Sustained therapeutic benefits by transient reduction of TDP-43 using ENA-modified antisense oligonucleotides in ALS/FTD mice

The abnormal aggregation of TDP-43 into cytoplasmic inclusions in affected neurons is a pathological hallmark of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). Although how TDP-43 forms cytoplasmic aggregates and causes neurodegeneration in patients with ALS/FTD remains uncle...

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Main Authors: Toshihide Takeuchi, Kazuhiro Maeta, Xin Ding, Yukako Oe, Akiko Takeda, Mana Inoue, Seiichi Nagano, Tsuyoshi Fujihara, Seiji Matsuda, Shinsuke Ishigaki, Kentaro Sahashi, Eiko N. Minakawa, Hideki Mochizuki, Masahiro Neya, Gen Sobue, Yoshitaka Nagai
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Molecular Therapy: Nucleic Acids
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2162253123000094
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author Toshihide Takeuchi
Kazuhiro Maeta
Xin Ding
Yukako Oe
Akiko Takeda
Mana Inoue
Seiichi Nagano
Tsuyoshi Fujihara
Seiji Matsuda
Shinsuke Ishigaki
Kentaro Sahashi
Eiko N. Minakawa
Hideki Mochizuki
Masahiro Neya
Gen Sobue
Yoshitaka Nagai
author_facet Toshihide Takeuchi
Kazuhiro Maeta
Xin Ding
Yukako Oe
Akiko Takeda
Mana Inoue
Seiichi Nagano
Tsuyoshi Fujihara
Seiji Matsuda
Shinsuke Ishigaki
Kentaro Sahashi
Eiko N. Minakawa
Hideki Mochizuki
Masahiro Neya
Gen Sobue
Yoshitaka Nagai
author_sort Toshihide Takeuchi
collection DOAJ
description The abnormal aggregation of TDP-43 into cytoplasmic inclusions in affected neurons is a pathological hallmark of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). Although how TDP-43 forms cytoplasmic aggregates and causes neurodegeneration in patients with ALS/FTD remains unclear, reducing cellular TDP-43 levels is likely to prevent aggregation and to rescue neurons from TDP-43 toxicity. To address this issue, here we developed gapmer-type antisense oligonucleotides (ASOs) against human TDP-43 using 2′-O,4′-C-ethylene nucleic acids (ENAs), which are modified nucleic acids with high stability, and tested the therapeutic potential of lowering TDP-43 levels using ENA-modified ASOs. We demonstrated that intracerebroventricular administration of ENA-modified ASOs into a mouse model of ALS/FTD expressing human TDP-43 results in the efficient reduction of TDP-43 levels in the brain and spinal cord. Surprisingly, a single injection of ENA-modified ASOs into TDP-43 mice led to long-lasting improvement of behavioral abnormalities and the suppression of cytoplasmic TDP-43 aggregation, even after TDP-43 levels had returned to the initial levels. Our results demonstrate that transient reduction of TDP-43 using ENA-modified ASOs leads to sustained therapeutic benefits in vivo, indicating the possibility of a disease-modifying therapy by lowering TDP-43 levels for the treatment of the TDP-43 proteinopathies, including ALS/FTD.
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spelling doaj.art-e9b6e963c4c34b85be2d7b931b43c0252023-02-02T04:48:17ZengElsevierMolecular Therapy: Nucleic Acids2162-25312023-03-0131353366Sustained therapeutic benefits by transient reduction of TDP-43 using ENA-modified antisense oligonucleotides in ALS/FTD miceToshihide Takeuchi0Kazuhiro Maeta1Xin Ding2Yukako Oe3Akiko Takeda4Mana Inoue5Seiichi Nagano6Tsuyoshi Fujihara7Seiji Matsuda8Shinsuke Ishigaki9Kentaro Sahashi10Eiko N. Minakawa11Hideki Mochizuki12Masahiro Neya13Gen Sobue14Yoshitaka Nagai15Life Science Research Institute, Kindai University, 377-2 Ohnohigashi, Osaka-Sayama, Osaka 589-8511, Japan; Department of Neurotherapeutics, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; Corresponding author: Toshihide Takeuchi, PhD, Life Science Research Institute, Kindai University, 377-2 Ohnohigashi, Osaka-Sayama, Osaka 589-8511, JapanDepartment of Neurotherapeutics, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, JapanDepartment of Neurology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-Sayama, Osaka 589-8511, Japan; Department of Neurotherapeutics, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, JapanDepartment of Neurotherapeutics, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, JapanDepartment of Neurology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-Sayama, Osaka 589-8511, Japan; Department of Neurotherapeutics, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, JapanDepartment of Neurology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-Sayama, Osaka 589-8511, JapanDepartment of Neurotherapeutics, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; Department