Factor IX Gene Therapy Codon Optimization for Hemophilia B
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Solution Overview
Problem
Current gene therapy approaches for haemophilia B face challenges in achieving high levels of Factor IX expression and activity, making them ineffective and costly, thus unaffordable for most patients.
Innovation Solution
Modifying the Factor IX nucleotide sequence by using codon optimization, maintaining non-wildtype portions, including introns, and employing specific promoters within an AAV genome to enhance expression levels and activity.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If frequent intravenous injections of Factor IX protein are administered, then bleeding is effectively arrested, but treatment cost becomes extremely high and is not curative
Solution Approach 1:
The patent applies gene therapy to create a functional copy of the Factor IX gene within the patient's genome. This genetic copy enables endogenous production of Factor IX protein, replacing the need for continuous external protein administration. The copied gene is integrated into the patient's DNA and directs the patient's own cells to produce the therapeutic protein, achieving a curative effect that eliminates long-term treatment costs while maintaining reliable bleeding control.
2Loss of time
If gene therapy vector is used to provide Factor IX, then frequent injections are avoided, but achieving high level of Factor IX expression and activity remains difficult
Solution Approach 1:
The patent employs codon optimization to modify the nucleotide sequence of the Factor IX gene, changing the coding parameters to enhance translation efficiency. Specifically, the codons are optimized to match the preferred codon usage of the target host cells, thereby increasing the expression level of Factor IX protein. This parameter change in the genetic code enables high-level protein production from the gene therapy vector, achieving both reduced injection frequency and high productivity.
3Productivity
If codon optimized sequence is used, then expression level is improved, but maintaining wild type portions may reduce activity
Solution Approach 1:
The patent applies local quality by selectively optimizing specific regions of the Factor IX gene while maintaining other regions as wild type. The coding sequence is optimized for expression in the host system, while critical functional domains and regulatory elements are preserved in their original wild type form. This localized optimization approach ensures that expression level is enhanced in the optimized regions without compromising the protein activity encoded by the maintained wild type portions, achieving both high productivity and reliable protein function.
Data Source
AI summary
The present invention relates to polynucleotides comprising a Factor IX nucleotide sequence, wherein the Factor IX nucleotide sequence comprises a coding sequence that encodes a Factor IX protein or fragment thereof and wherein a portion of the coding sequence is not wild type. The present invention further relates to viral particles comprising a recombinant genome comprising the polynucleotide of the invention, compositions comprising the polynucleotides or viral particles, and methods and uses of the polynucleotides, viral particles or compositions.


