Splice-Switching Oligonucleotides for TAL Cell Protection
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Solution Overview
Problem
Acute kidney injury (AKI) is exacerbated by damage to thick ascending limb (TAL) cells, which has been underrecognized until recently, and current methods lack effective protection and treatment strategies for these cells.
Innovation Solution
The method involves enhancing endogenous alternatively spliced uromodulin (AS-UMOD) mRNA expression in TAL cells using splice-switching antisense oligonucleotides (SSOs) that induce exon-skipping of AS-UMOD pre-mRNA, thereby increasing the presence of AS-UMOD protein to protect TAL cells.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If conventional treatment methods are used for AKI, then general kidney function is addressed, but TAL cell protection is insufficient
Solution Approach 1:
The invention changes the molecular parameter by introducing splice-switching antisense oligonucleotides that modify the splicing pattern of UMOD pre-mRNA, specifically inducing exon 10 skipping to produce alternatively spliced uromodulin (AS-UMOD). This parameter change in RNA processing leads to enhanced TAL cell protection and improved kidney recovery outcomes in AKI models.
2Reliability
If standard of care is provided for AKI, then general symptoms are managed, but TAL cell injury progression is not effectively halted
Solution Approach 1:
The invention converts the harmful effect of UMOD pre-mRNA into a beneficial outcome by using antisense oligonucleotides to redirect splicing. The same UMOD gene that produces canonical uromodulin is repurposed to produce alternatively spliced uromodulin (AS-UMOD) lacking exon 10, which has protective effects against TAL cell injury. This transforms the potential harm of uncontrolled splicing into a therapeutic benefit.
3Use of energy by moving object
If conventional therapies are applied, then general kidney function is supported, but mitochondrial metabolism in TAL cells is not enhanced
Solution Approach 1:
The invention changes the metabolic parameter by inducing alternative splicing of UMOD pre-mRNA to produce AS-UMOD, which enhances mitochondrial metabolism in TAL cells. This splicing modification leads to improved energy utilization and metabolic function, thereby increasing cell viability under hypoxic conditions associated with AKI.
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 protects TAL cells by enhancing mitochondrial metabolism and improving cell viability under hypoxic conditions, thereby mitigating the severity of AKI and promoting better kidney recovery outcomes.
Implementation Method 1
delivering to the cell a splice-switching antisense oligonucleotides (SSO) comprising a sequence selected from the group consisting of SEQ ID NOs: 14, 15, and 16, wherein the antisense oligonucleotide is up to 30 nucleotides in length and is capable of inducing exon-skipping of the UMOD pre-mRNA
Data Source
AI summary
A method of enhancing the presence of alternatively-spliced UMOD protein by inducing exon-skipping of a AS-UMOD m-RNA to protect TAL cells of kidneys in a patient suffering from acute kidney injury or chronic kidney disease.


