USH2A Antisense Oligonucleotides for Exon Skipping Under AAV Packaging Limits

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Solution Overview

Problem

Current treatments for Usher syndrome caused by USH2A mutations are limited, particularly due to the large size of the usherin-encoding sequence exceeding the packaging capacity of conventional gene delivery vectors, and there is a need for effective therapies to address progressive vision loss and hearing impairment.

Innovation Solution

Development of antisense oligonucleotides (ASOs) that specifically target and skip exons 30 and 31 of the USH2A gene, encoded by sequences such as SEQ ID NO: 1, to modulate splicing and produce a functional usherin protein, using viral vectors like AAV for delivery.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Quantity of substance

If conventional gene augmentation therapy using AAV or LV vectors is used, then the packaging capacity is limited to 4.7 kb or 8 kb respectively, but the usherin-encoding sequence is 15.6 kb which exceeds this capacity

Engineering Contradiction:
Improvepackaging capacity of gene delivery vectorVSAvoidfeasibility of gene augmentation therapy
Core Design Contradiction:
Quantity of substanceVSEase of manufacture

Solution Approach 1:

The invention segments the 15.6 kb usherin-encoding sequence by using antisense oligonucleotides to induce skipping of specific exons (exons 30-31), thereby producing a shortened usherin protein that fits within the packaging capacity of conventional AAV or LV vectors while still retaining functional domains

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The invention extracts and removes specific exons (30-31) from the usherin-encoding sequence through ASO-mediated exon skipping, eliminating the repetitive fibronectin type III domain to reduce the overall sequence length to fit viral vector packaging limits

Inventive Principle:
Principle #2Taking out (Extraction)

2Quantity of substance

If ASO-induced exon skipping is used to reduce sequence size, then the usherin protein can be packaged in conventional vectors, but the protein structure is altered by removing fibronectin type III domains

Engineering Contradiction:
Improvelength of usherin-encoding sequenceVSAvoidstructural integrity of usherin protein
Core Design Contradiction:
Quantity of substanceVSStability of the object's composition

Solution Approach 1:

The invention applies local quality by selectively removing only the repetitive fibronectin type III domains (exons 30-31) while preserving other critical functional domains of usherin, thereby maintaining local structural integrity where needed while reducing overall size

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The invention changes the parameter of protein length by inducing exon skipping to produce a shortened usherin isoform that lacks specific domains but retains essential functional regions, balancing size reduction with structural preservation

Inventive Principle:
Principle #35Parameter changes

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

The dual exon skipping approach with ASOs results in a shortened usherin protein lacking a repetitive fibronectin type III domain, showing promise in halting or delaying progressive vision loss in USH2A-associated retinitis pigmentosa.

Implementation Method 1

antisense oligonucleotides (ASOs) that specifically target and skip exons 30 and 31 of the USH2A gene

Methodology Applied
Scientific EffectAntisense oligonucleotide binding:

Implementation Method 2

ASOs are applied to correct aberrant pre-mRNA splicing or to remove native in-frame exons harboring recurrent loss-of-function mutations

Methodology Applied
Scientific EffectSplice modulation:

Data Source

PatentUS20250257355A1Antisense oligonucleotides for treatment of USHER 2A. Exons 30-31
Publication Date: 2025.08.14 STICHTING RADBOUND UNIVERSITAIR MEDISCH CENT
  • US20250257355A1 patent drawing
  • US20250257355A1 patent drawing
  • US20250257355A1 patent drawing

AI summary

The invention relates to the fields of medicine and immunology. In particular, it relates to novel antisense oligonucleotides that may be used in the treatment, prevention and/or delay of an USH2A related disease or condition.