Abstract

Splice-switching antisense oligonucleotide- (SSO-) mediated correction of framedisrupting mutation-containing premessenger RNA (mRNA) transcripts using exon skipping is a highly promising treatment method for muscular diseases such as Duchenne muscular dystrophy (DMD). Phosphorothioate (PS) chemistry, a commonly used oligonucleotide modification, has been shown to increase the stability of and improve the pharmacokinetics of SSOs. However, the effect of PS inclusion in 2′-O-methyl SSOs (2OMe) on cellular uptake and splice switching is less well-understood. At present, we demonstrate that the modification of PS facilitates the uptake of 2OMe in H2k-mdx myoblasts. Furthermore, we found a dependency of SSO nuclear accumulation and high splice-switching activity on PS inclusion in 2OMe (2OMePS), as tested in various reporter cell lines carrying pLuc/705. Increased exon-inclusion activity was observed in muscle, neuronal, liver, and bone cell lineages via both the gymnotic uptake and lipofection of 2OMePS. Using the photoactivatable ribonucleoside-enhanced crosslinking and a subsequent proteomic approach, we identified several 2OMePS-binding proteins, which are likely to play a role in the trafficking of 2OMePS to the nucleus. Ablation of one of them, Ncl by small-interfering RNA (siRNA) enhanced 2OMePS uptake in C2C12 myoblasts and upregulated luciferase RNA splicing in the HeLa Luc/705 reporter cell line. Overall, we demonstrate that PS inclusion increases nuclear delivery and splice switching in muscle, neuronal, liver, and bone cell lineages and that the modulation of 2OMePS-binding partners may improve SSO delivery.

Highlights

  • In the last few decades, numerous studies have demonstrated the potential of using splice-switching antisense oligonucleotides (SSOs)

  • Splice Switching Is Dependent on PS Inclusion in 2′ -Omethyl SSOs (2OMe) Upon Lipofection in Muscle, Neuronal, Liver, and Bone Reporter Cell Lineages

  • To investigate the optimal modifications of PS inclusion in 2OMe to improve the splicing efficiency of SSO, 16- and 18-mer 2OMe with PS or endPS modification at a final concentration of 50 or 100 nM were transfected into the reporter cell lines by PepFect14 following our previously published protocols (Ezzat et al, 2011; Rocha et al, 2016)

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Summary

Introduction

In the last few decades, numerous studies have demonstrated the potential of using splice-switching antisense oligonucleotides (SSOs). SSOs are typically 15–25 mers, short oligonucleotides, designed to target pre-messenger RNA (mRNA) and modulate the splicing patterns of target transcripts by blocking Watson– Crick RNA–RNA base-pairing or RNA–protein-binding interactions (Zamecnik and Stephenson, 1978; Dominski and Kole, 1993). This function gives SSOs a solid therapeutic potential, for exon skipping in Duchenne muscular dystrophy (DMD). SSOs using 2′-O-methyl RNA (2OMe) chemistry designed to restore dystrophin were the first oligonucleotides tested in DMD (Cirak et al, 2011).

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