U.S. patent application number 17/380756 was filed with the patent office on 2022-04-28 for treatment of cns injury with rnai therapeutics.
The applicant listed for this patent is BioAxone BioSciences, Inc.. Invention is credited to Lisa MCKERRACHER, Emily NIEDERST, Kenneth M. ROSEN, Joerg RUSCHEL.
Application Number | 20220127617 17/380756 |
Document ID | / |
Family ID | |
Filed Date | 2022-04-28 |
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United States Patent
Application |
20220127617 |
Kind Code |
A1 |
RUSCHEL; Joerg ; et
al. |
April 28, 2022 |
TREATMENT OF CNS INJURY WITH RNAi THERAPEUTICS
Abstract
Self-delivering PTEN RNA and methods of reducing PTEN expression
are provided herein. Also provided are methods of treating spinal
cord injury (SCI) and other neurotrauma with PTEN sdRNA.
Inventors: |
RUSCHEL; Joerg; (Cambridge,
MA) ; MCKERRACHER; Lisa; (Boston, MA) ;
NIEDERST; Emily; (Cambridge, MA) ; ROSEN; Kenneth
M.; (Milton, MA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
BioAxone BioSciences, Inc. |
Boston |
MA |
US |
|
|
Appl. No.: |
17/380756 |
Filed: |
July 20, 2021 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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16321229 |
Jan 28, 2019 |
11098308 |
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PCT/US2017/044235 |
Jul 27, 2017 |
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17380756 |
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62367199 |
Jul 27, 2016 |
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International
Class: |
C12N 15/113 20060101
C12N015/113; A61P 27/02 20060101 A61P027/02; A61P 25/00 20060101
A61P025/00 |
Claims
1. A phosphatase and tensin homolog (PTEN) targeting agent
comprising an isolated sdRNA molecule.
2. The isolated sdRNA molecule of claim 1 which comprises a
nucleotide sequence complementary to a PTEN gene, the isolated
sdRNA molecule comprising a guide nucleotide strand, a passenger
nucleotide strand, and a cholesterol-TEG molecule attached at the
3' end of the passenger strand, the isolated sdRNA molecule having
a double-stranded region and a single-stranded region, the
double-stranded region being from 8-15 nucleotides long, and the
single-stranded region being at the 3' end of the guide nucleotide
strand, being 4-12 nucleotides long, wherein at least 40% of the
nucleotides of the sdRNA molecule are modified with at least one
modification, and wherein the sdRNA molecule does not form a
hairpin.
3. The isolated sdRNA molecule of claim 2, wherein the at least one
modification is a phosphorothioate, O-methyl, and/or 2-fluror
modification.
4. The sdRNA molecule of claim 2, wherein the guide strand has a
nucleotide sequence comprising SED ID NO:5 or SEQ ID NO:7.
5. The sdRNA molecule of claim 4, wherein the passenger stand has a
nucleotide sequence comprising SEQ ID NO:6 or SEQ ID NO:8.
6. The sdRNA molecule of claim 5 which is BA-434 and comprises a
guide sequence comprising SEQ ID NO:6 and a passenger sequence
comprising SDE ID NO:7.
7. A pharmaceutical composition comprising the sdRNA molecule of
claim 6 and a pharmaceutically acceptable carrier.
8. A method of inhibiting PTEN expression in a mammalian cell,
comprising contacting the cell with an amount of PTEN sdRNA such
that PTEN mRNA expression is inhibited.
9. The method of claim 8, wherein the sdRNA molecule comprises a
nucleotide sequence complementary to a PTEN gene, the sdRNA
molecule comprising a guide nucleotide strand, a passenger
nucleotide strand, and a cholesterol-TEG molecule at the 3' end of
the passenger nucleotide strands, the sdRNA molecule having a
double-stranded region and a single-stranded region, the
double-stranded region being from 8-15 nucleotides long, and the
single-stranded region being at the 3' end of the guide strand,
being 4-12 nucleotides long, wherein at least 40% of the
nucleotides of the isolated sdRNA molecule are modified with at
least one modification, and wherein the isolated sdRNA molecule
does not form a hairpin.
10. The method of claim 9, wherein the sdRNA molecule is BA-434 and
comprises a guide sequence comprising SEQ ID NO:8 and a passenger
sequence comprising SEQ ID NO:7.
11. The method of claims 8, wherein the cell is located in the
central nervous system.
12. The method of claim 8, wherein the mammalian cell is a neuronal
cell, an astrocyte, or an oligodendrocyte.
13. The method of claim 8, wherein the cell is in the spinal
cord.
14. The method of claim 8, wherein the cell is in the retina or
optic nerve.
15. A method of treating a CNS injury, comprising contacting the
injury with an amount of the PTEN sdRNA of claim 1 effective to
promote axon regeneration.
16. A method of treating a CNS injury, comprising contacting the
injury with an amount of the PTEN sdRNA of claim 2 effective to
promote axon regeneration.
17. A method of treating a CNS injury, comprising contacting the
injury with an amount of the PTEN sdRNA of claim 6 effective to
promote axon regeneration.
18. A method of treating a CNS injury, comprising contacting the
injury with an amount of the PTEN sdRNA of claim 6 effective to
promote astrocyte cell migration to, and proliferation at, the
injury.
19. The method of claim 15, wherein the CNS injury is a spinal cord
injury or an optic neuropathy.
20. The method of claim 15, wherein plasticity of interneurons is
promoted at the injury.
21. A method for promoting the survival or regeneration of a mature
CNS neuron, the neuron having an axonal injury, the method
comprising contacting the injured neuron with a therapeutically
effective amount of PTEN sdRNA.
22. The method of claim 21, wherein the injured neuron is in the
spinal cord of a mammalian subject.
Description
SEQUENCE LISTING
[0001] The instant application contains a Sequence Listing which
has been submitted electronically in ASCII format and is hereby
incorporated by reference in its entirety. Said ASCII copy, created
Jan. 7, 2022, is named
51245-011003_Sequence_Listing_1.7.22_ST25.txt and is 16,345 bytes
in size.
CROSS-REFERENCE TO RELATED APPLICATIONS
[0002] This application claims the benefit of and priority to
Provisional Application No. 62/367,199, filed Jul. 27, 2016, the
contents of which is incorporated by reference in its entirety.
FIELD OF THE INVENTION
[0003] The present disclosure relates to the fields of medicine and
neurology, and more specifically, to compositions and treatments
for promoting axon regeneration with specific RNA interference
(RNAi) drugs.
BACKGROUND
[0004] In America, 12,000 people suffer SCI each year, most
frequently from motor vehicle accidents or falls; in children SCI
are mostly due to sports or water recreational activities. SCI
often leads to a lifetime of disability and there are no approved
drugs to improve functional outcome. Approximately 70% of patients
suffer injuries to the cervical spinal cord which leads to
quadriplegia and dependence on care for daily living.
[0005] The current treatment for SCI is decompression surgery and
rehabilitation. Despite a plethora of targets and compounds that
show recovery of function and walking in rodent models of SCI, very
few have been taken forward to clinical studies. In the damaged
CNS, there are insufficient growth factors to promote regeneration,
and the CNS environment lacks positive substrate cues and is rich
in growth inhibitory proteins (McKerracher et al. (1994) Neuron.
13:805-811; Mukhopadhyay et al. (1994) Neuron. 13:757-767; Walsh et
al. (1997) Ann. Rev. Cell Develo. Biol. 13:425-456). It is also
clear that there are intrinsic, cell-type specific signals that
repress regeneration (Nawabi et al. (2012) Genes Develop.
26:1509-1514). There is a developmental switch in responsiveness to
both intrinsic and extrinsic cues (Cai et al. (2001) J. Neurosci.
