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针对CAG重复序列的反义寡核苷酸评估:一项针对亨廷顿舞蹈病的患者定制疗法研究。

Evaluation of an Antisense Oligonucleotide Targeting CAG Repeats: A Patient-Customized Therapy Study for Huntington's Disease.

作者信息

Ocampo-Ortega Sergio Adrian, Sierra-Sanchez Vivany Maydel, Blancas-Napoles Citlali Margarita, González-Carteño Asdrúbal, Mera-Jiménez Elvia, Macías-Pérez Martha Edith, Hernandez-Guerra Adriana, Romero-Nava Rodrigo, Huang Fengyang, Hong Enrique, Villafaña Santiago

机构信息

Laboratorio de Terapia Génica Experimental, Escuela Superior de Medicina, Instituto Politécnico Nacional, Ciudad de Mexico 11340, Mexico.

Laboratorio de Cultivo Celular, Neurobiología y Conducta, Escuela Superior de Medicina, Instituto Politécnico Nacional, Ciudad de Mexico 11340, Mexico.

出版信息

Life (Basel). 2024 Dec 4;14(12):1607. doi: 10.3390/life14121607.

DOI:10.3390/life14121607
PMID:39768315
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11677511/
Abstract

Huntington's disease is a genetic disorder characterized by progressive neuronal cell damage in some areas of the brain; symptoms are commonly associated with chorea, rigidity and dystonia. The symptoms in Huntington's Disease are caused by a pathological increase in the number of Cytokine-Adenine-Guanine (CAG) repeats on the first exon of the Huntingtin gene, which causes a protein to have an excessive number of glutamine residues; this alteration leads to a change in the protein's conformation and function. Therefore, the purpose of this work was to design, synthesize and evaluate an antisense oligonucleotide (ASO; 95 nucleotides) HTT 90-5 directed to the Huntingtin CAG repeats in primary leukocyte culture cells from a patient with Huntington's Disease; approximately 500,000 leukocytes per well extracted from venous blood were used, to which 100 pMol of ASO were administered, and the expression of Huntingtin was subsequently evaluated at 72 h by RT-PCR. Our results showed that the administration of the HTT 90-5 antisense decreased the expression of Huntingtin mRNA in the primary culture leukocyte cells from our patient. These results suggest that the use of long antisense targeting the CAG Huntingtin cluster may be an option to decrease the expression of Huntingtin and probably could be adjusted depending on the number of CAG repeats in the cluster.

摘要

亨廷顿舞蹈症是一种遗传性疾病,其特征是大脑某些区域的神经元细胞进行性损伤;症状通常与舞蹈症、僵硬和肌张力障碍有关。亨廷顿舞蹈症的症状是由亨廷顿基因第一个外显子上细胞因子 - 腺嘌呤 - 鸟嘌呤(CAG)重复序列数量的病理性增加引起的,这导致一种蛋白质含有过多的谷氨酰胺残基;这种改变会导致蛋白质的构象和功能发生变化。因此,本研究的目的是设计、合成并评估一种针对亨廷顿舞蹈症患者原代白细胞培养细胞中亨廷顿CAG重复序列的反义寡核苷酸(ASO;95个核苷酸)HTT 90 - 5;每孔使用从静脉血中提取的约500,000个白细胞,并向其中加入100 pMol的ASO,随后在72小时通过逆转录聚合酶链反应(RT - PCR)评估亨廷顿蛋白的表达。我们的结果表明,HTT 90 - 5反义寡核苷酸的给药降低了我们患者原代培养白细胞中亨廷顿蛋白mRNA的表达。这些结果表明,使用靶向CAG亨廷顿簇的长反义寡核苷酸可能是降低亨廷顿蛋白表达的一种选择,并且可能可以根据簇中CAG重复序列的数量进行调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/2771db5f8d6c/life-14-01607-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/348f29bb1f7c/life-14-01607-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/4edf16cf382a/life-14-01607-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/48170607faa6/life-14-01607-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/10f0caf1bfd2/life-14-01607-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/2771db5f8d6c/life-14-01607-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/348f29bb1f7c/life-14-01607-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/4edf16cf382a/life-14-01607-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/48170607faa6/life-14-01607-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/10f0caf1bfd2/life-14-01607-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9492/11677511/2771db5f8d6c/life-14-01607-g005.jpg

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本文引用的文献

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Unlocking the therapeutic potential of locked nucleic acids through lipid nanoparticle delivery.通过脂质纳米颗粒递送释放锁核酸的治疗潜力。
Mol Ther Nucleic Acids. 2024 May 20;35(2):102224. doi: 10.1016/j.omtn.2024.102224. eCollection 2024 Jun 11.
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Tominersen in Adults with Manifest Huntington's Disease.托米森用于有明显亨廷顿舞蹈病的成人患者。
N Engl J Med. 2023 Dec 7;389(23):2203-2205. doi: 10.1056/NEJMc2300400.
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From Pathogenesis to Therapeutics: A Review of 150 Years of Huntington's Disease Research.从发病机制到治疗:亨廷顿病研究 150 年回顾。
Int J Mol Sci. 2023 Aug 21;24(16):13021. doi: 10.3390/ijms241613021.
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Exosome-Based Carrier for RNA Delivery: Progress and Challenges.用于RNA递送的基于外泌体的载体:进展与挑战
Pharmaceutics. 2023 Feb 10;15(2):598. doi: 10.3390/pharmaceutics15020598.
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Cas9-mediated replacement of expanded CAG repeats in a pig model of Huntington's disease.Cas9 介导的亨廷顿病猪模型中扩展的 CAG 重复序列的替换。
Nat Biomed Eng. 2023 May;7(5):629-646. doi: 10.1038/s41551-023-01007-3. Epub 2023 Feb 16.
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Normal range CAG repeat size variations in the HTT gene are associated with an adverse lipoprotein profile partially mediated by body mass index.正常范围的 HTT 基因 CAG 重复大小变化与不良脂蛋白谱相关,部分通过体重指数介导。
Hum Mol Genet. 2023 May 5;32(10):1741-1752. doi: 10.1093/hmg/ddad020.
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Chemical engineering of therapeutic siRNAs for allele-specific gene silencing in Huntington's disease models.治疗性 siRNA 的化学工程,用于亨廷顿病模型中的等位基因特异性基因沉默。
Nat Commun. 2022 Oct 3;13(1):5802. doi: 10.1038/s41467-022-33061-x.
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