Abstract

Oligonucleotide drugs are experiencing greater success in the clinic, encouraging the initiation of new projects. Resources are insufficient to develop every potentially important project, and persuasive experimental data using cell lines close to disease target tissue is needed to prioritize candidates. Friedreich's ataxia (FRDA) is a devastating and currently incurable disease caused by insufficient expression of the enzyme frataxin (FXN). We have previously shown that synthetic nucleic acids can activate FXN expression in human patient-derived fibroblast cells. We chose to further test these compounds in induced pluripotent stem cell-derived neuronal progenitor cells (iPSC-NPCs). Here we describe methods to deliver oligonucleotides and duplex RNAs into iPSC-NPCs using electroporation. Activation of FXN expression is potent, easily reproducible, and potencies parallel those determined using patient-derived fibroblast cells. A duplex RNA and several antisense oligonucleotides (ASOs) with different combinations of 2′-methoxyethyl (2′-MOE), 2′-fluoro (2′-F), and constrained ethyl (cEt) were active, providing multiple starting points for further development and highlighting improved potency as an important goal for preclinical development. Our data support the conclusion that ASO-mediated activation of FXN is a feasible approach for treating FRDA and that electroporation is a robust method for introducing ASOs to modulate gene expressions in neuronal cells.

Highlights

  • For almost three decades, oligonucleotide therapeutics made slow progress (Shen and Corey 2018)

  • We demonstrate that elevated FXN RNA and protein levels can be achieved and evaluate compound potencies, moving oligonucleotide activators of FXN expression one step closer as competitive candidates for drug development

  • The MaxCyte system is designed for clinical use and improves primary cell transfection viability by using inert metals instead of aluminum in the electroporation electrodes to avoid toxic metal ions leaching into the cell suspension

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Summary

Introduction

Oligonucleotide therapeutics made slow progress (Shen and Corey 2018). Successful drugs include antisense oligonucleotides (ASOs) Exondys (Sarepta, Duchenne muscular dystrophy) (Aartsma-Rus and Krieg 2017), Spinraza (Biogen/ Ionis, spinal muscular atrophy) (Corey 2017), Tegsedi (Akcea/Ionis, hereditary transthyretin-mediated amyloidosis) (Keam 2018), and one duplex RNA, Onpattro (Alnylam, hereditary transthyretin-mediated amyloidosis) (Hoy 2018). These compounds have proven that synthetic oligonucleotides can benefit patients and will encourage wider application of oligonucleotide medicine to drug development. Criteria for prioritization include unmet need, existence of competing development strategies (small molecule, antibody, gene therapy, etc.), and potential for achieving adequate activity in vivo

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