21:4731-4739; Goldberg et al. (2002) Science. (5574):1860-4; Park
et al. (2010) Expt. Neurol. 223:45-50). PTEN has been identified as
a target for regulating intrinsic signalling (Liu et al. (2010)
Nat. Neurosci. 13:1075-1081; Park et al. (2008) Science
322(5903):963-6).
[0006] While neurons in the central nervous system (CNS) have the
capacity to regenerate their axons after injury, they fail to do
so, in part because regeneration is limited by intrinsic signaling
pathways that are upregulated in mature neurons suppress axon
regrowth; failure to regenerate is also due to growth inhibitory
molecules that are present in the CNS environment, and receptors
for growth inhibitory molecules activate neuron-intrinsic signaling
pathways that prevent axon regrowth and regeneration. Thus, the
search for targets to promote regeneration has focused on two
general sets of candidates; extrinsic barriers to regeneration
present in a damaged CNS environment (e.g., growth inhibitory
molecules), and intrinsic signals that become upregulated and
activated during neuronal differentiation and maturation e.g.,
PTEN, KLF4, KLF9, TSC1, SOCS3, and others. One barrier to progress
in the field of spinal cord injury SCI has been the failure to
translate experimental treatments to clinically relevant drugs
after target identification.
[0007] The dual function protein known as PTEN (phosphatase and
tensin homolog deleted on chromosome ten) plays a role in
regulating cytoskeletal dynamics and cell motility (Meili et al.
(2005) Nat. Cell Biol. 7:334-335) as well as in cell growth and
survival (Stambolic et al. (1998) Cell 95:29-39) It is also an
important target for regulating intrinsic signaling for axonal
regeneration in the CNS (Park et al. (2008) Science 322 (5903)
:963-966). Utilizing its lipid phosphatase activity, it is able to
downregulate the P13 kinase AKT pathway, and leveraging its protein
phosphatase activity, it can negatively regulate the MAP kinase
pathway. By virtue of these activities, PTEN can significantly
inhibit the activation of the Akt/protein kinase B pathway, a
critical regulator of cellular proliferation, growth and migration
in cycling cells. In neurons, Akt is implicated in the regulation
of cell survival following neurotrauma, local axon assembly during
axon growth and gene expression required for axon regeneration. In
neurons, downstream effectors of PTEN are down-regulated during the
development of long-tract axons (Liu et al., 2010) and the
suppression of PTEN promotes axon regeneration. PTEN knockdown by
silencing PTEN in corticospinal in motor neurons improves recovery
of motor function after SCI. However, clinically relevant ways to
transiently suppress PTEN without creating unwanted side effects
have not been devised.
[0008] PTEN affects cytoskeletal dynamics, cell migration, growth
and survival of non-neuronal cells of the CNS including astroglia
and oligodendrocytes.
[0009] In astrocytes, PTEN inhibition results in astrocyte growth,
proliferation and survival. Activation of the P13K/AKT pathway,
which is negatively regulated by PTEN, promotes astrocyte migration
(REF). PTEN knock-out promotes cell migration and wound healing in
vivo. After mammalian spinal cord injury reactive astrocytes form a
glial scar. Migration of reactive astrocyte into the lesion
epicenter has a crucial role in CNS wound healing after trauma.
Enhancing migration of astrocytes into the lesion site after rodent
spinal cord contusion injury promotes seclusion of CNS infiltrating
blood borne monocytes to enhance lesion contraction resulting in a
reduced lesion area and to improve recovery of hindlimb
function.
[0010] In oligodendrocytes PTEN inhibition promotes proliferation,
differentiation, and axonal myelination. After CNS injury,
oligodendrocytes frequently undergo cell death resulting in axonal
demyelination and only insufficient axonal remyelination occurs.
PTEN inhibitors promote oligodendrocyte survival and/or
remyelination after SCI.
[0011] RNAi, induced by small interfering RNAs (siRNA), is used in
a method for transiently blocking protein expression. RNA silencing
is a sequence-specific regulation of gene expression triggered by
double-stranded RNA (dsRNA) and is a mechanism that cells use to
fight viruses. Different strategies have been developed to modify
siRNA to allow stability in and delivery to cells and tissues. For
example, stability of the dsRNA is achieved by modifying the
nucleotides in various ways. Modifications that confer stability to
RNAi are described in U.S. Pat. No. 9,080,171; U.S. Pub. No.
2012/0142763A1; and Rettig et al. (2012) Mole. Thera. 20:483-512).
Nuclease stability, strand loading, off-target effects,
immunogenicity, biodistribution, potency and half-life are all
factors that must be considered in making target-specific siRNAs
suitable for therapeutics.
[0012] Different methods have been used for local delivery of drugs
to the CNS. However very few of the techniques tested in animals
have proven robust for human use. For example, intrathecal delivery
of antibodies to promote regeneration caused unacceptable infection
rates in one clinical trial, and the protocol was changed to
intermittent, intrathecal bolus injections, a procedure which is
difficult and painful for patients. Therapeutic proteins in a
clinical trial for SCI are provided in a kit which includes an
approved fibrin sealant (e.g., Fehlings et al. (2011) J.
Neurotrauma 28:787-796), and the technique is to mix the new drug
with already approved kit components to facilitate safety and
delivery (U.S. Pat. No. 7,141,428). However, reliance on components
made by separate manufacturers does not ensure an approved supply
of components, necessitating complex manufacturing of individual
kit components for drug manufacture.
[0013] In vivo delivery of siRNA has been one challenging aspect of
developing a therapeutic drug using siRNA technology. A comparison
of intracellular delivery of synthetic dsRNA or plasmid DNA
encoding short hairpin RNA (shRNA) indicates that synthetic RNA is
more effective and that the knockdown in expression is immediate
and short-lived (McAnuff et al. (2007) J. Pharmaceut. Sci.
96:2922-2930). Also, unlike DNA plasmids and viral vectors,
direct-delivery of siRNA does not require a nuclear localization
signal and it carries a negligible risk for genomic
integration.
[0014] Delivery of RNAi to cells in vitro and in vivo has used
various methods such as lipid delivery, viral delivery, and by
modifying the charge and structure to allow "self-delivery" (see,
e.g., U.S. Pat. No. 8,796,443, and U.S. Pub. Nos. 2012/0142763,
2009/0093425, and 2012/0101045A1). While different delivery methods
have been developed, little is known about how modifications to
enhance delivery affect mRNA localization and trafficking, which
ultimately influence translation, function, and specificity.
[0015] In addition, delivery to the CNS has been challenging
because siRNAs do not penetrate the blood brain barrier. For
treatment of spinal cord injury (SCI), viruses that express shRNA
against PTEN have been delivered to cell bodies in the brain to
treat the injured projection axons in the spinal cord many
centimeters away (Liu et al. (2010) Nat. Neurosci. 13:1075-1081).
However, this is not a clinically suitable delivery because in
humans the cell bodies of corticospinal neurons in the cortex can
be meters from injured axons in the spinal cord. In addition, viral
gene delivery of PTEN shRNA results in a permanent, irreversible
knock down of PTEN expression, which bears significant safety
liabilities over long term, as PTEN is an important tumor
suppressor gene.
[0016] Thus, what is needed are more efficacious therapeutic
compositions for treating CNS injury and better modes of delivering
them.
SUMMARY OF THE INVENTION
[0017] It has been discovered that a particular PTEN siRNA used in
conjunction with self-delivery technology is a potent effector of
PTEN mRNA and PTEN protein expression in mammalian cells. This
discovery has been exploited to develop the present disclosure,
which, in part, is directed to a composition of matter,
pharmaceutical compositions, and methods of treating SCI and other
types of neurotrauma using self-deliverable siRNAs (sdRNAs)
targeting PTEN mRNA.
[0018] In one aspect, the disclosure provides a phosphatase and
tensin homolog (PTEN) targeting agent comprising an isolated sdRNA
molecule.
