Pre-clinical Safety and Off-Target Studies to Support Translation of AAV-Mediated RNAi Therapy for FSHD.

Pre-clinical Safety and Off-Target Studies to Support Translation of AAV-Mediated RNAi Therapy for FSHD.
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临床前安全性和脱靶研究,以支持AAV介导的RNAi治疗FSHD的翻译。

DOI:
10.1016/j.omtm.2017.12.005
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发表时间:
2018-03-16
期刊:
Molecular therapy. Methods & clinical development
影响因子:
--
通讯作者:
Harper SQ
Harper SQ
中科院分区:
其他
文献类型:
--
作者:
Wallace LM;Saad NY;Pyne NK;Fowler AM;Eidahl JO;Domire JS;Griffin DA;Herman AC;Sahenk Z;Rodino-Klapac LR;Harper SQ

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RNAi emerged as a prospective molecular therapy nearly 15 years ago. Since then, two major RNAi platforms have been under development: oligonucleotides and gene therapy. Oligonucleotide-based approaches have seen more advancement, with some promising therapies that may soon reach market. In contrast, vector-based approaches for RNAi therapy have remained largely in the pre-clinical realm, with limited clinical safety and efficacy data to date. We are developing a gene therapy approach to treat the autosomal-dominant disorder facioscapulohumeral muscular dystrophy. Our strategy involves silencing the myotoxic gene DUX4 using adeno-associated viral vectors to deliver targeted microRNA expression cassettes (miDUX4s). We previously demonstrated proof of concept for this approach in mice, and we are now taking additional steps here to assess safety issues related to miDUX4 overexpression and sequence-specific off-target silencing. In this study, we describe improvements in vector design and expansion of our miDUX4 sequence repertoire and report differential toxicity elicited by two miDUX4 sequences, of which one was toxic and the other was not. This study provides important data to help advance our goal of translating RNAi gene therapy for facioscapulohumeral muscular dystrophy.
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