Cholesterol-functionalized DNA/RNA heteroduplexes cross the blood-brain barrier and knock down genes in the rodent CNS.
Journal
Nature biotechnology
ISSN: 1546-1696
Titre abrégé: Nat Biotechnol
Pays: United States
ID NLM: 9604648
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
received:
22
09
2020
accepted:
02
06
2021
pubmed:
14
8
2021
medline:
22
4
2022
entrez:
13
8
2021
Statut:
ppublish
Résumé
Achieving regulation of endogenous gene expression in the central nervous system (CNS) with antisense oligonucleotides (ASOs) administered systemically would facilitate the development of ASO-based therapies for neurological diseases. We demonstrate that DNA/RNA heteroduplex oligonucleotides (HDOs) conjugated to cholesterol or α-tocopherol at the 5' end of the RNA strand reach the CNS after subcutaneous or intravenous administration in mice and rats. The HDOs distribute throughout the brain, spinal cord and peripheral tissues and suppress the expression of four target genes by up to 90% in the CNS, whereas single-stranded ASOs conjugated to cholesterol have limited activity. Gene knockdown was observed in major CNS cell types and was greatest in neurons and microglial cells. Side effects, such as thrombocytopenia and focal brain necrosis, were limited by using subcutaneous delivery or by dividing intravenous injections. By crossing the blood-brain barrier more effectively, cholesterol-conjugated HDOs may overcome the limited efficacy of ASOs targeting the CNS without requiring intrathecal administration.
Identifiants
pubmed: 34385691
doi: 10.1038/s41587-021-00972-x
pii: 10.1038/s41587-021-00972-x
doi:
Substances chimiques
Oligonucleotides
0
Oligonucleotides, Antisense
0
RNA
63231-63-0
DNA
9007-49-2
Cholesterol
97C5T2UQ7J
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1529-1536Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.
Références
Kole, R., Krainer, A. R. & Altman, S. RNA therapeutics: beyond RNA interference and antisense oligonucleotides. Nat. Rev. Drug Discov. 11, 125–140 (2012).
pubmed: 22262036
pmcid: 4743652
doi: 10.1038/nrd3625
Lundin, K. E., Gissberg, O. & Smith, C. I. Oligonucleotide therapies: the past and the present. Hum. Gene Ther. 26, 475–485 (2015).
pubmed: 26160334
pmcid: 4554547
doi: 10.1089/hum.2015.070
Finkel, R. S. et al. Nusinersen versus sham control in infantile-onset spinal muscular atrophy. N. Engl. J. Med. 377, 1723–1732 (2017).
pubmed: 29091570
doi: 10.1056/NEJMoa1702752
Mercuri, E. et al. Nusinersen versus sham control in later-onset spinal muscular atrophy. N. Engl. J. Med. 378, 625–635 (2018).
pubmed: 29443664
doi: 10.1056/NEJMoa1710504
Lunn, M. R. & Wang, C. H. Spinal muscular atrophy. Lancet 371, 2120–2133 (2008).
pubmed: 18572081
doi: 10.1016/S0140-6736(08)60921-6
Schwentker, E. P. & Gibson, D. A. The orthopaedic aspects of spinal muscular atrophy. J. Bone Joint Surg. Am. 58, 32–38 (1976).
pubmed: 765347
doi: 10.2106/00004623-197658010-00005
Mercuri, E., Bertini, E. & Iannaccone, S. T. Childhood spinal muscular atrophy: controversies and challenges. Lancet Neurol. 11, 443–452 (2012).
pubmed: 22516079
doi: 10.1016/S1474-4422(12)70061-3
Fujak, A. et al. Natural course of scoliosis in proximal spinal muscular atrophy type II and IIIa: descriptive clinical study with retrospective data collection of 126 patients. BMC Musculoskelet. Disord. 14, 283 (2013).
pubmed: 24093531
pmcid: 3850509
doi: 10.1186/1471-2474-14-283
Johnson, K.S. & Sexton, D.J. Lumbar puncture: technique, indications, contraindications, and complications in adults. UptoDate https://www.uptodate.com/contents/lumbar-puncture-technique-indications-contraindications-and-complications-in-adults (2018).
