Muscle-Specific Promoter Design for Skeletal Muscle Expression

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Solution Overview

Problem

Current gene therapy approaches for muscular dystrophies face challenges in achieving high-level, specific expression of therapeutic proteins in skeletal muscles while minimizing cardiac toxicity, due to the large size of existing promoters and the difficulty in obtaining specificity with smaller promoters.

Innovation Solution

Development of a small-sized synthetic promoter derived from the human ACTA1 gene, comprising a proximal and distal region, which is muscle-specific with higher activity in skeletal muscles and lower activity in the heart, allowing for safe and effective expression of transgenes in neuromuscular diseases.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If a large promoter (e.g., human alpha actin ACTA1 promoter) is used to achieve high-level expression in skeletal muscles, then expression level is improved, but promoter size becomes too large for practical applications

Engineering Contradiction:
Improveexpression levelVSAvoidpromoter size
Core Design Contradiction:
ProductivityVSLength of stationary object

Solution Approach 1:

The patent extracts and isolates specific functional elements from the large human alpha actin promoter, including the core promoter region (−153 to +1 relative to the transcription start site) and muscle-specific enhancer elements. By separating and retaining only the essential components necessary for high-level muscle-specific expression, the invention creates a significantly reduced promoter that maintains therapeutic efficacy while fitting within practical vector constraints.

Inventive Principle:
Principle #2Taking out (Extraction)

2Length of stationary object

If a small promoter is used to reduce promoter size, then promoter size is improved, but expression specificity in skeletal muscles deteriorates

Engineering Contradiction:
Improvepromoter sizeVSAvoidexpression specificity
Core Design Contradiction:
Length of stationary objectVSManufacturing precision

Solution Approach 1:

The patent applies local quality by concentrating specific muscle-specific enhancer elements at precise locations within the reduced promoter structure. The core promoter (−153 to +1) is combined with strategically positioned enhancer sequences that provide muscle-specific activity. This localized arrangement of functional elements ensures that the small promoter maintains high specificity for skeletal muscle expression while keeping the overall size reduced.

Inventive Principle:
Principle #3Local quality

3Productivity

If existing muscle-specific promoters are used to achieve high muscle expression, then expression level in skeletal muscles is improved, but cardiac toxicity increases

Engineering Contradiction:
Improvemuscle expression levelVSAvoidcardiac toxicity
Core Design Contradiction:
ProductivityVSObject-affected harmful factors

Solution Approach 1:

The patent extracts and removes cardiac-active elements from the promoter construction by using a reduced promoter based on the human alpha actin gene that lacks the extensive 5'-flanking regions responsible for cardiac expression. The core promoter (−153 to +1) and selected enhancer elements are sufficient to achieve high muscle expression without the cardiac toxicity associated with full-length promoters, thereby eliminating the harmful effect while preserving the beneficial muscle-specific expression.

Inventive Principle:
Principle #2Taking out (Extraction)

Data Source

PatentUS20230277686A1A novel muscle-specific promoter
Publication Date: 2023.09.07 GENETHON
  • US20230277686A1 patent drawing
  • US20230277686A1 patent drawing

AI summary

The present invention concerns a novel short promoter characterized by a high activity in the skeletal muscles and a low activity in the heart. It then constitutes a valuable candidate especially for driving the expression of transgenes encoding proteins useful for the treatment of muscular dystrophies.