Liver-Targeted Anti-HBV Single-Stranded Oligonucleotides with Locked Nucleic Acid Potently Reduce HBV Gene Expression In Vivo

Chronic hepatitis B infection (CHB) is an area of high unmet medical need. Current standard-of-care therapies only rarely lead to a functional cure, defined as durable hepatitis B surface antigen (HBsAg) loss following treatment. The goal for next generation CHB therapies is to achieve a higher rate...

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Main Authors: Hassan Javanbakht, Henrik Mueller, Johanna Walther, Xue Zhou, Anaïs Lopez, Thushara Pattupara, Julie Blaising, Lykke Pedersen, Nanna Albæk, Malene Jackerott, Tianlai Shi, Corinne Ploix, Wouter Driessen, Robert Persson, Jacob Ravn, John A.T. Young, Søren Ottosen
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:Molecular Therapy: Nucleic Acids
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Online Access:http://www.sciencedirect.com/science/article/pii/S2162253118300192
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author Hassan Javanbakht
Henrik Mueller
Johanna Walther
Xue Zhou
Anaïs Lopez
Thushara Pattupara
Julie Blaising
Lykke Pedersen
Nanna Albæk
Malene Jackerott
Tianlai Shi
Corinne Ploix
Wouter Driessen
Robert Persson
Jacob Ravn
John A.T. Young
Søren Ottosen
author_facet Hassan Javanbakht
Henrik Mueller
Johanna Walther
Xue Zhou
Anaïs Lopez
Thushara Pattupara
Julie Blaising
Lykke Pedersen
Nanna Albæk
Malene Jackerott
Tianlai Shi
Corinne Ploix
Wouter Driessen
Robert Persson
Jacob Ravn
John A.T. Young
Søren Ottosen
author_sort Hassan Javanbakht
collection DOAJ
description Chronic hepatitis B infection (CHB) is an area of high unmet medical need. Current standard-of-care therapies only rarely lead to a functional cure, defined as durable hepatitis B surface antigen (HBsAg) loss following treatment. The goal for next generation CHB therapies is to achieve a higher rate of functional cure with finite treatment duration. To address this urgent need, we are developing liver-targeted single-stranded oligonucleotide (SSO) therapeutics for CHB based on the locked nucleic acid (LNA) platform. These LNA-SSOs target hepatitis B virus (HBV) transcripts for RNase-H-mediated degradation. Here, we describe a HBV-specific LNA-SSO that effectively reduces intracellular viral mRNAs and viral antigens (HBsAg and HBeAg) over an extended time period in cultured human hepatoma cell lines that were infected with HBV with mean 50% effective concentration (EC50) values ranging from 1.19 to 1.66 μM. To achieve liver-specific targeting and minimize kidney exposure, this LNA-SSO was conjugated to a cluster of three N-acetylgalactosamine (GalNAc) moieties that direct specific binding to the asialoglycoprotein receptor (ASGPR) expressed specifically on the surface of hepatocytes. The GalNAc-conjugated LNA-SSO showed a strikingly higher level of potency when tested in the AAV-HBV mouse model as compared with its non-conjugated counterpart. Remarkably, higher doses of GalNAc-conjugated LNA-SSO resulted in a rapid and long-lasting reduction of HBsAg to below the detection limit for quantification, i.e., by 3 log10 (p < 0.0003). This antiviral effect depended on a close match between the sequences of the LNA-SSO and its HBV target, indicating that the antiviral effect is not due to non-specific oligonucleotide-driven immune activation. These data support the development of LNA-SSO therapeutics for the treatment of CHB infection.
