Compound and method for treating myotonic dystrophy

a myotonic dystrophy and compound technology, applied in the direction of drug compositions, specific cell targeting, peptide/protein ingredients, etc., can solve the problems of often hindering the practical utility of many drugs with potentially useful biological activity, and achieve the effect of blocking the sequestration of muscleblind-like 1 protein

Inactive Publication Date: 2010-01-21
SAREPTA THERAPEUTICS INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

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Benefits of technology

[0028]The invention includes, in one aspect, an antisense compound for use in treating myotonic dystrophy DM1 or DM2. The compound is composed of an antisense oligonucleotide having 8-30 bases, with at least 8 contiguous bases being complementary to polyCUG or polyCCUG repeats, e.g., SEQ ID NOS: 83 and 84, respectively, in the 3′UTR region of dystrophia myotonica protein kinase (DMPK) mRNA in DM1 or DM2, respectively, and conjugated to the oligonucleotide, a cell-penetrating peptide having the sequence (RXRR(B / X)R)2XB, where R is arginine; B is β-alanine; and each X is —C(O)—(CH2)n—NH—, where n is 4-6. The compound is effective to selectively block the sequestration of muscleblind-like 1 protein (MBNL1) and / or CUGBP in heart and quadricep muscle in a myotonic dystrophy animal model. Exemplary oligonucleotide sequences for MD1 include SEQ ID NOS: 44-47. An exemplary oligonucleotide sequence for MD2 includes SEQ ID NO: 48.

Problems solved by technology

The practical utility of many drugs having potentially useful biological activity is often hindered by problems in delivering such drugs to their targets.

Method used

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  • Compound and method for treating myotonic dystrophy
  • Compound and method for treating myotonic dystrophy
  • Compound and method for treating myotonic dystrophy

Examples

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example 1

Evaluation of Cell Penetrating Peptide Conjugated PMOs in the EGFP-654 Transgenic Mouse Model

[0168]A PMO (designated 654; 5′-GCT ATT ACC TTA ACC CAG-3′; SEQ ID NO: 2) designed to restore correct splicing in the enhanced green fluorescent protein (EGFP) gene was conjugated to various cell penetrating peptides (SEQ ID NOS: 2, 3, 6, 11, 13-14, 19, 20-27) to produce P-PMOs (peptide-conjugated PMOs), which were evaluated in vivo for their splice-correction activity and toxicity in the EGFP-654 transgenic mouse model (Sazani, Gemignani et al. 2002). In this model, the EGFP-654 gene encoding for functional EGFP is interrupted by an aberrantly-spliced mutated intron, and cellular uptake of EGFP-654 targeted P-PMOs can be evaluated by RT-PCR detection of the restored EGFP-654 splice product in tissues.

[0169]Female EGFP-654 transgenic mice were injected IP once daily for 4 consecutive days with saline or a 12.5 mg / kg dose of P-PMO. Post treatment on day 4, the heart, muscles, liver, kidney, l...

example 2

Evaluation of PMOs Conjugated to a Cell Penetrating Peptide (CPP) and / or a Muscle Specific Homing Peptide (HP) in the MDX Murine Model of Duschenes Muscular Dystrophy

[0171]MDX mice were treated with a series of P-PMO (peptide-conjugated PMOs) containing various combinations of muscle-specific CPPs and HPs conjugated to the M23d antisense PMO. The muscle specific CPP used was the “B peptide”, also designated CP06062 (SEQ ID NO: 19), and the muscle specific homing peptide, designated SMP1, was SEQ ID NO: 51. Four combinations were tested including CP06062-PMO, MSP-PMO, CP06062-MSP-PMO and MSP-CP06062-PMO, whose compositions are shown in the appended Sequence Table. The M23d antisense PMO (SEQ ID NO: 77) has a sequence targeted to induce an exon 23 skip in the murine dystrophin gene and restores functional dystrophin.

[0172]The mice received six weekly intravenous injections of a 3 mg / kg dose. The treated mice were sacrificed and various muscle tissues were removed and stained for full-...

example 3

Improved Cardiac Function in Dystrophin-Deficient Mice by a (RXRRBR)2XB-Conjugated PMO

[0176]It has been demonstrated that a PMO (M23d; SEQ ID NO: 37) targeting the junction of exon 23 and intron 23 of mouse dystrophin (referred to as M23d hereafter), was able to induce up to functional levels of dystrophin expression in some skeletal muscles by regular i.v. injections in mdx mice (Alter, J., F. Lou et al. (2006)). However, dystrophin expression induced by PMO required high doses and was highly variable between muscles and myofibers in terms of observed efficacy. Of greater concern, cardiac muscle seemed to be refractory to the antisense therapy, failing to produce detectable dystrophin even after repeated treatment (seven times at ≈60 mg / kg PMO per injection; Alter, J., F. Lou et al. (2006)). Both potency and cardiac delivery represent major limitations to antisense therapy as an effective treatment for muscle-specific diseases such like DMD, DM1 and DM2. Because DMD patients live l...

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Abstract

An antisense compound for use in treating myotonic dystrophy DM1 or DM2, a method of enhancing antisense targeting to heart and quadricep muscles, and a method for treating DM1 or DM2 in a mammalian subject are disclosed. The oligonucleotide has 8-30 bases, with at least 8 contiguous bases being complementary to the polyCUG or polyCCUG repeats in the 3′UTR region of dystrophia myotonica protein kinase (DMPK) mRNA in DM1 or DM2, respectively. Conjugated to the oligonucleotide is a cell-penetrating peptide having the sequence (RXRR(B/X)R)2XB, where R is arginine; B is β-alanine; and each X is —C(O)—(CH2)n—NH—, where n is 4-6. The antisense compound is effective to selectively block the sequestration of muscleblind-like 1 protein (MBNL1) and/or CUGBP, in heart and quadricep muscle in a myotonic dystrophy animal model.

Description

[0001]This application claims priority to U.S. provisional application Ser. No. 60 / 937,725, filed Jun. 29, 2007, and to U.S. patent application Ser. No. 12 / 217,040, filed Jun. 30, 2008, both of which are incorporated by reference herein in their entirety.FIELD OF THE INVENTION[0002]The invention relates to an antisense compound and method for treating myotonic dystrophy DM1 and DM2.REFERENCES[0003]Abes, S., H. M. Moulton et al. (2006). “Vectorization of morpholino oligomers by the (R-Ahx-R)4 peptide allows efficient splicing correction in the absence of endosomolytic agents.”J Control Release 116(3): 304-13.[0004]Arap, W. et al. (2004). “Human and mouse targeting peptides identified by phage display.” U.S. Appn. Pubn. No. 20040170955.[0005]Behlke, M. A. (2006). “Progress towards in vivo use of siRNAs.”Mol Ther 13(4): 644-70.[0006]Alter, J., F. Lou et al. (2006). “Systemic delivery of morpholino oligonucleotide restores dystrophin expression bodywide and improves dystrophic pathology...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K38/14C07K9/00A61P21/00
CPCC07K2319/33C12N15/87C12N2810/40C12N2310/11A61K47/48246C12N15/113A61K31/7088A61K47/64A61P21/00A61P9/00
Inventor MOULTON, HONG M.KOLE, RYSZARD
Owner SAREPTA THERAPEUTICS INC
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