BB-301: a silence and replace AAV-based vector for the treatment of oculopharyngeal muscular dystrophy

Oculopharyngeal muscular dystrophy (OPMD) is a rare autosomal dominant disease that results from an alanine expansion in the N-terminal domain of Poly-A Binding Protein Nuclear-1 (PABPN1). We have recently demonstrated that a two-vector gene therapy strategy significantly ameliorated the pathology i...

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Main Authors: Vanessa Strings-Ufombah (Author), Alberto Malerba (Author), Shih-Chu Kao (Author), Sonal Harbaran (Author), Fanny Roth (Author), Ornella Cappellari (Author), Ngoc Lu-Nguyen (Author), Keiko Takahashi (Author), Sophie Mukadam (Author), Georgina Kilfoil (Author), Claudia Kloth (Author), Petrus Roelvink (Author), George Dickson (Author), Capucine Trollet (Author), David Suhy (Author)
Format: Book
Published: Elsevier, 2021-06-01T00:00:00Z.
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100 1 0 |a Vanessa Strings-Ufombah  |e author 
700 1 0 |a Alberto Malerba  |e author 
700 1 0 |a Shih-Chu Kao  |e author 
700 1 0 |a Sonal Harbaran  |e author 
700 1 0 |a Fanny Roth  |e author 
700 1 0 |a Ornella Cappellari  |e author 
700 1 0 |a Ngoc Lu-Nguyen  |e author 
700 1 0 |a Keiko Takahashi  |e author 
700 1 0 |a Sophie Mukadam  |e author 
700 1 0 |a Georgina Kilfoil  |e author 
700 1 0 |a Claudia Kloth  |e author 
700 1 0 |a Petrus Roelvink  |e author 
700 1 0 |a George Dickson  |e author 
700 1 0 |a Capucine Trollet  |e author 
700 1 0 |a David Suhy  |e author 
245 0 0 |a BB-301: a silence and replace AAV-based vector for the treatment of oculopharyngeal muscular dystrophy 
260 |b Elsevier,   |c 2021-06-01T00:00:00Z. 
500 |a 2162-2531 
500 |a 10.1016/j.omtn.2021.02.017 
520 |a Oculopharyngeal muscular dystrophy (OPMD) is a rare autosomal dominant disease that results from an alanine expansion in the N-terminal domain of Poly-A Binding Protein Nuclear-1 (PABPN1). We have recently demonstrated that a two-vector gene therapy strategy significantly ameliorated the pathology in a mouse model of OPMD. This approach entailed intramuscular injection of two recombinant adeno-associated viruses (AAVs), one expressing three short hairpin RNAs (shRNAs) to silence both mutant and wild-type PABPN1 and one expressing a codon-optimized version of PABPN1 that is insensitive to RNA interference. Here we report the continued development of this therapeutic strategy by delivering "silence and replace" sequences in a single AAV vector named BB-301. This construct is composed of a modified AAV serotype 9 (AAV9) capsid that expresses a unique single bifunctional construct under the control of the muscle-specific Spc5-12 promoter for the co-expression of both the codon-optimized PABPN1 protein and two small inhibitory RNAs (siRNAs) against PABPN1 modeled into microRNA (miRNA) backbones. A single intramuscular injection of BB-301 results in robust inhibition of mutant PABPN1 and concomitant replacement of the codon-optimized PABPN1 protein. The treatment restores muscle strength and muscle weight to wild-type levels as well as improving other physiological hallmarks of the disease in a mouse model of OPMD. 
546 |a EN 
690 |a oculopharyngeal muscular dystrophy 
690 |a OPMD 
690 |a gene therapy 
690 |a AAV 
690 |a silence and replace 
690 |a PABPN1 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Molecular Therapy: Nucleic Acids, Vol 24, Iss , Pp 67-78 (2021) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2162253121000524 
787 0 |n https://doaj.org/toc/2162-2531 
856 4 1 |u https://doaj.org/article/a38e66f16de34830a7d74e6ea8d9e973  |z Connect to this object online.