutic approach for Duchenne muscular dystrophy. Remaining challenges include the limited applicability to patients and unclear function of truncated dystrophin proteins. Multiexon skipping targeting exons 45-55 at the mutation hotspot of the dystrophin gene could overcome both of these challenges. Previously, we described the feasibility of exons 45-55 skipping with a cocktail of Vivo-Morpholinos in vivo; however, the long-term efficacy and safety of Vivo-Morpholinos remains to be determined. In this study, we examined the efficacy and toxicity of exons 45-55 skipping by intravenous injections of 6 mg/kg 10-Vivo-Morpholino cocktail (0.6 mg/kg each vPMO) every 2 weeks for 18 weeks to dystrophic exon-52 knockout (mdx52) mice. Systemic skipping of the entire exons 45-55 region was induced, and the Western blot analysis exhibited the restoration of 5-27% of normal levels of dystrophin protein in skeletal muscles, accompanied by improvements in histopathology and muscle strength. No obvious immune response and renal and hepatic toxicity were detected at the end-point of the treatment. We demonstrate our new regimen with the 10-Vivo-Morpholino cocktail is effective and safe for long-term repeated systemic administration in the dystrophic mouse model.

摘要

反义介导的外显子跳跃可恢复阅读框,是杜氏肌营养不良症最有前景的治疗方法。尚存的挑战包括对患者的适用性有限以及截短的肌营养不良蛋白的功能尚不清楚。针对肌营养不良蛋白基因突变热点处的外显子45 - 55进行多外显子跳跃可克服这两个挑战。此前,我们描述了在体内使用Vivo - Morpholino混合物实现外显子45 - 55跳跃的可行性;然而,Vivo - Morpholino的长期疗效和安全性仍有待确定。在本研究中,我们通过每2周静脉注射6 mg/kg的10种Vivo - Morpholino混合物(每种vPMO为0.6 mg/kg),共注射18周,来检测外显子45 - 55跳跃对营养不良性外显子52敲除(mdx52)小鼠的疗效和毒性。诱导了整个外显子45 - 55区域的系统性跳跃,蛋白质印迹分析显示骨骼肌中肌营养不良蛋白水平恢复到正常水平的5 - 27%,同时组织病理学和肌肉力量得到改善。在治疗终点未检测到明显的免疫反应以及肾脏和肝脏毒性。我们证明了使用10种Vivo - Morpholino混合物的新方案对营养不良小鼠模型进行长期重复全身给药是有效且安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8737/4345310/5f8827c40231/mtna201476f1.jpg

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