Pardridge, W. M. CNS drug design based on principles of blood–brain barrier transport. J. Neurochem. 70, 1781–1792 (1998).
pubmed: 9572261
doi: 10.1046/j.1471-4159.1998.70051781.x
Schoch, K. M. & Miller, T. M. Antisense oligonucleotides: translation from mouse models to human neurodegenerative diseases. Neuron 94, 1056–1070 (2017).
pubmed: 28641106
pmcid: 5821515
doi: 10.1016/j.neuron.2017.04.010
Dong, X. Current strategies for brain drug delivery. Theranostics 8, 1481–1493 (2018).
pubmed: 29556336
pmcid: 5858162
doi: 10.7150/thno.21254
Nafee, N. & Gouda, N. Nucleic acids-based nanotherapeutics crossing the blood brain barrier. Curr. Gene Ther. 17, 154–169 (2017).
pubmed: 28494740
doi: 10.2174/1566523217666170510155803
Zeniya, S. et al. Angubindin-1 opens the blood–brain barrier in vivo for delivery of antisense oligonucleotide to the central nervous system. J. Control. Release 283, 126–134 (2018).
pubmed: 29753959
doi: 10.1016/j.jconrel.2018.05.010
Nishina, K. et al. DNA/RNA heteroduplex oligonucleotide for highly efficient gene silencing. Nat. Commun. 6, 7969 (2015).
pubmed: 26258894
pmcid: 4918363
doi: 10.1038/ncomms8969
Obika, S. et al. Synthesis of 2′-O,4′-C-methyleneuridine and -cytidine: novel bicyclic nucleosides having a fixed C
doi: 10.1016/S0040-4039(97)10322-7
Obika, S. et al. Stability and structural features of the duplexes containing nucleoside analogues with a fixed N-type conformation, 2′-O,4′-C-methyleneribonucleosides. Tetrahedron Lett. 39, 5401–5404 (1998).
doi: 10.1016/S0040-4039(98)01084-3
Singh, S.K., Koshkin, A.A., Wengel, J. & Nielsen, P. LNA (locked nucleic acids): synthesis and high-affinity nucleic acid recognition. Chem. Commun. 4, 455–456 (1998).
Wolfrum, C. et al. Mechanisms and optimization of in vivo delivery of lipophilic siRNAs. Nat. Biotechnol. 25, 1149–1157 (2007).
pubmed: 17873866
doi: 10.1038/nbt1339
Hung, G. et al. Characterization of target mRNA reduction through in situ RNA hybridization in multiple organ systems following systemic antisense treatment in animals. Nucleic Acid Ther. 23, 369–378 (2013).
pubmed: 24161045
doi: 10.1089/nat.2013.0443
Yu, R. Z. et al. Cross-species pharmacokinetic comparison from mouse to man of a second-generation antisense oligonucleotide, ISIS 301012, targeting human apolipoprotein B-100. Drug Metab. Dispos. 35, 460–468 (2007).
pubmed: 17172312
doi: 10.1124/dmd.106.012401
Geary, R. S. Antisense oligonucleotide pharmacokinetics and metabolism. Expert Opin. Drug Metab. Toxicol. 5, 381–391 (2009).
pubmed: 19379126
doi: 10.1517/17425250902877680
Nishina, T. et al. Chimeric antisense oligonucleotide conjugated to α-tocopherol. Mol. Ther. Nucleic Acids 4, e220 (2015).
pubmed: 25584900
pmcid: 4345304
doi: 10.1038/mtna.2014.72
Wada, S. et al. Evaluation of the effects of chemically different linkers on hepatic accumulations, cell tropism and gene silencing ability of cholesterol-conjugated antisense oligonucleotides. J. Control. Release 226, 57–65 (2016).
pubmed: 26855051
doi: 10.1016/j.jconrel.2016.02.007
Seth, P. P. et al. Design, synthesis and evaluation of constrained methoxyethyl (cMOE) and constrained ethyl (cEt) nucleoside analogs. Nucleic Acids Symp. Ser. 52, 553–554 (2008).