[0019] In some embodiments, the isolated sdRNA molecule comprises a
nucleotide sequence complementary to a PTEN gene, the isolated
sdRNA molecule comprising a guide nucleotide strand, a passenger
nucleotide strand, and a cholesterol (TEG) molecule attached at the
3' end of the passenger strand. The isolated sdRNA molecule has a
double-stranded region 8-15 nucleotides long and a single-stranded
region at the 3' end of the guide nucleotide strand and being 4-12
nucleotides long. At least 40% of the nucleotides of the sdRNA
molecule comprise at least one modification, and the sdRNA molecule
does not form a hairpin. In certain embodiments, the guide strand
has a nucleotide sequence comprising SEQ ID NO:5 or SEQ ID NO:7. In
some embodiments, the passenger stand has a nucleotide sequence
comprising SEQ ID NO:6 or SEQ ID NO:8. In particular embodiments,
the guide strand has a nucleotide sequence comprising SEQ ID NO:5
or SEQ ID NO:7, and the passenger stand has a nucleotide sequence
comprising SEQ ID NO:6 or SEQ ID NO:8. In a certain embodiment, the
sdRNA molecule is BA-434 and comprises a guide sequence comprising
SEQ ID NO:6 and a passenger sequence comprising SEQ ID NO:8.
[0020] In another aspect, the disclosure provides a pharmaceutical
composition comprising a PTEN sdRNA molecule as described above and
a pharmaceutically acceptable carrier. In some embodiments, the
PTEN sdRNA molecule is BA-434 and comprises a guide sequence
comprising SEQ ID NO:6 and a passenger sequence comprising SEQ ID
NO:8.
[0021] In yet another aspect, the disclosure provides a method of
inhibiting PTEN expression in a mammalian cell, comprising
contacting the cell with an amount of a PTEN sdRNA as described
herein such that PTEN mRNA expression is inhibited.
[0022] In some embodiments, the sdRNA molecule is BA-434 and
comprises a guide sequence comprising SEQ ID NO:6 and a passenger
sequence comprising SEQ ID NO:8. In certain embodiments, the cell
is located in the central nervous system. In particular
embodiments, the cell is in the spinal cord or in the optic nerve.
In certain embodiments, the mammalian cell is a neuronal cell, an
astrocyte, or an oligodendrocyte.
[0023] In still another embodiment, the disclosure provides a
method of treating a CNS injury, comprising contacting the injury
with an amount of the PTEN sdRNA as described herein effective to
promote axon regeneration and/or effective to promote astrocyte
cell migration to, and proliferation at, the injury. In some
embodiments, the sdRNA molecule is BA-434 and comprises a guide
sequence comprising SEQ ID NO:6 and a passenger sequence comprising
SEQ ID NO:8. In certain embodiments, the CNS injury is a spinal
cord injury or an optic neuropathy. In some embodiments, plasticity
of interneurons is promoted at the injury.
[0024] Also provided is a method for promoting the survival or
regeneration of a mature CNS neuron, the neuron having an axonal
injury, the method comprising contacting the injured neuron with a
therapeutically effective amount of a PTEN sdRNA a described
herein. In some embodiments, the sdRNA molecule is BA-434 and
comprises a guide sequence comprising SEQ ID NO:6 and a passenger
sequence comprising SEQ ID NO:8. In certain embodiments, the
injured neuron is in the spinal cord or the optic nerve of a
mammalian subject.
DESCRIPTION OF THE DRAWINGS
[0025] The foregoing features of embodiments will be more readily
understood by reference to the following detailed description,
taken with reference to the accompanying drawings, in which:
[0026] FIG. 1 is a diagrammatic representation diagram showing the
structure of an sdRNA molecule;
[0027] FIG. 2 is a diagrammatic representation of the luciferase
reporter gene cloned for PTEN sdRNA screening;
[0028] FIG. 3 is a graphic representation showing the results of
PTEN sdRNA screening in HeLa cells using a luciferase assay. The
different sequences tested are numbered, NTC is a non-targeting
control, sdMAP4K4 is a positive control;
[0029] FIG. 4A is a representation of a fluorescent image of
Cy3-labeled MAP4K4 sdRNA delivery into PC-12 cells;
[0030] FIG. 4B is a representation of a fluorescent image of a
non-transfected control that does not show any labeling;
[0031] FIG. 5 is a graphic representation showing sdRNA-induced
silencing of MAP4K4 by a MAP4K4 specific sequence (positive
control) in contrast to a non-targeting control NTC (negative
control). sdRNAs were tested in PC-12 cells in a dose-escalation
experiment;
[0032] FIG. 6 is a graphic representation showing of a
dose-response experiment in a PC12 using indicated sdRNA sequences
to silence PTEN expression in comparison to a non-targeting control
(NTC);
[0033] FIG. 7 is a graphic representation showing cross-reactivity
of PTEN sdRNA compounds to human PTEN gene in HeLa cells in
comparison to NTC (non-targeting control);
[0034] FIG. 8 is a graphic representation showing dose-dependent
PTEN gene silencing in HeLa cells induced by BA-434 in comparison
to NTC (non-targeting control);
[0035] FIG. 9 is a graphic representation showing dose-dependent
PTEN gene silencing in PC12 cells by BA-434 sdRNA and a fully
modified BA-434 sdRNA (BA-434_fm) with an alternative modification
pattern in comparison to NTC (non-targeting control);
[0036] FIG. 10 is a graphic representation showing the stability of
BA-434 and fully modified BA-434 (BA-434_fm) sdRNA-induced PTEN
gene silencing in comparison to NTC (non-targeting control) in PC12
cells cultured for up to 7 days after administration;
[0037] FIG. 11 is a representation of a Western blot showing PTEN
protein expression and GAPDH protein expression, where lane 1:
non-targeting control; lane 2: BA-434; lane 3: BA-441; lane 4:
BA-442; lane 5: Control No RNA; lane 6: Control, no media change,
no RNA;
[0038] FIG. 12 is a graphic representation showing gene expression
of PTEN and MAP4K4 in rat cortical neurons after treatment with
BA-434, BA-441, BA-442 or with control sdRNAs with a non-targeting
sequence (NTC) or a sequence targeting MAP4k4 (MAP4K4);
[0039] FIG. 13 is a graphic representation showing gene expression
of PTEN in rat cortical neurons after treatment with BA-434,
BA-441, BA-442 or with control sdRNAs with a non-targeting sequence
(NTC) or a sequence targeting MAP4k4 (MAP4K4); No Tx, untreated
control;
[0040] FIG. 14A is a graphic representation showing gene expression
of PTEN in rat cortical neurons after treatment with 0.1 or 0.5
.mu.M of BA-434, fully stabilized BA-434 (BA-434_fm), Accell sdRNA
targeting PTEN (Accell PTEN) as well as non-targeting controls (NTC
and Accell NTC);
[0041] FIG. 14B is a graphic representation showing protein levels
of PTEN and phosphorylated AKT (Threonine 308 residue) in rat
cortical neurons after treatment with 1 .mu.M of BA-434, fully
stabilized BA-434 (BA-434_fm), Accell sdRNA targeting PTEN (Accell
PTEN) as well as non-targeting controls (NTC and Accell NTC);
[0042] FIG. 15 is a graphic representation showing PTEN mRNA
expression in rat cortical neurons 72, 96 and 120 hours after
treatment with 1 .mu.M of BA-434 in comparison to untreated cells
(0 hr);
[0043] FIG. 16A is a representation of a Western blot showing
expression of PTEN, phospo-S6 (pS6) and GAPDH from cortical neurons
after they were exposed to sdRNAs for either 48 hours (lanes 1-4)
or 72 hours (lanes 5-9). lane 1: non-targeting control sdRNA; lane
2: BA-434; lane 3: BA-441; lane 4: BA-442; lane 5: non-targeting
control sdRNA; lane 6: BA-434; lane 7: BA-441; lane 8: BA-442; lane
9: untreated cells;
[0044] FIG. 16B is a graphic representation showing the expression
of PTEN protein after treatment of the primary cortical neuron
cultures with the specified sdRNA for either 48 hours or 72 hours;
NTC (non-targeting control);
[0045] FIG. 16C is a graphic representation showing the expression
of phosphoS6 protein after treatment of the primary cortical neuron
