Intravitreal Injection of Splice-switching Oligonucleotides to Manipulate Splicing in Retinal Cells

Leber congenital amaurosis is a severe hereditary retinal dystrophy responsible for neonatal blindness. The most common disease-causing mutation (c.2991+1655A>G; 10–15%) creates a strong splice donor site that leads to insertion of a cryptic exon encoding a premature stop codon. Recently, we repo...

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Main Authors: Xavier Gérard, Isabelle Perrault, Arnold Munnich, Josseline Kaplan, Jean-Michel Rozet
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:Molecular Therapy: Nucleic Acids
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S216225311630035X
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author Xavier Gérard
Isabelle Perrault
Arnold Munnich
Josseline Kaplan
Jean-Michel Rozet
author_facet Xavier Gérard
Isabelle Perrault
Arnold Munnich
Josseline Kaplan
Jean-Michel Rozet
author_sort Xavier Gérard
collection DOAJ
description Leber congenital amaurosis is a severe hereditary retinal dystrophy responsible for neonatal blindness. The most common disease-causing mutation (c.2991+1655A>G; 10–15%) creates a strong splice donor site that leads to insertion of a cryptic exon encoding a premature stop codon. Recently, we reported that splice-switching oligonucleotides (SSO) allow skipping of the mutant cryptic exon and the restoration of ciliation in fibroblasts of affected patients, supporting the feasibility of a SSO-mediated exon skipping strategy to correct the aberrant splicing. Here, we present data in the wild-type mouse, which demonstrate that intravitreal administration of 2’-OMePS-SSO allows selective alteration of Cep290 splicing in retinal cells, including photoreceptors as shown by successful alteration of Abca4 splicing using the same approach. We show that both SSOs and Cep290 skipped mRNA were detectable for at least 1 month and that intravitreal administration of oligonucleotides did not provoke any serious adverse event. These data suggest that intravitreal injections of SSO should be considered to bypass protein truncation resulting from the c.2991+1655A>G mutation as well as other truncating mutations in genes which like CEP290 or ABCA4 have a mRNA size that exceed cargo capacities of US Food and Drug Administration (FDA)-approved adeno-associated virus (AAV)-vectors, thus hampering gene augmentation therapy.
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spelling doaj.art-779dc79240cf4246a7e9476f563372ff2022-12-22T01:30:26ZengElsevierMolecular Therapy: Nucleic Acids2162-25312015-01-014C10.1038/mtna.2015.24Intravitreal Injection of Splice-switching Oligonucleotides to Manipulate Splicing in Retinal CellsXavier Gérard0Isabelle Perrault1Arnold Munnich2Josseline Kaplan3Jean-Michel Rozet4Laboratory of Genetics in Ophthalmology, Inserm UMR1163, Institut Imagine, Université Paris Descartes Sorbonne Paris Cité, Hôpital Necker, Paris, FranceLaboratory of Genetics in Ophthalmology, Inserm UMR1163, Institut Imagine, Université Paris Descartes Sorbonne Paris Cité, Hôpital Necker, Paris, FranceLaboratory of Genetics in Ophthalmology, Inserm UMR1163, Institut Imagine, Université Paris Descartes Sorbonne Paris Cité, Hôpital Necker, Paris, FranceLaboratory of Genetics in Ophthalmology, Inserm UMR1163, Institut Imagine, Université Paris Descartes Sorbonne Paris Cité, Hôpital Necker, Paris, FranceLaboratory of Genetics in Ophthalmology, Inserm UMR1163, Institut Imagine, Université Paris Descartes Sorbonne Paris Cité, Hôpital Necker, Paris, FranceLeber congenital amaurosis is a severe hereditary retinal dystrophy responsible for neonatal blindness. The most common disease-causing mutation (c.2991+1655A>G; 10–15%) creates a strong splice donor site that leads to insertion of a cryptic exon encoding a premature stop codon. Recently, we reported that splice-switching oligonucleotides (SSO) allow skipping of the mutant cryptic exon and the restoration of ciliation in fibroblasts of affected patients, supporting the feasibility of a SSO-mediated exon skipping strategy to correct the aberrant splicing. Here, we present data in the wild-type mouse, which demonstrate that intravitreal administration of 2’-OMePS-SSO allows selective alteration of Cep290 splicing in retinal cells, including photoreceptors as shown by successful alteration of Abca4 splicing using the same approach. We show that both SSOs and Cep290 skipped mRNA were detectable for at least 1 month and that intravitreal administration of oligonucleotides did not provoke any serious adverse event. These data suggest that intravitreal injections of SSO should be considered to bypass protein truncation resulting from the c.2991+1655A>G mutation as well as other truncating mutations in genes which like CEP290 or ABCA4 have a mRNA size that exceed cargo capacities of US Food and Drug Administration (FDA)-approved adeno-associated virus (AAV)-vectors, thus hampering gene augmentation therapy.http://www.sciencedirect.com/science/article/pii/S216225311630035XCEP290intravitreal injectionLeber congenital amaurosis2′OMePS antisense oligonucleotideretinal dystrophiessplice-switching therapy
spellingShingle Xavier Gérard
Isabelle Perrault
Arnold Munnich
Josseline Kaplan
Jean-Michel Rozet
Intravitreal Injection of Splice-switching Oligonucleotides to Manipulate Splicing in Retinal Cells
Molecular Therapy: Nucleic Acids
CEP290
intravitreal injection
Leber congenital amaurosis
2′OMePS antisense oligonucleotide
retinal dystrophies
splice-switching therapy
title Intravitreal Injection of Splice-switching Oligonucleotides to Manipulate Splicing in Retinal Cells
title_full Intravitreal Injection of Splice-switching Oligonucleotides to Manipulate Splicing in Retinal Cells
title_fullStr Intravitreal Injection of Splice-switching Oligonucleotides to Manipulate Splicing in Retinal Cells
title_full_unstemmed Intravitreal Injection of Splice-switching Oligonucleotides to Manipulate Splicing in Retinal Cells
title_short Intravitreal Injection of Splice-switching Oligonucleotides to Manipulate Splicing in Retinal Cells
title_sort intravitreal injection of splice switching oligonucleotides to manipulate splicing in retinal cells
topic CEP290
intravitreal injection
Leber congenital amaurosis
2′OMePS antisense oligonucleotide
retinal dystrophies
splice-switching therapy
url http://www.sciencedirect.com/science/article/pii/S216225311630035X
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