Peptide-conjugated antimiRs improve myotonic dystrophy type 1 phenotypes by promoting endogenous MBNL1 expression

© 2023 The Authors..

Myotonic dystrophy type 1 (DM1) is a rare neuromuscular disease caused by a CTG repeat expansion in the DMPK gene that generates toxic RNA with a myriad of downstream alterations in RNA metabolism. A key consequence is the sequestration of alternative splicing regulatory proteins MBNL1/2 by expanded transcripts in the affected tissues. MBNL1/2 depletion interferes with a developmental alternative splicing switch that causes the expression of fetal isoforms in adults. Boosting the endogenous expression of MBNL proteins by inhibiting the natural translational repressors miR-23b and miR-218 has previously been shown to be a promising therapeutic approach. We designed antimiRs against both miRNAs with a phosphorodiamidate morpholino oligonucleotide (PMO) chemistry conjugated to cell-penetrating peptides (CPPs) to improve delivery to affected tissues. In DM1 cells, CPP-PMOs significantly increased MBNL1 levels. In some candidates, this was achieved using concentrations less than two orders of magnitude below the median toxic concentration, with up to 5.38-fold better therapeutic window than previous antagomiRs. In HSALR mice, intravenous injections of CPP-PMOs improve molecular, histopathological, and functional phenotypes, without signs of toxicity. Our findings place CPP-PMOs as promising antimiR candidates to overcome the treatment delivery challenge in DM1 therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Molecular therapy. Nucleic acids - 34(2023) vom: 12. Dez., Seite 102024

Sprache:

Englisch

Beteiligte Personen:

González-Martínez, Irene [VerfasserIn]
Cerro-Herreros, Estefanía [VerfasserIn]
Moreno, Nerea [VerfasserIn]
García-Rey, Andrea [VerfasserIn]
Espinosa-Espinosa, Jorge [VerfasserIn]
Carrascosa-Sàez, Marc [VerfasserIn]
Piqueras-Losilla, Diego [VerfasserIn]
Arzumanov, Andrey [VerfasserIn]
Seoane-Miraz, David [VerfasserIn]
Jad, Yahya [VerfasserIn]
Raz, Richard [VerfasserIn]
Wood, Matthew J [VerfasserIn]
Varela, Miguel A [VerfasserIn]
Llamusí, Beatriz [VerfasserIn]
Artero, Rubén [VerfasserIn]

Links:

Volltext

Themen:

Alternative splicing
Antisense oligonucleotides
Biodistribution
Cell-penetrating peptides
Journal Article
MBNL proteins
MT: Oligonucleotides: Therapies and Applications
MicroRNAs
Muscle dysfunction
Myotonic dystrophy
PMO chemistry

Anmerkungen:

Date Revised 26.09.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.omtn.2023.09.001

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362406383