Awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal model

Oligonucleotide therapeutics offer great promise in the treatment of previously untreatable neurodegenerative disorders; however, there are some challenges to overcome in pre-clinical studies. (1) They carry a well-established dose-related acute neurotoxicity at the time of administration. (2) Repea...

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Main Authors: Hector Ribeiro Benatti, Rachel D. Prestigiacomo, Toloo Taghian, Rachael Miller, Robert King, Matthew J. Gounis, Ugur Celik, Stephanie Bertrand, Susan Tuominen, Lindsey Bierfeldt, Elizabeth Parsley, Jillian Gallagher, Erin F. Hall, Abigail W. McElroy, Miguel Sena-Esteves, Anastasia Khvorova, Neil Aronin, Heather L. Gray-Edwards
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Molecular Therapy: Methods & Clinical Development
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050123001614
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author Hector Ribeiro Benatti
Rachel D. Prestigiacomo
Toloo Taghian
Rachael Miller
Robert King
Matthew J. Gounis
Ugur Celik
Stephanie Bertrand
Susan Tuominen
Lindsey Bierfeldt
Elizabeth Parsley
Jillian Gallagher
Erin F. Hall
Abigail W. McElroy
Miguel Sena-Esteves
Anastasia Khvorova
Neil Aronin
Heather L. Gray-Edwards
author_facet Hector Ribeiro Benatti
Rachel D. Prestigiacomo
Toloo Taghian
Rachael Miller
Robert King
Matthew J. Gounis
Ugur Celik
Stephanie Bertrand
Susan Tuominen
Lindsey Bierfeldt
Elizabeth Parsley
Jillian Gallagher
Erin F. Hall
Abigail W. McElroy
Miguel Sena-Esteves
Anastasia Khvorova
Neil Aronin
Heather L. Gray-Edwards
author_sort Hector Ribeiro Benatti
collection DOAJ
description Oligonucleotide therapeutics offer great promise in the treatment of previously untreatable neurodegenerative disorders; however, there are some challenges to overcome in pre-clinical studies. (1) They carry a well-established dose-related acute neurotoxicity at the time of administration. (2) Repeated administration into the cerebrospinal fluid may be required for long-term therapeutic effect. Modifying oligonucleotide formulation has been postulated to prevent acute toxicity, but a sensitive and quantitative way to track seizure activity in pre-clinical studies is lacking. The use of intracerebroventricular (i.c.v.) catheters offers a solution for repeated dosing; however, fixation techniques in large animal models are not standardized and are not reliable. Here we describe a novel surgical technique in a sheep model for i.c.v. delivery of neurotherapeutics based on the fixation of the i.c.v. catheter with a 3D-printed anchorage system composed of plastic and ceramic parts, compatible with magnetic resonance imaging, computed tomography, and electroencephalography (EEG). Our technique allowed tracking electrical brain activity in awake animals via EEG and video recording during and for the 24-h period after administration of a novel oligonucleotide in sheep. Its anchoring efficiency was demonstrated for at least 2 months and will be tested for up to a year in ongoing studies.