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spelling doaj.art-1962d4b211f2443bb9955ca1ed51da8a2022-12-21T17:49:28ZengElsevierMolecular Therapy: Nucleic Acids2162-25312018-06-0111C44145410.1016/j.omtn.2018.02.005Liver-Targeted Anti-HBV Single-Stranded Oligonucleotides with Locked Nucleic Acid Potently Reduce HBV Gene Expression In VivoHassan Javanbakht0Henrik Mueller1Johanna Walther2Xue Zhou3Anaïs Lopez4Thushara Pattupara5Julie Blaising6Lykke Pedersen7Nanna Albæk8Malene Jackerott9Tianlai Shi10Corinne Ploix11Wouter Driessen12Robert Persson13Jacob Ravn14John A.T. Young15Søren Ottosen16Roche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Shanghai, Shanghai 201203, ChinaRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Shanghai, Shanghai 201203, ChinaRoche Pharma Research and Early Development, Roche Innovation Center Copenhagen, 2970 Hørsholm, DenmarkRoche Pharma Research and Early Development, Roche Innovation Center Copenhagen, 2970 Hørsholm, DenmarkRoche Pharma Research and Early Development, Roche Innovation Center Copenhagen, 2970 Hørsholm, DenmarkRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Copenhagen, 2970 Hørsholm, DenmarkRoche Pharma Research and Early Development, Roche Innovation Center Copenhagen, 2970 Hørsholm, DenmarkRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Copenhagen, 2970 Hørsholm, DenmarkChronic hepatitis B infection (CHB) is an area of high unmet medical need. Current standard-of-care therapies only rarely lead to a functional cure, defined as durable hepatitis B surface antigen (HBsAg) loss following treatment. The goal for next generation CHB therapies is to achieve a higher rate of functional cure with finite treatment duration. To address this urgent need, we are developing liver-targeted single-stranded oligonucleotide (SSO) therapeutics for CHB based on the locked nucleic acid (LNA) platform. These LNA-SSOs target hepatitis B virus (HBV) transcripts for RNase-H-mediated degradation. Here, we describe a HBV-specific LNA-SSO that effectively reduces intracellular viral mRNAs and viral antigens (HBsAg and HBeAg) over an extended time period in cultured human hepatoma cell lines that were infected with HBV with mean 50% effective concentration (EC50) values ranging from 1.19 to 1.66 μM. To achieve liver-specific targeting and minimize kidney exposure, this LNA-SSO was conjugated to a cluster of three N-acetylgalactosamine (GalNAc) moieties that direct specific binding to the asialoglycoprotein receptor (ASGPR) expressed specifically on the surface of hepatocytes. The GalNAc-conjugated LNA-SSO showed a strikingly higher level of potency when tested in the AAV-HBV mouse model as compared with its non-conjugated counterpart. Remarkably, higher doses of GalNAc-conjugated LNA-SSO resulted in a rapid and long-lasting reduction of HBsAg to below the detection limit for quantification, i.e., by 3 log10 (p < 0.0003). This antiviral effect depended on a close match between the sequences of the LNA-SSO and its HBV target, indicating that the antiviral effect is not due to non-specific oligonucleotide-driven immune activation. These data support the development of LNA-SSO therapeutics for the treatment of CHB infection.http://www.sciencedirect.com/science/article/pii/S2162253118300192HBVHBsAgviral gene expressionAAV-HBV-infected mouse modellocked nucleic acidantisense
spellingShingle Hassan Javanbakht
Henrik Mueller
Johanna Walther
Xue Zhou
Anaïs Lopez
Thushara Pattupara
Julie Blaising
Lykke Pedersen
Nanna Albæk
Malene Jackerott
Tianlai Shi
Corinne Ploix
Wouter Driessen
Robert Persson
Jacob Ravn
John A.T. Young
Søren Ottosen
Liver-Targeted Anti-HBV Single-Stranded Oligonucleotides with Locked Nucleic Acid Potently Reduce HBV Gene Expression In Vivo
Molecular Therapy: Nucleic Acids
HBV
HBsAg
viral gene expression
AAV-HBV-infected mouse model
locked nucleic acid
antisense
title Liver-Targeted Anti-HBV Single-Stranded Oligonucleotides with Locked Nucleic Acid Potently Reduce HBV Gene Expression In Vivo
title_full Liver-Targeted Anti-HBV Single-Stranded Oligonucleotides with Locked Nucleic Acid Potently Reduce HBV Gene Expression In Vivo
title_fullStr Liver-Targeted Anti-HBV Single-Stranded Oligonucleotides with Locked Nucleic Acid Potently Reduce HBV Gene Expression In Vivo
title_full_unstemmed Liver-Targeted Anti-HBV Single-Stranded Oligonucleotides with Locked Nucleic Acid Potently Reduce HBV Gene Expression In Vivo
title_short Liver-Targeted Anti-HBV Single-Stranded Oligonucleotides with Locked Nucleic Acid Potently Reduce HBV Gene Expression In Vivo
title_sort liver targeted anti hbv single stranded oligonucleotides with locked nucleic acid potently reduce hbv gene expression in vivo
topic HBV
HBsAg
viral gene expression
AAV-HBV-infected mouse model
locked nucleic acid
antisense
url http://www.sciencedirect.com/science/article/pii/S2162253118300192
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