cultures with the specified sdRNA for either 48 hours or 72 hours;
NTC (non-targeting control);
[0046] FIG. 17A is a representation of a Western blots showing
protein levels of PTEN, phospho-AKT (Threonine 308) phospho-S6
(serine 240/44) and S6 protein in rat primary cortical neurons
treated with the indicated sdRNA for 96 hours (96 hr) or treated
for 96 hours followed by a medium change and cultured for an
additional 24 hours (96+24 hr);
[0047] FIG. 17B is graphical representation showing the relative
protein expression of PTEN normalized to total S6 protein in
cultured rat cortical neurons after indicated treatment for either
96 hours or 96 hours followed by a medium change and cultured for
an additional 24 hours;
[0048] FIG. 17C is graphical representation showing the relative
protein expression of pAKT normalized to total S6 protein in
cultured rat cortical neurons after indicated treatment for either
96 hours or 96 hours followed by a medium change and cultured for
an additional 24 hours;
[0049] FIG. 17D is graphical representation showing the relative
protein expression of pS6 normalized to total S6 protein in
cultured rat cortical neurons after indicated treatment for either
96 hours or 96 hours followed by a medium change and cultured for
an additional 24 hours
[0050] FIG. 18 is a graphic representation of the quantitation of
PTEN protein levels in cultured primary cortical neurons after 2,
3, 4, or 5 days of exposure to a non-targeting control sdRNA, a
vehicle control, or BA-434 sdRNA;
[0051] FIG. 19A are representations of Western blots showing PTEN
and GAPDH protein levels in primary rat cortical neurons at
indicated time-points after treatment with the indicated doses of
BA-434;
[0052] FIG. 19B is a graphic representation of the quantitation of
PTEN protein levels in cultured primary rat cortical neurons at
indicated time-points after treatment with indicated doses of
BA-434;
[0053] FIG. 20A is a series of representations of fluorescent
micrographs of PC12 cells immunolabeled for beta-3 tubulin (Tuj-1)
4 days after sdRNA administration showing neurite outgrowth in PC12
cells 4 days after administration of non-targeting control sdRNA
(NTC) and BA-434 sdRNA;
[0054] FIG. 20B is a graphic representation showing the
quantification of neurite outgrowth in PC12 cells 4 days after
sdRNA application, where BA-434 treatment increases mean neurite
length in comparison to non-targeting control (NTC) and untreated
cells;
[0055] FIG. 20C is a graphic representation showing the
quantification of neurite outgrowth in PC12 cells 4 days after
sdRNA application, where BA-434 treatment increases mean number of
cells that grow neurites longer than 5 .mu.m in comparison to
non-targeting control (NTC) and untreated cells;
[0056] FIG. 20D is a graphic representation showing the
quantification of neurite outgrowth in PC12 cells 4 days after
sdRNA application, where BA-434 treatment increases the mean number
of neurites per cell in comparison to non-targeting control (NTC)
and untreated cells;
[0057] FIG. 21A is a set of representations of micrographs showing
an astrocyte monolayer after scratch wounding at different
time-points after scratch wound, showing that treatment with BA-434
promotes astrocyte migration and growth into the area of the
scratch wound in comparison to untreated and non-targeting control
(NTC) treated astrocytes;
[0058] FIG. 21B is a graphic representation showing the
quantification of wound area, as defined as cell free area, 3 days
after wounding indicating that wound closure is more rapid in
BA-434 astrocyte monolayers in comparison to untreated and
non-targeting control (NTC) treated astrocytes;
[0059] FIG. 22 is a series of representations of low power
fluorograms of immunofluorescence staining of a whole mount of the
rat retina stained for either PTEN protein (in red) or for
neurofilament protein (NF200; in green) at locations near to the
optic disc, in the middle radial portion of the retina or at the
distal periphery of the retina;
[0060] FIG. 23 is a representation of a moderate magnification of
the periphery of the rat retina stained via immunofluorescence for
PTEN protein identifying the retinal ganglion cell bodies;
[0061] FIG. 24A is a representation of a fluorogram of low power
(2.times.) micrograph of a whole mount of a rat retina for overall
retinal tissue;
[0062] FIG. 24B is a representation of a fluorogram of low power
(2.times.) micrograph of a whole mount of a rat retina for
localization of injected, fluorescently labeled BA-434;
[0063] FIG. 24C is a representation of a fluorogram of low power
(2.times.) micrograph of a whole mount of a rat retina for
immunofluorescent staining for PTEN protein 4 days after
intravitreal injection of sdRNA BA-434;
[0064] FIG. 25 is a representation of a fluorogram of a higher
power view of a rat retinal whole mount stained for PTEN protein 4
days after intravitreal injection of BA-434, where the arrow
indicates injection region where axonal PTEN staining is clearly
reduced;
[0065] FIG. 26A is a graphic representation showing the
quantitation of PTEN protein levels in whole retinal homogenates
extracted at 4, 7 and 14 days after intravitreous injection of
BA-434 or 14 days after intravitreous injection of non-targeting
control (NTC), respectively (plotted are means.+-.SEM. N=3 animals
per condition. P*<0.05 by Student's t-test);
[0066] FIG. 26B is a representation of an immunoblot for PTEN and
GAPDH (loading control) of pooled retinal homogenates (N=3 animals
per condition) showing PTEN protein decrease over time after BA-434
injection;
[0067] FIG. 27A is a representation of an immunoblot for
phosphorylated AKT and unphosphorylated (total) AKT (loading
control) of pooled retinal homogenates (N=3 animals per condition)
showing increased amount of activated (phosphorylated) AKT at 4 and
7 days after BA-434 injection indicating increased activity of
pro-regenerative AKT signaling;
[0068] FIG. 27B is a representation of an immunoblot for
phosphorylated glycogen synthase kinase 3 beta (GSK-3.beta.) and
unphosphorylated (total) GSK-3.beta. (loading control) of pooled
retinal homogenates (N=3 animals per condition) showing increased
amount of inactivated (phosphorylated) GSK-3.beta. at 7 days after
BA-434 injection indicating decreased activity of axon growth
inhibitory GSK-3.beta. signaling;
[0069] FIG. 27C is a representation of an immunoblot for
phosphorylated ribosomal protein S6 (S6rb) and unphosphorylated
(total) S6rb (loading control) of pooled retinal homogenates (N=3
animals per condition) showing increased amount of activated
(phosphorylated) S6rb at 14 days after BA-434 injection indicating
increased activity of pro-regenerative mTOR signaling;
[0070] FIG. 28A is a representation of fluorogram of an optic nerve
sectioned in longitudinal and double fluorescently stained for PTEN
protein (green) and .beta.III-tubulin (red);
[0071] FIG. 28B is a representation of fluorogram of an optic nerve
sectioned in cross-sectional plane and double fluorescently stained
for PTEN protein (green) and .beta.III-tubulin (red);
[0072] FIG. 29A is a representation of a fluorogram of the injured
rat optic nerve labelled with fluorescent cholera toxin, which is
used as a nerve pathway tracer;
[0073] FIG. 29B is a representation of a fluorogram of the injured
rat optic nerve fluorescently labeled with Iba-1 antibodies to
identify inflammatory immune cells that have become localized to
the injury site;
[0074] FIG. 29C is a representation of a fluorogram of the injured
rat optic nerve fluorescent labeled with DAPI showing the cellular
disorganization at the injury site;
[0075] FIG. 30A is a representation of a micrograph showing RGC
axon regeneration in the optic nerve 2 weeks after optic nerve
crush and intravitreal injection of non-targeting control (NTC).