doi: 10.1093/nass/nrn280
Jauvin, D. et al. Targeting DMPK with antisense oligonucleotide improves muscle strength in myotonic dystrophy type 1 mice. Mol. Ther. Nucleic Acids 7, 465–474 (2017).
pubmed: 28624222
pmcid: 5453865
doi: 10.1016/j.omtn.2017.05.007
Pandey, S. K. et al. Identification and characterization of modified antisense oligonucleotides targeting DMPK in mice and nonhuman primates for the treatment of myotonic dystrophy type 1. J. Pharmacol. Exp. Ther. 355, 329–340 (2015).
pubmed: 26330536
pmcid: 4613955
doi: 10.1124/jpet.115.226969
Bugiardini, E. & Meola, G. Consensus on cerebral involvement in myotonic dystrophy: workshop report: May 24-27, 2013, Ferrere (AT), Italy. Neuromuscul. Disord. 24, 445–452 (2014).
pubmed: 24613228
doi: 10.1016/j.nmd.2014.01.013
Hagemann, T. L. et al. Antisense suppression of glial fibrillary acidic protein as a treatment for Alexander disease. Ann. Neurol. 83, 27–39 (2018).
pubmed: 29226998
pmcid: 5876100
doi: 10.1002/ana.25118
McCampbell, A. et al. Antisense oligonucleotides extend survival and reverse decrement in muscle response in ALS models. J. Clin. Invest. 128, 3558–3567 (2018).
pubmed: 30010620
pmcid: 6063493
doi: 10.1172/JCI99081
Kordasiewicz, H. B. et al. Sustained therapeutic reversal of Huntington’s disease by transient repression of huntingtin synthesis. Neuron 74, 1031–1044 (2012).
pubmed: 22726834
pmcid: 3383626
doi: 10.1016/j.neuron.2012.05.009
Southwell, A. L. et al. In vivo evaluation of candidate allele-specific mutant huntingtin gene silencing antisense oligonucleotides. Mol. Ther. 22, 2093–2106 (2014).
pubmed: 25101598
pmcid: 4429695
doi: 10.1038/mt.2014.153
Godinho, B. et al. Transvascular delivery of hydrophobically modified siRNAs: gene silencing in the rat brain upon disruption of the blood–brain barrier. Mol. Ther. 26, 2580–2591 (2018).
Tyler, B. M. et al. Peptide nucleic acids targeted to the neurotensin receptor and administered i.p. cross the blood–brain barrier and specifically reduce gene expression. Proc. Natl Acad. Sci. USA 96, 7053–7058 (1999).
pubmed: 10359837
pmcid: 22053
doi: 10.1073/pnas.96.12.7053
Hamzavi, R., Dolle, F., Tavitian, B., Dahl, O. & Nielsen, P. E. Modulation of the pharmacokinetic properties of PNA: preparation of galactosyl, mannosyl, fucosyl, N-acetylgalactosaminyl, and N-acetylglucosaminyl derivatives of aminoethylglycine peptide nucleic acid monomers and their incorporation into PNA oligomers. Bioconjug. Chem. 14, 941–954 (2003).
pubmed: 13129397
doi: 10.1021/bc034022x
Habeck, M. PNAs a match for the BBB? Drug Discov. Today 8, 377–378 (2003).
pubmed: 12706647
doi: 10.1016/S1359-6446(03)02683-7
Banks, W. A. et al. Delivery across the blood–brain barrier of antisense directed against amyloid β: reversal of learning and memory deficits in mice overexpressing amyloid precursor protein. J. Pharmacol. Exp. Ther. 297, 1113–1121 (2001).
pubmed: 11356936
Zhang, Z. et al. Oligonucleotide-induced alternative splicing of serotonin 2C receptor reduces food intake. EMBO Mol. Med. 8, 878–894 (2016).
pubmed: 27406820
pmcid: 4967942
doi: 10.15252/emmm.201506030
Hammond, S. M. et al. Systemic peptide-mediated oligonucleotide therapy improves long-term survival in spinal muscular atrophy. Proc. Natl Acad. Sci. USA 113, 10962–10967 (2016).
pubmed: 27621445
pmcid: 5047168
doi: 10.1073/pnas.1605731113
Shabanpoor, F. et al. Identification of a peptide for systemic brain delivery of a morpholino oligonucleotide in mouse models of spinal muscular atrophy. Nucleic Acid Ther. 27, 130–143 (2017).
