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通过肽偶联吗啉代寡核苷酸进行剪接校正作为晚发型庞贝病的一种新疗法。

Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease.

作者信息

Oliver Ryan A, Ahern Meghan E, Castaneda Perla G, Jinadasa Tushare, Bardhan Anirban, Morgan Kathy Y, Ha Kristin, Adhikari Kailash, Jungels Nino, Liberman Noa, Mitra Anindita, Greer Christopher D, Wright Alec M, Thompson Emily G, Garcia Stephanie, Copson Elena, Allu Senkara, Tan Xuyu, Callahan Alex J, Cai Bao Zhong, Guerlavais Vincent, Kim Kevin J, Malmberg Annika B

机构信息

Sarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USA.

出版信息

Mol Ther Nucleic Acids. 2025 Mar 27;36(2):102524. doi: 10.1016/j.omtn.2025.102524. eCollection 2025 Jun 10.

Abstract

Late-onset Pompe disease (LOPD) is overwhelmingly caused by a single mutation that disrupts splicing of acid-alpha glucosidase () and results in the accumulation of lysosomal glycogen in muscle cells leading to progressive muscle weakness in patients. Current therapeutics for LOPD do not meet the needs of patients and have largely been developed in mutant animal models lacking expression, which more closely mimic the less common infantile form of the disease. Here we design and evaluate peptide-conjugated phosphorodiamidate morpholino oligomers (PPMOs) to target the causative mutation in and correct pathogenic splicing in muscle tissue. We show PPMO compounds correct LOPD splicing in both patient induced pluripotent stem cell-derived muscle cells and in skeletal muscle tissue after intravenous dosing in a newly developed humanized LOPD animal model that recapitulates patient LOPD splicing.

摘要

晚发型庞贝病(LOPD)绝大多数是由单个突变引起的,该突变破坏了酸性α-葡萄糖苷酶()的剪接,导致肌肉细胞中溶酶体糖原积累,从而使患者出现进行性肌肉无力。目前用于LOPD的治疗方法不能满足患者的需求,并且大多是在缺乏表达的突变动物模型中开发的,这些模型更接近模仿该疾病较不常见的婴儿形式。在这里,我们设计并评估了肽缀合的磷二酰胺吗啉代寡聚物(PPMO),以靶向中的致病突变并纠正肌肉组织中的致病性剪接。我们表明,在新开发的模拟患者LOPD剪接的人源化LOPD动物模型中,静脉给药后,PPMO化合物可纠正患者诱导多能干细胞衍生的肌肉细胞和骨骼肌组织中的LOPD剪接。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e5/12008586/d1abd7edeef0/fx1.jpg

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