Crush (injury) site is shown with the dotted line;
[0076] FIG. 30B is a representation of a micrograph showing RGC
axon regeneration in the optic nerve 2 weeks after optic nerve
crush and intravitreal injection of BA-434. Crush (injury) site is
shown with the dotted line, regenerating axon shown with white
arrow heads;
[0077] FIG. 30C is a representation of a micrograph showing
immunofluorescence of the axon regeneration marker growth
associated protein 43 (GAP43) in the same BA-434 treated animal as
shown in FIG. 30B (demonstrating that axons are truly regenerating
and are not axons that were spared by the initial crush). Where the
crush (injury) site is shown with the dotted line, regenerating
axon shown with white arrow heads;
[0078] FIG. 31 is a representation of a fluorogram showing a cross
section of the rat spinal cord focused on the dorsal portion of the
cord stained by immunofluorescence for PTEN protein;
[0079] FIG. 32A is a representation of a fluorogram of the
cross-sectional plane of a mouse spinal cord 24 hours after
intraspinal injection of fluorescently labeled BA-434 that is
localized to the fluorescent BA-434 sdRNA. FIG. 32B is a
representation of the fluorogram of the cross-sectional plane of a
mouse spinal cord 24 hours after intraspinal injection of
fluorescently labeled BA-434 that immunolabeling for PTEN
protein;
[0080] FIG. 33 is a representation of a fluorogram showing
retrograde axonal transport of Cy-3 labelled, fluorescent BA-434
sdRNA into the neuronal cell bodies of primary rat cortical neurons
growing in a two-compartment microfluidic chamber.
[0081] FIG. 34 is a schematic representation showing the alignment
of BA-434 to the cDNA sequence for human PTEN (SEQ ID NO: 9) where
the BA-434 sequence is shown contained in a black box;
[0082] FIG. 35 is a schematic representation showing a comparison
of human cDNA (SEQ ID NO: 9) and rat cDNA (SEQ ID NO: 10) for PTEN
with a perfect match, where the sequence of BA-434 is shown
contained in a black box;
[0083] FIG. 36 is a schematic representation of nucleotide
sequences of the BA-434 RNA sense strand (=passenger strand) (SEQ
ID NO:5) and RNA antisense strand (=guide strand) (SEQ ID
NO:6);
[0084] FIG. 37 is a schematic representation of the modified BA-434
RNA sense strand (PASSENGER) (SEQ ID NO:7)and the RNA antisense
(GUIDE) strand, where the "m" indicates a 2'-O-methylated
nucleotide, "f' indicates a 2'-flourinated nucleotide, and "#"
indicates a phosphorothioate linkage between the adjacent
nucleotides; "P" indicates a phosphate group; "Cy3" indicates a
cyanine 3 group; and asterisk "*" indicates tetraethylene glycol
(TEG) cholesterol tagged to the 3' end of the sense strand; and
[0085] FIG. 38A is a diagrammatic representation of the clinical
delivery of an sdRNA to a patient with spinal cord injury and
represents the person with a spinal cord injury. FIG. 32B-is a
diagrammatic representation of the clinical delivery of an sdRNA to
a patient with spinal cord injury, and represents the surgeon who
repairs the injury and applies a fibrin sealant or collagen gel
device. FIG. 32C is a diagrammatic representation of the clinical
delivery of an sdRNA to a patient with spinal cord injury, and
represents the sdRNA injected into the fibrin or collagen gel.
DESCRIPTION
[0086] Throughout this application, various patents, patent
applications, and publications are referenced. The disclosures of
these patents, patent applications, and publications are hereby
incorporated by reference in their entirety into this application
in order to more fully describe the state of the art as known to
those skilled therein as of the date of the invention described and
claimed herein. The instant disclosure will govern in the instance
that there is any inconsistency between the patents, patent
applications, and publications and this disclosure.
[0087] Unless otherwise specified, all technical and scientific
terms used herein have the same meaning as commonly understood by
one of ordinary skill in the art to which this disclosure
pertains.
[0088] The present disclosure relates to nucleic acids or RNAi
therapeutics which target PTEN mRNA within cells with improved in
vivo delivery, and which promote axon regeneration in the CNS of an
injured mammal. These novel RNAi therapeutics or sdRNAs easily
penetrate neurons to silence PTEN and promote axon regeneration
after injury such as traumatic brain injury, acute and chronic SCI,
and optic neuropathies. This modulation of PTEN expression improves
recovery after CNS injury by helping neurons create new adaptive
circuitry to overcome deficits caused by loss of connections after
injury. In addition, the sdRNAs according to the disclosure promote
astrocyte and oligodendrocyte migration to, and proliferation at,
the site of the CNS injury.
I. PTEN sdRNA
[0089] The RNAi therapeutic compositions of the present disclosure
comprises a PTEN sdRNA. sdRNAs are double-stranded siRNA molecules
that are modified to be cell-permeable and to possess increased
stability against endo-and exonuclease degradation. Rather than the
use of delivery vehicles, self-delivering RNA is effective in vivo
by local administration
[0090] sdRNA triggers degradation of mRNA, thereby decreasing
expression of the targeted protein. The strategy of inhibiting PTEN
mRNA expression by sdRNA technology differs from use of small
molecule PTEN inhibitors described in U.S. Pat. No. 8,728,756. PTEN
sdRNAs do not inhibit PTEN protein function; rather, they regulate
expression levels of the protein. The use of sdRNA has the
advantage of less off-target effect to other phosphatases because
pharmacological inhibitors of phosphatases will have off-target
effects by binding to related protein classes of other
phosphatases.
[0091] Furthermore, sdRNAs targeting PTEN expression have a more
long-lasting effect on PTEN phosphatase activity. The antisense or
passenger strand of sdRNAs is released from the sense strand, which
confers lipophilicity to the double-stranded sdRNA. The antisense
strand, itself, is lipophobic and hence, remains intracellularly
resulting in long lasting inhibition of PTEN protein expression due
to increases stability against endonucleases. sdRNA administered to
the site of SCI also distributes more locally in contrast to most
small molecules, which usually distribute rapidly to other parts of
the target organ and other tissues even after local administration.
Consequently, off-target tissue exposure is a negligible safety
concern for sdRNAs.
[0092] The present disclosure provides selected sdRNA molecules
useful in the reduction of expression or knock down of PTEN mRNA
and protein levels in CNS cells and tissues, such as neurons,
astrocytes, and glial cells.
[0093] The sdRNA molecule comprises a nucleotide sequence
complementary to a PTEN gene and comprises a guide (antisense)
nucleotide strand, a passenger (sense) nucleotide strand. There is
a cholesterol-TEG molecule attached to the 3' end of the passenger
strand. The sdRNA molecule has a double-stranded region 8-15
nucleotides long and a single-stranded region at the 3' end of the
guide nucleotide strand 4-12 nucleotides long. At least 40% of the
nucleotides of the sdRNA molecule comprise at least one
modification, and one nucleotide can have more than one different
modification. These modifications include any chemical
modifications to the nucleotides which provides stability without
interfering with the targeting PTEN effector abilities of the
sdRNA. Such modifications include but are not limited to,
phosphorothioate, O-methyl, and 2-fluoro modifications. How to make
these modifications and other useful modifications are described in
e.g., U.S. Pat. No. 9,340,786
[0094] These sdRNA molecules do not form a hairpin.
[0095] A representative PTEN sdRNA (BA-434) is shown in FIG. 1.
