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NS-065/NCNP-01:一种用于潜在治疗杜氏肌营养不良症外显子53跳跃的反义寡核苷酸。

NS-065/NCNP-01: An Antisense Oligonucleotide for Potential Treatment of Exon 53 Skipping in Duchenne Muscular Dystrophy.

作者信息

Watanabe Naoki, Nagata Tetsuya, Satou Youhei, Masuda Satoru, Saito Takashi, Kitagawa Hidetoshi, Komaki Hirofumi, Takagaki Kazuchika, Takeda Shin'ichi

机构信息

Discovery Research Laboratories in Tsukuba, Nippon Shinyaku Co., Ltd., Tsukuba, Ibaraki, Japan.

Department of Molecular Therapy, National Institute of Neuroscience, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo, Japan; Department of Neurology and Neurological Science, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

Mol Ther Nucleic Acids. 2018 Dec 7;13:442-449. doi: 10.1016/j.omtn.2018.09.017. Epub 2018 Sep 27.

Abstract

Duchenne muscular dystrophy (DMD), the most common lethal heritable childhood disease, is caused by mutations in the DMD gene that result in the absence of functional dystrophin protein. Exon skipping mediated by antisense oligonucleotides has recently emerged as an effective approach for the restoration of dystrophin, and skipping of exon 51 of DMD has received accelerated approval. Identifying antisense sequences that can provide the highest possible skipping efficiency is crucial for future clinical applications. Herein, we systematically tested two-step antisense oligonucleotide walks along human DMD exon 53 in order to define sequence-dependent effects of antisense oligonucleotide binding sites in human rhabdomyosarcoma cell lines. The first rough whole-exon 53 walk enabled the identification of a target region, and a second walk of this region was used to determine an optimal antisense oligonucleotide sequence (NS-065/NCNP-01) for exon 53 skipping. This oligonucleotide strongly promoted exon 53 skipping in a dose-dependent manner during pre-mRNA splicing in rhabdomyosarcoma and DMD patient-derived cells, and it restored dystrophin protein levels in patient-derived cells. NS-065/NCNP-01, a phosphorodiamidate morpholino oligomer, appears to be a promising candidate for treating exon 53 skipping, and it is potentially applicable to 10.1% of patients with DMD.

摘要

杜兴氏肌肉营养不良症(DMD)是最常见的致死性遗传性儿童疾病,由DMD基因突变导致功能性抗肌萎缩蛋白缺失所致。反义寡核苷酸介导的外显子跳跃最近已成为恢复抗肌萎缩蛋白的有效方法,DMD外显子51的跳跃已获得加速批准。确定能提供最高跳跃效率的反义序列对于未来的临床应用至关重要。在此,我们在人横纹肌肉瘤细胞系中系统地测试了沿着人DMD外显子53的两步反义寡核苷酸步移,以确定反义寡核苷酸结合位点的序列依赖性效应。第一次粗略的外显子53全步移能够识别一个靶区域,该区域的第二次步移用于确定外显子53跳跃的最佳反义寡核苷酸序列(NS-065/NCNP-01)。在横纹肌肉瘤和DMD患者来源细胞的前体mRNA剪接过程中,该寡核苷酸以剂量依赖性方式强烈促进外显子53跳跃,并在患者来源细胞中恢复了抗肌萎缩蛋白水平。NS-065/NCNP-01,一种磷酰二胺吗啉代寡聚物,似乎是治疗外显子53跳跃的有前景的候选药物,并且可能适用于10.1%的DMD患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fdd/6202794/c0cb053bd221/gr1.jpg

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