Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa

Rhodopsin (RHO) gene mutations are a common cause of autosomal dominant retinitis pigmentosa (ADRP). The need to suppress toxic protein expression together with mutational heterogeneity pose challenges for treatment development. Mirtrons are atypical RNA interference effectors that are spliced from...

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Main Authors: Orlans, HO, McClements, ME, Barnard, AR, Martinez-Fernandez de la Camara, C, MacLaren, RE
Format: Journal article
Language:English
Published: Springer Nature 2021
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author Orlans, HO
McClements, ME
Barnard, AR
Martinez-Fernandez de la Camara, C
MacLaren, RE
author_facet Orlans, HO
McClements, ME
Barnard, AR
Martinez-Fernandez de la Camara, C
MacLaren, RE
author_sort Orlans, HO
collection OXFORD
description Rhodopsin (RHO) gene mutations are a common cause of autosomal dominant retinitis pigmentosa (ADRP). The need to suppress toxic protein expression together with mutational heterogeneity pose challenges for treatment development. Mirtrons are atypical RNA interference effectors that are spliced from transcripts as short introns. Here, we develop a novel mirtron-based knockdown/replacement gene therapy for the mutation-independent treatment of RHO-related ADRP, and demonstrate efficacy in a relevant mammalian model. Splicing and potency of rhodopsin-targeting candidate mirtrons are initially determined, and a mirtron-resistant codon-modified version of the rhodopsin coding sequence is validated in vitro. These elements are then combined within a single adeno-associated virus (AAV) and delivered subretinally in a Rho<sup>P23H</sup> knock-in mouse model of ADRP. This results in significant mouse-to-human rhodopsin RNA replacement and is associated with a slowing of retinal degeneration. This provides proof of principle that synthetic mirtrons delivered by AAV are capable of reducing disease severity in vivo.
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spelling oxford-uuid:d5255281-048a-4e08-ac4a-f0defc618a772022-03-27T08:23:51ZMirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d5255281-048a-4e08-ac4a-f0defc618a77EnglishSymplectic ElementsSpringer Nature2021Orlans, HOMcClements, MEBarnard, ARMartinez-Fernandez de la Camara, CMacLaren, RERhodopsin (RHO) gene mutations are a common cause of autosomal dominant retinitis pigmentosa (ADRP). The need to suppress toxic protein expression together with mutational heterogeneity pose challenges for treatment development. Mirtrons are atypical RNA interference effectors that are spliced from transcripts as short introns. Here, we develop a novel mirtron-based knockdown/replacement gene therapy for the mutation-independent treatment of RHO-related ADRP, and demonstrate efficacy in a relevant mammalian model. Splicing and potency of rhodopsin-targeting candidate mirtrons are initially determined, and a mirtron-resistant codon-modified version of the rhodopsin coding sequence is validated in vitro. These elements are then combined within a single adeno-associated virus (AAV) and delivered subretinally in a Rho<sup>P23H</sup> knock-in mouse model of ADRP. This results in significant mouse-to-human rhodopsin RNA replacement and is associated with a slowing of retinal degeneration. This provides proof of principle that synthetic mirtrons delivered by AAV are capable of reducing disease severity in vivo.
spellingShingle Orlans, HO
McClements, ME
Barnard, AR
Martinez-Fernandez de la Camara, C
MacLaren, RE
Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa
title Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa
title_full Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa
title_fullStr Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa
title_full_unstemmed Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa
title_short Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa
title_sort mirtron mediated rna knockdown replacement therapy for the treatment of dominant retinitis pigmentosa
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