This molecule comprises a asymmetric combination of siRNA and
antisense oligos, and includes lipophilic sterol and methyl
modification which enable cell entry. The modification including
fluoro, O-methyl, and phosphorothioate modifications, enable RNA
half-life in biological solutions from 30 minutes to 20-24 hours.
The guide strand of BA-434 has a nucleotide sequence comprising SEQ
ID NO:7, and the passenger strand has a nucleotide sequence
comprising SEQ ID NO:8. (FIG. 37).
[0096] The PTEN sdRNA can be commercially obtained e.g. from
Advirna LLC, Cambridge, Mass.; Trilink Biotechnologies, San Diego,
Calif.).
[0097] Alternatively, the PTEN sdRNA can be synthesized according
to known methods, (e.g., Byrne et al., (2013) J. Ocul. Pharmacol.
Ther. 29(10):855-64.). In brief, RNAs are synthesized from
Therapure.TM. ribo phosphoramidite monomers with a oligonucleotide
synthesizer using phosphoramidite chemistry. Synthesized
oligonucleotides are cleaved from the solid CPG supports and the
protecting groups are removed by the treatment of 3:1 aqueous
ammonia:ethanol. Passenger strands are synthesized from CPG
functionalized with cholesterol-triethyeneglycol-glycerol
succinate. Crude oligonucleotides are precipitated with
isopropanol, centrifuged and purified using ion exchange
chromatography. The yield is analyzed by reverse-phase ion-pair
chromatography, selected fractions are pooled and desalted by
Tangential Flow Filtration and evaporated to dryness. Purity and
molecular weight of filtered material is determined by HPLC
analysis and ESI-MS analysis.
[0098] The correct sequence of PTEN to be effectively targeted by a
sdRNA, a number of different PTEN-targeting siRNAs sequences were
designed and tested for their ability to: (1) promote axon
regeneration of CNS neurons; (2) be effectively delivered without
the use of carriers; (3) not cause off-target effects; and (4) act
on both rodent and human cells to facilitate clinical development.
These PTEN sdRNAs are listed in FIG. 3.
[0099] As described above, the BA-434 sdRNA sequence (FIG. 36) (SEQ
ID NOS;5 and 6) including its nucleotide modification pattern (FIG.
37) (SEQ ID NOS:7 and 8) shows efficacy in both cultured PC12 cells
and rat primary neurons, which also supports its use for in vivo
application. BA-434 sdRNA is not immediately effective in knocking
down PTEN mRNA and protein levels, both in tissue culture and in
vivo. This delay in RNA knockdown likely indicates that the sdRNA
is trapped in the membrane and is only slowly released into the
cytoplasm of the cell. Such a delay has utility in a slow release
of the sdRNA and a lower dose needed for a sustained decrease in
the target protein. The specificity of this delayed response is
exhibited in cultured neurons (FIGS. 18 and 19) and CNS tissue
(FIGS. 26 and 27), as described in the EXAMPLES below.
[0100] The sustained change in protein levels over several days
indicates the stability of the response of neurons to PTEN protein
knockdown. This is important for axon regeneration. As described
below in Example 620, a robust axon regeneration was demonstrated
herein 2 weeks after optic nerve injury (FIGS. 30A-30C). This
finding using local delivery of the sdRNA shows that this method is
useful in a wide variety of types of neurotrauma.
[0101] The studies described in the present disclosure demonstrate
that (1) BA-434 sdRNA is truly self-delivering; (2) BA-434 mRNA
levels decrease rapidly after delivery (by 24 hours), whereas
protein levels show a delay before decrease; (3) PTEN protein
decreases significantly at 72 hours and longer after sdRNA
delivery; and (4) knock-down of PTEN mRNA is sustained for at least
120 hours in primary neurons, while protein levels are reduced for
at least 10 days (EXAMPLE 13, FIG. 19).
IV. Pharmaceutical Compositions
[0102] The PTEN sdRNAs of the present disclosure are useful in
pharmaceutical compositions and methods for treating CNS
neurotrauma. These pharmaceutical compositions include a
therapeutically effective amount of a PTEN sdRNA. A
"therapeutically effective amount" as used herein refers to that
amount which provides a therapeutic and/or prophylactic therapeutic
effect on the neurotrauma site. Such effects include, but are not
limited to, axon regeneration, and glial cell proliferation at, and
migration to, the site of the neurotrauma.
[0103] Such compositions can be prepared with a pharmaceutically
acceptable carrier in accordance with known techniques, for
example, those described in Remington. The Science And Practice of
Pharmacy (9th Ed., 1995). The term "pharmaceutically acceptable
carrier" is to be understood herein as referring to any substance
that may, medically, be acceptably administered to a patient,
together with a compound of this invention, and which does not
undesirably affect the pharmacological activity thereof; a
"pharmaceutically acceptable carrier" may thus be for example a
pharmaceutically acceptable member(s) selected from the group
comprising or consisting of diluents, preservatives, solubilizers,
emulsifiers, adjuvant, tonicity modifying agents, buffers as well
as any other physiologically acceptable vehicle. This
pharmaceutical formulation may further contain additional Rho
inhibitors.
[0104] The pharmaceutical compositions may be prepared in
pharmaceutically acceptable dosage forms such as for oral,
injectable, transdermal, epidural, and transmembrane use, and the
like, or may be formulated for co-delivery in a delivery matrix, as
described in U.S. Pat. Nos. 7,141,428 and 7,491,692.
[0105] Compositions suitable for oral administration may be
presented in the form of a solution, the pharmaceutically
acceptable carrier is one that does not inhibit the activity of the
PTEN sdRNA, and can be, e.g., an aqueous liquid, such as buffered
with a pharmaceutically acceptable pH buffer, or in non-aqueous
liquid such as DMSO, or be prepared as an oil-in-water or
water-in-oil emulsion.
[0106] Injectable dosage forms may be sterilized in a
pharmaceutically acceptable fashion, for example, by steam
sterilization of an aqueous solution sealed in a vial under an
inert gas atmosphere at 120.degree. C. for about 15 minutes to 20
minutes, or by sterile filtration of a solution through a 0.2 .mu.M
or smaller pore-size filter, optionally followed by a
lyophilization step, or by irradiation of a composition containing
a compound of the present invention by means of emissions from a
radionuclide source.
[0107] The therapeutic compositions may be delivered in discrete
units or dosage forms. If orally administered, these dosage forms
may be capsules, cachets, lozenges, tablets, pills, powders,
granules, chewing gum, suspensions, solutions, and the like. Each
dosage form contains a predetermined amount of PTEN sdRNA.
[0108] A therapeutically effective dosage of the PTEN-targeting
sdRNA therapeutic compound varies from patient to patient, and may
depend upon factors such as the age of the patient, the patient's
genetics, and the diagnosed condition of the patient, and the route
of delivery of the dosage form to the patient. One useful
therapeutically effective dose is the from about 10 .mu.g to 950
.mu.g of sdRNA. A therapeutically effective dose and frequency of
administration of a dosage form may be determined in accordance
with routine pharmacological procedures known to those skilled in
the art. For example, dosage amounts and frequency of
administration may vary or change as a function of time and
severity of the spinal cord injury.
VI. Therapeutic Delivery Methods
[0109] Administration of the pharmaceutical compositions according
to the disclosure can be local or systematic depending on the
target tissue being treated. Alternatively, administration may be
by injection into the cerebrospinal fluid as a solution or as a
suspension suitable for sustained release from the injected
pharmaceutical dosage form such as from a vesicle. For example,
Administration may be made to the lesion site by neurosurgical
application or by stereotactic injection.
[0110] In addition to regeneration of long-tract projections axons,
with a focus on the corticospinal tract (CST), contralateral
sprouting from uninjured axons and plasticity of the central
pattern generators (CPGs) is also functionally important.