of Neurology, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, JapanKNC Laboratories Co., Ltd., Kobe, Hyogo 650-0047, JapanKNC Laboratories Co., Ltd., Kobe, Hyogo 650-0047, JapanDepartment of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Aichi 466-8550, JapanDepartment of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Aichi 466-8550, JapanDepartment of Neurophysiology, National Institute of Neuroscience, National Center of Neurology and Psychiatry, Kodaira, Tokyo 187-8502, JapanDepartment of Neurology, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, JapanKNC Laboratories Co., Ltd., Kobe, Hyogo 650-0047, JapanDepartment of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Aichi 466-8550, JapanLife Science Research Institute, Kindai University, 377-2 Ohnohigashi, Osaka-Sayama, Osaka 589-8511, Japan; Department of Neurology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-Sayama, Osaka 589-8511, Japan; Department of Neurotherapeutics, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; Department of Neurology, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; Corresponding author: Yoshitaka Nagai, MD, PhD, Department of Neurology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-Sayama, Osaka 589-8511, JapanThe abnormal aggregation of TDP-43 into cytoplasmic inclusions in affected neurons is a pathological hallmark of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). Although how TDP-43 forms cytoplasmic aggregates and causes neurodegeneration in patients with ALS/FTD remains unclear, reducing cellular TDP-43 levels is likely to prevent aggregation and to rescue neurons from TDP-43 toxicity. To address this issue, here we developed gapmer-type antisense oligonucleotides (ASOs) against human TDP-43 using 2′-O,4′-C-ethylene nucleic acids (ENAs), which are modified nucleic acids with high stability, and tested the therapeutic potential of lowering TDP-43 levels using ENA-modified ASOs. We demonstrated that intracerebroventricular administration of ENA-modified ASOs into a mouse model of ALS/FTD expressing human TDP-43 results in the efficient reduction of TDP-43 levels in the brain and spinal cord. Surprisingly, a single injection of ENA-modified ASOs into TDP-43 mice led to long-lasting improvement of behavioral abnormalities and the suppression of cytoplasmic TDP-43 aggregation, even after TDP-43 levels had returned to the initial levels. Our results demonstrate that transient reduction of TDP-43 using ENA-modified ASOs leads to sustained therapeutic benefits in vivo, indicating the possibility of a disease-modifying therapy by lowering TDP-43 levels for the treatment of the TDP-43 proteinopathies, including ALS/FTD.http://www.sciencedirect.com/science/article/pii/S2162253123000094MT: Oligonucleotides: Therapies and ApplicationsTDP-43antisense oligonucleotidesamyotrophic lateral sclerosisfrontotemporal dementiatherapy
spellingShingle Toshihide Takeuchi
Kazuhiro Maeta
Xin Ding
Yukako Oe
Akiko Takeda
Mana Inoue
Seiichi Nagano
Tsuyoshi Fujihara
Seiji Matsuda
Shinsuke Ishigaki
Kentaro Sahashi
Eiko N. Minakawa
Hideki Mochizuki
Masahiro Neya
Gen Sobue
Yoshitaka Nagai
Sustained therapeutic benefits by transient reduction of TDP-43 using ENA-modified antisense oligonucleotides in ALS/FTD mice
Molecular Therapy: Nucleic Acids
MT: Oligonucleotides: Therapies and Applications
TDP-43
antisense oligonucleotides
amyotrophic lateral sclerosis
frontotemporal dementia
therapy
title Sustained therapeutic benefits by transient reduction of TDP-43 using ENA-modified antisense oligonucleotides in ALS/FTD mice
title_full Sustained therapeutic benefits by transient reduction of TDP-43 using ENA-modified antisense oligonucleotides in ALS/FTD mice
title_fullStr Sustained therapeutic benefits by transient reduction of TDP-43 using ENA-modified antisense oligonucleotides in ALS/FTD mice
title_full_unstemmed Sustained therapeutic benefits by transient reduction of TDP-43 using ENA-modified antisense oligonucleotides in ALS/FTD mice
title_short Sustained therapeutic benefits by transient reduction of TDP-43 using ENA-modified antisense oligonucleotides in ALS/FTD mice
title_sort sustained therapeutic benefits by transient reduction of tdp 43 using ena modified antisense oligonucleotides in als ftd mice
topic MT: Oligonucleotides: Therapies and Applications
TDP-43
antisense oligonucleotides
amyotrophic lateral sclerosis
frontotemporal dementia
therapy
url http://www.sciencedirect.com/science/article/pii/S2162253123000094
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