Therapeutic efficacy of antisense oligonucleotides in mouse models of CLN3 Batten disease.

Therapeutic efficacy of antisense oligonucleotides in mouse models of CLN3 Batten disease.
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DOI:
10.1038/s41591-020-0986-1
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发表时间:
2020-09
期刊:
影响因子:
82.9
通讯作者:
Hastings ML
Hastings ML
中科院分区:
医学1区
文献类型:
--
作者:
Centa JL;Jodelka FM;Hinrich AJ;Johnson TB;Ochaba J;Jackson M;Duelli DM;Weimer JM;Rigo F;Hastings ML

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CLN 3 Batten病是由编码溶酶体膜蛋白的CLN 3突变引起的常染色体隐性、神经退行性、溶酶体贮积病。对于这种疾病没有改善疾病的治疗方法,这种疾病影响到25,000名新生儿中的1名,在幼儿期出现症状,通常在20-30岁时致命。大多数CLN 3 Batten患者具有包含外显子7和8的缺失(CLN 3 Δ ex 7/8),产生阅读移码。在这里,我们证明,这种缺失的小鼠可以有效地治疗使用反义寡核苷酸(阿索),诱导外显子跳跃,以恢复开放的阅读框架。用外显子5靶向的ASO单次治疗新生小鼠一年多,诱导了稳健的外显子跳跃,改善了Cln 3 Δ ex 7/8小鼠的运动协调性,减少了组织病理学,并增加了新的疾病小鼠模型的存活率。ASO还在源自CLN 3 Batten病患者的细胞系中诱导外显子跳跃。我们的研究结果证明了基于ASO的阅读框校正作为治疗CLN 3 Batten病的方法的实用性,并拓宽了使用类似策略治疗其他疾病的ASO的治疗前景。
CLN3 Batten disease is an autosomal recessive, neurodegenerative, lysosomal storage disease caused by mutations in CLN3, which encodes a lysosomal membrane protein. There are no disease-modifying treatments for this disease that affects up to 1 in 25,000 births, has an onset of symptoms in early childhood and typically is fatal by 20–30 years of life. Most patients with CLN3 Batten have a deletion encompassing exons 7 and 8 (CLN3Δex7/8), creating a reading frame-shift. Here we demonstrate that mice with this deletion can be effectively treated using an antisense oligonucleotide (ASO) that induces exon skipping to restore the open reading frame. A single treatment of neonatal mice with an exon 5-targeted ASO-induced robust exon skipping for more than a year, improved motor coordination, reduced histopathology in Cln3Δex7/8 mice and increased survival in a new mouse model of the disease. ASOs also induced exon skipping in cell lines derived from patients with CLN3 Batten disease. Our findings demonstrate the utility of ASO-based reading-frame correction as an approach to treat CLN3 Batten disease and broaden the therapeutic landscape for ASOs in the treatment of other diseases using a similar strategy.
DOI: 10.1038/nbt.1610
发表时间: 2010-03
影响因子: 46.9
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发表时间: 2002-04-19
影响因子: 2.5
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