Rescue of cardiomyopathy through U7snRNA-mediated exon skipping in Mybpc3-targeted knock-in mice
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Rescue of cardiomyopathy through U7snRNA-mediated exon skipping in Mybpc3-targeted knock-in mice. / Hornung, Christina; Behrens, Verena; Reischmann, Silke; Geertz, Birgit; Stimpel, Doreen; Weinberger, Florian; Schlossarek, Saskia; Précigout, Guillaume; Braren, Ingke ; Eschenhagen, Thomas; Mearini, Giulia; Lorain, Stéphanie; Voit, Thomas; Dreyfus, Patrick A; Garcia, Luis; Carrier, Lucie.
In: EMBO MOL MED, Vol. 5, No. 7, 01.07.2013, p. 1060-77.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Rescue of cardiomyopathy through U7snRNA-mediated exon skipping in Mybpc3-targeted knock-in mice
AU - Hornung, Christina
AU - Behrens, Verena
AU - Reischmann, Silke
AU - Geertz, Birgit
AU - Stimpel, Doreen
AU - Weinberger, Florian
AU - Schlossarek, Saskia
AU - Précigout, Guillaume
AU - Braren, Ingke
AU - Eschenhagen, Thomas
AU - Mearini, Giulia
AU - Lorain, Stéphanie
AU - Voit, Thomas
AU - Dreyfus, Patrick A
AU - Garcia, Luis
AU - Carrier, Lucie
N1 - © 2013 The Authors. Published by John Wiley and Sons, Ltd on behalf of EMBO.
PY - 2013/7/1
Y1 - 2013/7/1
N2 - Exon skipping mediated by antisense oligoribonucleotides (AON) is a promising therapeutic approach for genetic disorders, but has not yet been evaluated for cardiac diseases. We investigated the feasibility and efficacy of viral-mediated AON transfer in a Mybpc3-targeted knock-in (KI) mouse model of hypertrophic cardiomyopathy (HCM). KI mice carry a homozygous G>A transition in exon 6, which results in three different aberrant mRNAs. We identified an alternative variant (Var-4) deleted of exons 5-6 in wild-type and KI mice. To enhance its expression and suppress aberrant mRNAs we designed AON-5 and AON-6 that mask splicing enhancer motifs in exons 5 and 6. AONs were inserted into modified U7 small nuclear RNA and packaged in adeno-associated virus (AAV-U7-AON-5+6). Transduction of cardiac myocytes or systemic administration of AAV-U7-AON-5+6 increased Var-4 mRNA/protein levels and reduced aberrant mRNAs. Injection of newborn KI mice abolished cardiac dysfunction and prevented left ventricular hypertrophy. Although the therapeutic effect was transient and therefore requires optimization to be maintained over an extended period, this proof-of-concept study paves the way towards a causal therapy of HCM.
AB - Exon skipping mediated by antisense oligoribonucleotides (AON) is a promising therapeutic approach for genetic disorders, but has not yet been evaluated for cardiac diseases. We investigated the feasibility and efficacy of viral-mediated AON transfer in a Mybpc3-targeted knock-in (KI) mouse model of hypertrophic cardiomyopathy (HCM). KI mice carry a homozygous G>A transition in exon 6, which results in three different aberrant mRNAs. We identified an alternative variant (Var-4) deleted of exons 5-6 in wild-type and KI mice. To enhance its expression and suppress aberrant mRNAs we designed AON-5 and AON-6 that mask splicing enhancer motifs in exons 5 and 6. AONs were inserted into modified U7 small nuclear RNA and packaged in adeno-associated virus (AAV-U7-AON-5+6). Transduction of cardiac myocytes or systemic administration of AAV-U7-AON-5+6 increased Var-4 mRNA/protein levels and reduced aberrant mRNAs. Injection of newborn KI mice abolished cardiac dysfunction and prevented left ventricular hypertrophy. Although the therapeutic effect was transient and therefore requires optimization to be maintained over an extended period, this proof-of-concept study paves the way towards a causal therapy of HCM.
KW - Adenoviridae
KW - Alternative Splicing
KW - Animals
KW - Cardiomyopathy, Hypertrophic
KW - Carrier Proteins
KW - Exons
KW - Gene Knock-In Techniques
KW - Genetic Therapy
KW - HEK293 Cells
KW - Heart
KW - Humans
KW - Hypertrophy, Left Ventricular
KW - Mice
KW - Mutation
KW - Myocardium
KW - Oligoribonucleotides, Antisense
KW - Protein Isoforms
KW - RNA, Messenger
KW - RNA, Small Nuclear
KW - Transduction, Genetic
U2 - 10.1002/emmm.201202168
DO - 10.1002/emmm.201202168
M3 - SCORING: Journal article
C2 - 23716398
VL - 5
SP - 1060
EP - 1077
JO - EMBO MOL MED
JF - EMBO MOL MED
SN - 1757-4676
IS - 7
ER -