Late-onset Pompe disease (LOPD) is overwhelmingly caused by a single mutation that disrupts splicing of acid-alpha glucosidase (GAA) and results in the accumulation of lysosomal glycogen in muscle cells leading to progressive muscle weakness in patients. Current therapeutics for LOPD do not meet the needs of patients and have largely been developed in mutant animal models lacking Gaa expression, which more closely mimic the less common infantile form of the disease. Here we design and evaluate peptide-conjugated phosphorodiamidate morpholino oligomers (PPMOs) to target the causative mutation in GAA and correct pathogenic splicing in muscle tissue. We show PPMO compounds correct LOPD splicing in both patient induced pluripotent stem cell-derived muscle cells and in skeletal muscle tissue after intravenous dosing in a newly developed humanized LOPD animal model that recapitulates patient LOPD splicing.
Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease.
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作者:Oliver Ryan A, Ahern Meghan E, Castaneda Perla G, Jinadasa Tushare, Bardhan Anirban, Morgan Kathy Y, Ha Kristin, Adhikari Kailash, Jungels Nino, Liberman Noa, Mitra Anindita, Greer Christopher D, Wright Alec M, Thompson Emily G, Garcia Stephanie, Copson Elena, Allu Senkara, Tan Xuyu, Callahan Alex J, Cai Bao Zhong, Guerlavais Vincent, Kim Kevin J, Malmberg Annika B
期刊: | Molecular Therapy-Nucleic Acids | 影响因子: | 6.100 |
时间: | 2025 | 起止号: | 2025 Mar 27; 36(2):102524 |
doi: | 10.1016/j.omtn.2025.102524 |
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