Plasticity of interneurons in the spinal cord as used herein is the
ability of the non-projection neurons to reform synaptic
connections locally within the spinal cord which may be
axon-dendrite connection, dendrite-dendrite connection, or
dendrite-neuronal-cell body connections. Contralateral growth of
CST fibers originating from uninjured axons may contribute to
recovery of motor function after PTEN suppression following SCI.
During CNS development there is an over-production of connections
that are later pruned, and the CST also overproduces collateral
branches prior to the refinement of circuits (Maier et al. (2006)
Philosoph. Trans. Roy. Soc. B: Biol. Sci. 361(1473); 1611-1634).
The major components of CPG networks are ventral interneurons that
establish the rhythm and pattern of output of locomotor circuits.
Delivering PTEN sdRNA inhibitors directly at the level of the
injury is important in recovery after SCI, and stimulating
plasticity of the ventral spinal cord is a good focus. Therefore,
delivery of a compound that enhances sprouting and regeneration of
axons is best delivered directly to the spinal cord, rather than
targeting diverse nuclei of long tract neurons in brain and
brainstem. For this reason, a local delivery approach is used
here.
[0111] Local delivery of sdRNA targeted to PTEN enhances
regeneration of long-tract neurons via retrograde transport of the
sdRNA to the cell body where it decreases expression of PTEN. sdRNA
can be retrogradely transported (FIG. 33).
[0112] Fibrin sealants, when delivered to the injured spinal cord,
are used to seal dural tears after spinal surgery. When delivered
with a pre-filled syringe, the sealant forms a clot on the spinal
cord that dissolves over several weeks. An alternative method of
delivering a sdRNA molecule as described herein is the injection of
the concentrated sdRNA solution directly into the clot. This
delivery ensures that the sdRNA is not lost with surgical fluids
and blood during the surgery, but will be released slowly over
time. Delivery of sdRNA directly in the clot is useful because of
their potency, and small volumes are required. For example, about
50 .mu.g to about 500 .mu.g of sdRNA is required for direct
delivery to the spinal cord in a volume of about 1 .mu.l to about
50 .mu.l. The volume is injected into a 2 mL clot which is the
volume typically used by surgeons when they decompress the spinal
cord by surgical intervention.
[0113] Chitosan hydrogels are suitable delivery systems for siRNAs.
Chitosan hydrogel applied to the injured spinal cord in vivo are a
permissive scaffold for axon regeneration after experimental SCI
(Gnavi et al.(2013) Int. Rev. Neurobiol. 109:1-62). Therefore,
delivery of chitosan gels containing PTEN sdRNA to a spinal cord
lesion site in patients, either epidurally or by injection into the
lesion cavity, is a useful method to enhance the axon regeneration,
and at the same time provides a scaffold to support axon growth
through the lesion site. sdRNA diluted in chitosan hydrogel can be
delivered to the spinal cord injury site in liquid form an
polymerizes into a gel at 37.degree. C. siRNA in chitosan gels
shows sloe release in vivo for at least 2 weeks (Ma et al. (2014)
J. Nanotechnol. 12:23). Together with the prolonged activity of
sdRNA, in vivo sdRNAs delivery by chitosan gels can provide
exposure for at least one month after application to the injury
site.
[0114] The following examples provide specific exemplary methods of
the invention, and are not to be construed as limiting the
invention to their content.
EXAMPLES
Example 1
Assay for Identification of Self-Deliverable PTEN sdRNA
Compounds
[0115] The PTEN targeting agents described herein were designed and
sent for synthesis as separate modified sense ("s") and antisense
("as") RNA strands. These strands were then annealed to form the
sdRNA prior to testing (FIG. 36).
[0116] The PTEN targeting agents were identified by treating HeLa
cells carrying rat PTEN sequence with designed sdRNA compounds. For
that, a luciferase reporter plasmid (FIG. 2) was constructed.
Renilla luciferase sequence was followed by PTEN sequence and
previously validated MAP4K4 sdRNA targeting sequences, as a
positive control. Firefly luciferase sequence under separate
promoter was used for relative luminescence signal
normalization.
[0117] HeLa cells were transfected with the PTEN plasmid using
Fugene HD (Promega, Madison, Wis.) according to the manufacturer
instructions. Briefly, cells were seeded at 2.5.times.10.sup.6
cells/10 cm.sup.2 dish in the EMEM (ATCC, Manassas, Va.) medium
without antibiotics. Cells were transfected 6 hr later with the
plasmid at the 2.5:1 FuGENE:DNA ratio. Cells were left in the
tissue culture incubator for 16 hr to 18 hr.
[0118] For sdRNA transfection, 2 .mu.M solutions of each PTEN lead
candidate, MAP4K4 (positive control) and NTC (non-targeting
control) sdRNAs were prepared in serum-free EMEM medium at 50
.mu.l/well of 96-well plate.
[0119] Luciferase-PTEN expressing HeLa cells were collected by
trypsinization in a 50 ml tube, washed twice with medium containing
10% FBS without antibiotics, centrifuged at 200.times.g for 5 min
at room temperature (RT) and resuspended in EMEM medium containing
6% FBS and without antibiotics. The cells were dispensed at 50
.mu.l/well into the plate with pre-diluted oligos and placed in the
incubator for 48 hrs.
[0120] For luciferase assay, cell lysates were prepared in Glo
lysis buffer (Promega) at 50 .mu.l/well, incubated 30 min at RT and
split into 2 white 96-well plates. Cell lysates were mixed with
Renilla and Firefly assay buffers separately. Luminescence was
detected in SpectraMax i3 (Molecular Devices, Sunnyvale, Calif.).
The Renilla signal was normalized for the firefly signal and
expressed as a percentage of non-targeting control sdRNA (NTC)
transfected cells.
[0121] FIG. 3 shows, that six compounds (BA-431, BA-434, BA-437,
BA-441, BA-442, BA-445) reduced Renilla luciferase expression by
80% or more.
Example 2
Delivery of sdRNA Into Rat Pheochromaocytoma PC-12 Cells
[0122] PC-12 cells (ATCC) were cultured on collagen I coated
vessels in the presence of 100 ng/ml Nerve Growth Factor (NGF)
(Sigma-Aldrich, St. Louis, Mo.). For transfection, cells were
collected by trypsinization and diluted with RPMI medium containing
1% FBS and 100 ng/ml NGF and seeded into 96-well plate at 10,000
cells/well.
[0123] MAP4K4 sdRNA conjugated with Cy3 fluorophore was added to
the cells at 1 .mu.M final concentration. Images were taken on EVOS
FL Imaging System (Life Technologies, Carlsbad, Calif.) at various
incubation times between 10 min and 24 hrs.
[0124] FIG. 4 demonstrates that Cy3-fluorescence is clearly visible
inside the cells, which proves passive, cellular uptake of MAP4K4
sdRNA.
Example 3
Validation of sdRNA Gene Silencing Efficacy in PC-12 Cells
[0125] PC-12 cells were cultured as described in EXAMPLE 1. The
efficacy of MAP4K4 sdRNA was tested by qRT-PCR. 2.times.solutions
of MAP4K4 and NTC (non-targeting control) sdRNAs were prepared in
serum-free EMEM medium, by diluting 100 .mu.M oligonucleotides to
0.08 .mu.M-4 .mu.M final concentration in the total volume of
medium for each oligo concentration. Oligonucleotides were
dispensed into a 96-well plate at 50 .mu.l/well.
[0126] PC-12 cells were collected for transfection by
trypsinization in a 50 ml tube, washed twice with medium containing
10% FBS without antibiotics, spun down at 200.times.g for 5 min at
room temperature and resuspended in EMEM medium containing twice
the required amount of FBS for the experiment (2%) and NGF (200
ng/ml). Cell concentration was adjusted to 120,000 cells/ml. Cells
were dispensed into 50 .mu.l/well into the 96-well plate with
pre-diluted oligos and placed in the incubator for 48 hr.
