Efficacy and Safety Profile of Tricyclo-DNA Antisense Oligonucleotides in Duchenne Muscular Dystrophy Mouse Model

Antisense oligonucleotides (AONs) hold promise for therapeutic splice-switching correction in many genetic diseases. However, despite advances in AON chemistry and design, systemic use of AONs is limited due to poor tissue uptake and sufficient therapeutic efficacy is still difficult to achieve. A n...

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Main Authors: Karima Relizani (Author), Graziella Griffith (Author), Lucía Echevarría (Author), Faouzi Zarrouki (Author), Patricia Facchinetti (Author), Cyrille Vaillend (Author), Christian Leumann (Author), Luis Garcia (Author), Aurélie Goyenvalle (Author)
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Published: Elsevier, 2017-09-01T00:00:00Z.
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100 1 0 |a Karima Relizani  |e author 
700 1 0 |a Graziella Griffith  |e author 
700 1 0 |a Lucía Echevarría  |e author 
700 1 0 |a Faouzi Zarrouki  |e author 
700 1 0 |a Patricia Facchinetti  |e author 
700 1 0 |a Cyrille Vaillend  |e author 
700 1 0 |a Christian Leumann  |e author 
700 1 0 |a Luis Garcia  |e author 
700 1 0 |a Aurélie Goyenvalle  |e author 
245 0 0 |a Efficacy and Safety Profile of Tricyclo-DNA Antisense Oligonucleotides in Duchenne Muscular Dystrophy Mouse Model 
260 |b Elsevier,   |c 2017-09-01T00:00:00Z. 
500 |a 2162-2531 
500 |a 10.1016/j.omtn.2017.06.013 
520 |a Antisense oligonucleotides (AONs) hold promise for therapeutic splice-switching correction in many genetic diseases. However, despite advances in AON chemistry and design, systemic use of AONs is limited due to poor tissue uptake and sufficient therapeutic efficacy is still difficult to achieve. A novel class of AONs made of tricyclo-DNA (tcDNA) is considered very promising for the treatment of Duchenne muscular dystrophy (DMD), a neuromuscular disease typically caused by frameshifting deletions or nonsense mutations in the gene-encoding dystrophin and characterized by progressive muscle weakness, cardiomyopathy, and respiratory failure in addition to cognitive impairment. Herein, we report the efficacy and toxicology profile of a 13-mer tcDNA in mdx mice. We show that systemic delivery of 13-mer tcDNA allows restoration of dystrophin in skeletal muscles and to a lower extent in the brain, leading to muscle function improvement and correction of behavioral features linked to the emotional/cognitive deficiency. More importantly, tcDNA treatment was generally limited to minimal glomerular changes and few cell necroses in proximal tubules, with only slight variation in serum and urinary kidney toxicity biomarker levels. These results demonstrate an encouraging safety profile for tcDNA, albeit typical of phosphorothiate AONs, and confirm its therapeutic potential for the systemic treatment of DMD patients. Keywords: antisense oligonucleotides, Duchenne muscular dystrophy, preclinical, splice switching, tcDNA-AONs 
546 |a EN 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Molecular Therapy: Nucleic Acids, Vol 8, Iss , Pp 144-157 (2017) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2162253117301993 
787 0 |n https://doaj.org/toc/2162-2531 
856 4 1 |u https://doaj.org/article/1d94d53beb4a47d8a7a1a68df902a18f  |z Connect to this object online.