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spelling doaj.art-47746a402a8d49c9b29336720b82daae2023-10-22T04:49:13ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012023-12-0131101122Awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal modelHector Ribeiro Benatti0Rachel D. Prestigiacomo1Toloo Taghian2Rachael Miller3Robert King4Matthew J. Gounis5Ugur Celik6Stephanie Bertrand7Susan Tuominen8Lindsey Bierfeldt9Elizabeth Parsley10Jillian Gallagher11Erin F. Hall12Abigail W. McElroy13Miguel Sena-Esteves14Anastasia Khvorova15Neil Aronin16Heather L. Gray-Edwards17Horae Gene Therapy Center, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USAHorae Gene Therapy Center, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USAHorae Gene Therapy Center, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USA; Department of Radiology, UMass Chan Medical School, 55 N Lake Ave, Worcester, MA 01655, USADepartment of Endocrinology, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USA; RNA Therapeutic Institute, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USADepartment of Radiology, UMass Chan Medical School, 55 N Lake Ave, Worcester, MA 01655, USADepartment of Radiology, UMass Chan Medical School, 55 N Lake Ave, Worcester, MA 01655, USACenter for Clinical Research, UMass Chan Medical School, 55 N Lake Ave, Worcester MA 01655, USACummings School of Veterinary Medicine, Tufts University, Grafton MA 01536, USADepartment of Animal Medicine, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USADepartment of Animal Medicine, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USACummings School of Veterinary Medicine, Tufts University, Grafton MA 01536, USAHorae Gene Therapy Center, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USAHorae Gene Therapy Center, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USAHorae Gene Therapy Center, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USAHorae Gene Therapy Center, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USA; Department of Neurology, UMass Chan Medical School, 368 Plantation Street, Worcester MA 01605, USARNA Therapeutic Institute, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USADepartment of Endocrinology, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USA; RNA Therapeutic Institute, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USAHorae Gene Therapy Center, UMass Chan Medical School, 368 Plantation Street, Worcester, MA 01605, USA; Department of Radiology, UMass Chan Medical School, 55 N Lake Ave, Worcester, MA 01655, USA; Corresponding author: Heather L. Gray-Edwards, UMass Chan Medical School, 368 Plantation Street, ASC6-2041, Worcester, MA 01605, USA.Oligonucleotide therapeutics offer great promise in the treatment of previously untreatable neurodegenerative disorders; however, there are some challenges to overcome in pre-clinical studies. (1) They carry a well-established dose-related acute neurotoxicity at the time of administration. (2) Repeated administration into the cerebrospinal fluid may be required for long-term therapeutic effect. Modifying oligonucleotide formulation has been postulated to prevent acute toxicity, but a sensitive and quantitative way to track seizure activity in pre-clinical studies is lacking. The use of intracerebroventricular (i.c.v.) catheters offers a solution for repeated dosing; however, fixation techniques in large animal models are not standardized and are not reliable. Here we describe a novel surgical technique in a sheep model for i.c.v. delivery of neurotherapeutics based on the fixation of the i.c.v. catheter with a 3D-printed anchorage system composed of plastic and ceramic parts, compatible with magnetic resonance imaging, computed tomography, and electroencephalography (EEG). Our technique allowed tracking electrical brain activity in awake animals via EEG and video recording during and for the 24-h period after administration of a novel oligonucleotide in sheep. Its anchoring efficiency was demonstrated for at least 2 months and will be tested for up to a year in ongoing studies.http://www.sciencedirect.com/science/article/pii/S2329050123001614oligonucleotide safety assessmentlarge animal modelCNS drug administrationCSF drug deliveryi.c.v. injectionOmmaya reservoir
spellingShingle Hector Ribeiro Benatti
Rachel D. Prestigiacomo
Toloo Taghian
Rachael Miller
Robert King
Matthew J. Gounis
Ugur Celik
Stephanie Bertrand
Susan Tuominen
Lindsey Bierfeldt
Elizabeth Parsley
Jillian Gallagher
Erin F. Hall
Abigail W. McElroy
Miguel Sena-Esteves
Anastasia Khvorova
Neil Aronin
Heather L. Gray-Edwards
Awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal model
Molecular Therapy: Methods & Clinical Development
oligonucleotide safety assessment
large animal model
CNS drug administration
CSF drug delivery
i.c.v. injection
Ommaya reservoir
title Awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal model
title_full Awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal model
title_fullStr Awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal model
title_full_unstemmed Awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal model
title_short Awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal model
title_sort awake intracerebroventricular delivery and safety assessment of oligonucleotides in a large animal model
topic oligonucleotide safety assessment
large animal model
CNS drug administration
CSF drug delivery
i.c.v. injection
Ommaya reservoir
url http://www.sciencedirect.com/science/article/pii/S2329050123001614
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