Morpholino antisense oligonucleotides targeting intronic repressor Element1 improve phenotype in SMA mouse models

EY Osman, MR Miller, KL Robbins… - Human molecular …, 2014 - academic.oup.com
EY Osman, MR Miller, KL Robbins, AM Lombardi, AK Atkinson, AJ Brehm, CL Lorson
Human molecular genetics, 2014academic.oup.com
Spinal muscular atrophy (SMA) is a neurodegenerative disease caused by the loss of
Survival Motor Neuron-1 (SMN1). In all SMA patients, a nearly identical copy gene called
SMN2 is present, which produces low levels of functional protein owing to an alternative
splicing event. To prevent exon-skipping, we have targeted an intronic repressor, Element1
(E1), located upstream of SMN2 exon 7 using Morpholino-based antisense oligonucleotides
(E1MO-ASOs). A single intracerebroventricular injection in the relatively severe mouse …
Spinal muscular atrophy (SMA) is a neurodegenerative disease caused by the loss of Survival Motor Neuron-1 (SMN1). In all SMA patients, a nearly identical copy gene called SMN2 is present, which produces low levels of functional protein owing to an alternative splicing event. To prevent exon-skipping, we have targeted an intronic repressor, Element1 (E1), located upstream of SMN2 exon 7 using Morpholino-based antisense oligonucleotides (E1MO-ASOs). A single intracerebroventricular injection in the relatively severe mouse model of SMA (SMNΔ7 mouse model) elicited a robust induction of SMN protein, and mean life span was extended from an average survival of 13 to 54 days following a single dose, consistent with large weight gains and a correction of the neuronal pathology. Additionally, E1MO-ASO treatment in an intermediate SMA mouse (SMNRT mouse model) significantly extended life span by ∼700% and weight gain was comparable with the unaffected animals. While a number of experimental therapeutics have targeted the ISS-N1 element of SMN2 pre-mRNA, the development of E1 ASOs provides a new molecular target for SMA therapeutics that dramatically extends survival in two important pre-clinical models of disease.
Oxford University Press