pubmed: 28118087
pmcid: 5467147
doi: 10.1089/nat.2016.0652
Relizani, K. et al. Efficacy and safety profile of tricyclo-DNA antisense oligonucleotides in Duchenne muscular dystrophy mouse model. Mol. Ther. Nucleic Acids 8, 144–157 (2017).
pubmed: 28918017
pmcid: 5498286
doi: 10.1016/j.omtn.2017.06.013
Soutschek, J. et al. Therapeutic silencing of an endogenous gene by systemic administration of modified siRNAs. Nature 432, 173–178 (2004).
pubmed: 15538359
doi: 10.1038/nature03121
Biscans, A. et al. Diverse lipid conjugates for functional extra-hepatic siRNA delivery in vivo. Nucleic Acids Res. 47, 1082–1096 (2019).
pubmed: 30544191
doi: 10.1093/nar/gky1239
Ostergaard, M. E. et al. Conjugation of hydrophobic moieties enhances potency of antisense oligonucleotides in the muscle of rodents and non-human primates. Nucleic Acids Res. 47, 6045–6058 (2019).
pubmed: 31076766
pmcid: 6614849
Swayze, E. E. et al. Antisense oligonucleotides containing locked nucleic acid improve potency but cause significant hepatotoxicity in animals. Nucleic Acids Res. 35, 687–700 (2007).
pubmed: 17182632
doi: 10.1093/nar/gkl1071
Rigo, F. et al. Pharmacology of a central nervous system delivered 2′-O-methoxyethyl-modified survival of motor neuron splicing oligonucleotide in mice and nonhuman primates. J. Pharmacol. Exp. Ther. 350, 46–55 (2014).
pubmed: 24784568
pmcid: 4056267
doi: 10.1124/jpet.113.212407
Ling, K. K. et al. Antisense-mediated reduction of EphA4 in the adult CNS does not improve the function of mice with amyotrophic lateral sclerosis. Neurobiol. Dis. 114, 174–183 (2018).
pubmed: 29518482
pmcid: 8820074
doi: 10.1016/j.nbd.2018.03.002
Livak, K. J. & Schmittgen, T. D. Analysis of relative gene expression data using real-time quantitative PCR and the [Formula: see text] method. Methods 25, 402–408 (2001).
pubmed: 11846609
doi: 10.1006/meth.2001.1262
Bustin, S. A. et al. The MIQE guidelines: minimum information for publication of quantitative real-time PCR experiments. Clin. Chem. 55, 611–622 (2009).
pubmed: 19246619
doi: 10.1373/clinchem.2008.112797
Oude Ophuis, R. J. et al. DMPK protein isoforms are differentially expressed in myogenic and neural cell lineages. Muscle Nerve 40, 545–555 (2009).
pubmed: 19626675
doi: 10.1002/mus.21352
Bruijn, L. I. et al. ALS-linked SOD1 mutant G85R mediates damage to astrocytes and promotes rapidly progressive disease with SOD1-containing inclusions. Neuron 18, 327–338 (1997).
pubmed: 9052802
doi: 10.1016/S0896-6273(00)80272-X
Uchihara, T., Nakamura, A., Shibuya, K. & Yagishita, S. Specific detection of pathological three-repeat tau after pretreatment with potassium permanganate and oxalic acid in PSP/CBD brains. Brain Pathol. 21, 180–188 (2011).
pubmed: 20825412
doi: 10.1111/j.1750-3639.2010.00433.x
Feldmann, M., Pathipati, P., Sheldon, R. A., Jiang, X. & Ferriero, D. M. Isolating astrocytes and neurons sequentially from postnatal murine brains with a magnetic cell separation technique. J. Biol. Methods 1, e11 (2014).
doi: 10.14440/jbm.2014.33
Bamford, R. A. et al. Electroporation and microinjection successfully deliver single-stranded and duplex DNA into live cells as detected by FRET measurements. PLoS ONE 9, e95097 (2014).
pubmed: 24755680
pmcid: 3995676
doi: 10.1371/journal.pone.0095097