Antisense Oligonucleotides Modulate TOMM TIMM APOE Isoforms

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Solution Overview

Problem

There is a long-standing unmet need for effective therapies to treat neurodegenerative diseases associated with mitochondrial dysfunction, as current treatments are inadequate in addressing the molecular mechanisms contributing to these disorders.

Innovation Solution

The use of antisense oligonucleotides that bind to TOMM, TIMM, or APOE isoform polynucleotides to modulate their function or expression, thereby preventing or treating neurodegenerative diseases such as Alzheimer's, ALS, and Parkinson's disease, by targeting Alu element-induced isoforms and employing CRISPR-Cas9 genome editing to modify or eliminate Alu elements contributing to mitochondrial dysfunction.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If antisense oligonucleotides are used to modulate TOMM, TIMM, or APOE isoform expression, then neurodegenerative disease risk is reduced, but treatment complexity and delivery challenges increase

Engineering Contradiction:
Improvedisease treatment effectivenessVSAvoidtherapy delivery system
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent employs antisense oligonucleotides as intermediary molecules that bind to specific polynucleotide sequences of TOMM, TIMM, or APOE isoforms to modulate their expression. These oligonucleotides serve as mediators between the therapeutic goal (reducing neurodegenerative disease risk) and the molecular target (dysfunctional mitochondrial populations), enabling selective modulation without direct genetic manipulation.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The therapy targets specific isoforms (TOMM, TIMM, APOE) that are segments of the broader mitochondrial dysfunction problem. By segmenting the therapeutic approach to address individual isoforms responsible for dysfunctional mitochondrial populations, the treatment achieves precision while managing complexity through targeted rather than broad-spectrum intervention.

Inventive Principle:
Principle #1Segmentation

2Stability of the object's composition

If CRISPR-Cas9 genome editing is employed to eliminate Alu elements, then mitochondrial function is stabilized, but off-target effects and genomic safety concerns arise

Engineering Contradiction:
Improvemitochondrial function stabilityVSAvoidoff-target genomic effects
Core Design Contradiction:
Stability of the object's compositionVSObject-affected harmful factors

Solution Approach 1:

The patent uses antisense oligonucleotides to preliminarily modulate the expression of TOMM, TIMM, or APOE isoforms before potentially proceeding to CRISPR-Cas9 genome editing. This preliminary action allows for controlled reduction of dysfunctional isoform levels and assessment of therapeutic effect, thereby mitigating the risk of aggressive genomic editing while stabilizing mitochondrial function.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent acknowledges that Alu elements, while causing dysfunctional mitochondrial populations through alternative splicing, can be targeted therapeutically. By converting the harmful presence of Alu-induced isoforms into a therapeutic opportunity through antisense oligonucleotide binding and CRISPR-Cas9 editing, the treatment transforms the source of mitochondrial dysfunction into the target of stabilization.

Inventive Principle:
Principle #22Blessing in disguise (Convert harm into benefit)

3Object-generated harmful factors

If alternative splicing events are targeted to reduce dysfunctional isoforms, then protein aggregate formation is prevented, but specificity in isoform targeting becomes challenging

Engineering Contradiction:
Improveprotein aggregate formationVSAvoidisoform targeting specificity
Core Design Contradiction:
Object-generated harmful factorsVSManufacturing precision

Solution Approach 1:

The antisense oligonucleotides are designed with specific sequences that bind to unique regions of TOMM, TIMM, or APOE isoform polynucleotides. This local quality approach ensures that each oligonucleotide targets a specific isoform variant with high precision, distinguishing between dysfunctional Alu-induced isoforms and functional variants, thereby preventing protein aggregate formation without affecting normal protein synthesis.

Inventive Principle:
Principle #3Local quality

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach effectively modulates the expression of mitochondrial translocase complexes, reducing the risk of neurodegenerative diseases by stabilizing mitochondrial function and preventing the formation of inflammatory protein bodies, thereby addressing the underlying causes of mitochondrial dysfunction.

Implementation Method 1

antisense oligonucleotides that bind to TOMM, TIMM, or APOE isoform polynucleotides to modulate their function or expression

Methodology Applied
Scientific EffectHybridization:

Implementation Method 2

employing CRISPR-Cas9 genome editing to modify or eliminate Alu elements contributing to mitochondrial dysfunction

Methodology Applied
Scientific EffectGenome editing:

Data Source

PatentUS11932855B2Compositions and methods for disrupting the molecular mechanisms associated with mitochondrial dysfunction and neurodegenerative disease
Publication Date: 2024.03.19 DUKE UNIV
  • US11932855B2 patent drawing
  • US11932855B2 patent drawing
  • US11932855B2 patent drawing

AI summary

Retrotransposons, operating though human-specific neurological pathways, can contribute to environment, lifestyle, and/or age-related neurodegeneration by disrupting functional mitochondrial populations within neurons. The mitochondrial disruption can occur through a number of retrotransposon-induced mechanisms that can influence the efficient and accurate transcription and/or translation of mitochondrial genes encoded in the nuclear genome, operating primarily through epigenetic processes. Alu element-related conformational changes (both subtle and major) of the outer and inner mitochondrial membrane pores can restrict or prevent the normal translocation of proteins (i.e., TOMM and TIMM complexes), ultimately contributing to mitochondrial stress, mitophagy, inflammation, and neuron and glial cell death. Compositions and methods are provided for mitigating and/or preventing Alu element-induced conformational changes to prevent and/or treat neurodegenerative disease and other diseases and disorders associated with at least one TOMM, TIMM, or APOE isoform including cancer and other inflammatory diseases.