[0127] Gene expression was analyzed by qRT-PCR as follows. RNA was
isolated from transfected PC-12 cells using the PureLink.TM. Pro96
total RNA purification Kit (ThermoFisher Scientific, Waltham,
Mass.), with Quanta qScript XLT One-Step RT-qPCR ToughMix, ROX
(VWR, Radnor, Pa.). The isolated RNA was analyzed for gene
expression using the Human MAP4K4-FAM (Taqman Hs0377405_ml) and
Human GAPDH-VIC (Applied Biosystems, Foster City, Calif.) gene
expression assays.
[0128] The incubated plate was spun down and washed once with 100
.mu.l/well PBS and lysed with 150 .mu.l/well buffer provided in the
kit. RNA isolation was conducted according to the manufacturer's
instructions. RNA was eluted with 100 .mu.l RNase-free water, and
used undiluted for one-step qRT-PCR.
[0129] Dilutions of non-transfected (NT) cells of 1:5 and 1:25 were
prepared for the standard curve using RNase-free water. qRT-PCR was
performed by dispensing 9 .mu.l/well into a low profile PCR plate
and adding 1 .mu.l RNA/well from the earlier prepared RNA samples.
After brief centrifugation, the samples were placed in the
real-time cycler and amplified using the settings recommended by
the manufacturer.
[0130] MAP4K4 gene expression was measured by qPCR, normalized to
GAPDH and plotted as percent of expression in the presence of
non-targeting sdRNA. The results were compared to the normalized
according to the standard curve.
[0131] As shown in FIG. 5, MAP4K4 sdRNA compound induces a more
than 70% reduction of MAPK4K mRNA in PC-12 cells, which
demonstrates utility of sdRNA agents to suppress expression of
target genes in cells normally very resistant to transfection, and
suggests the that sdRNAs are efficacious to reduce target gene
expression in vivo.
Example 4
Validation of PTEN Gene Silencing Efficacy in PC-12 Cells
[0132] Six out of 20 sdRNAs targeting PTEN with more than 70%
knock-down efficacy in luciferase assay (FIG. 3), were validated
for PTEN gene silencing efficacy in PC-12 cells. The sense and
antisense for BA-434 are shown in FIG. 36.
[0133] Solutions of PTEN and NTC (non-targeting control) sdRNAs
were prepared in serum-free EMEM medium. The final concentration
range of oligonucleotides was 0.04 .mu.M-2 .mu.M. Treatment with
sdRNA (48 hr) and qRT-PCR analysis were performed as described in
EXAMPLE 3. PTEN expression was normalized to GAPDH and plotted as
percent of expression of NTC sdRNA-treated cells.
[0134] FIG. 6 shows that all tested sdRNAs reduced PTEN mRNA
expression in a dose-dependent fashion in comparison to NTC. Three
sdRNAs, BA-434, BA-441 and BA-442 showed the highest potency in
reducing PTEN mRNA levels in PC12 cells (FIG. 6)
Example 5
Cross-Reactivity of Rat PTEN sdRNA Compounds in HeLa Cells
[0135] Cross-species PTEN targeting agents described herein were
identified by comparison of human and rat gene sequences and
validated by treating HeLa cells with designed sdRNA compounds.
FIG. 35 shows that the BA-434 rat cDNA sequence is exactly
homologous to the human cDNA sequence.
[0136] For sdRNA transfection, 2 .mu.M solutions of PTEN, MAP4K4
(positive control) and NTC (non-targeting control) sdRNA were
prepared in serum-free EMEM medium at 50 .mu.l/well of 96-well
plate.
[0137] HeLa cells were collected by trypsinization as described in
EXAMPLE 1 and dispensed at 6,000 cells/50 .mu.l/well into the plate
with pre-diluted sdRNAs and placed in the incubator for 48 hrs.
[0138] PTEN expression was determined by qRT-PCR, as described in
EXAMPLE 4.
[0139] Cross-species reactivity of PTEN sdRNA sequences is
demonstrated by PTEN gene silencing activity in HeLa cells (FIG.
7). BA-434 showed the highest efficacy in reducing PTEN mRNA in
human HeLa cells.
Example 6
Validation of PTEN Silencing in HeLa Cells
[0140] The dose response effect of the silencing activity of the
most potent PTEN compound identified in EXAMPLE 5, BA-434, was
measured in HeLa cells.
[0141] Solutions of PTEN sdRNA BA-434 and NTC (non-targeting
control) sdRNA were prepared in serum-free EMEM medium. The final
concentration range of oligonucleotides was 0.04 .mu.M-2 .mu.M.
Treatment with sdRNA (48 hr) and qRT-PCR analysis were performed as
described in EXAMPLE 3. PTEN expression was normalized to GAPDH and
plotted as percent of expression of NTC sdRNA-treated cells.
[0142] As shown in FIG. 8, PTEN sdRNA BA-434 induces up to 60%
reduction in PTEN mRNA expression in HeLa cells.
Example 7
Validation of PTEN sdRNA With Alternative Modification Pattern in
PC-12 Cells
[0143] Silencing activity of fully stabilized PTEN compound
(BA-434_fm) was tested in PC-12 cells for dose-response.
[0144] PC-12 cells were cultured and treated with sdRNA as
described in EXAMPLE 3. Briefly, cells were treated with BA-434,
BA-434_fm or NTC (non-targeting control) sdRNAs at the
concentrations 0.04 .mu.M-1 .mu.M for 48 hr. Total RNA was isolated
using PureLink Pro96 purification kit and used in one-step qRT-PCR.
PTEN expression was normalized to GAPDH and plotted as percent of
expression of NTC sdRNA-treated cells.
[0145] FIG. 9 shows that in PC12 cells, fully stabilized PTEN
compound BA-434_fm shows higher efficacy in silencing PTEN mRNA
expression in comparison to BA-434 compound.
Example 8
Longevity of BA-434_fm-Induced Silencing in PC-12 Cells
[0146] Longevity of PTEN gene silencing by BA-434 and BA-434_fm
sdRNA was tested in PC-12 cells as follows.
[0147] PC-12 cells were cultured and prepared for sdRNA
transfection as described in EXAMPLE 3. Cells were treated with
BA-434, BA-434_fm or NTC sdRNAs at 1 .mu.M concentration for 48
hrs. Transfection medium was then changed for the fresh RPMI with
1% FBS and 100 ng/ml NGF. At the specified time (48 hr, 72 hr, 96
hr, and 7 d), cells were washed once with 100 .mu.l/well PBS and
once with FCW buffer. After removal of supernatant, cell processing
mix of 23.5 .mu.l FCPL and 1.5 .mu.gDNA wipeout solution was added
to each well and incubated for 5 min at room temperature. Lysates
were then transferred to PCR strips and heated at 75.degree. C. for
5 min.
[0148] For qRT-PCR set up, the lysates were mixed with QuantiTect
reagents from the FastLane Cell Multiplex Kit and with primer probe
mix for PTEN-FAM/GAPDH-VIC. A volume of 9 .mu.l/well of each
reaction mix was mixed with 1 .mu.l lysate per well and amplified
using the settings recommended by the manufacturer. PTEN expression
was normalized to GAPDH and plotted as percent of expression of NTC
sdRNA-treated cells.
[0149] As shown in FIG. 10, the PTEN gene silencing effect is
stable for at least 7 days after transfection for both, BA_434 and
BA-434_fm. BA-434_fm shows higher potency in reducing PTEN mRNA
than BA-434 in PC12 cells.
[0150] PC12 cells were grown in DMEM/F12 media with 10% FBS, 5%
horse serum, glutamine and Penicillin/Streptomycin, then 30,000
cells per well were plated in 24-well plates coated with
collagen.
Example 9
PTEN Expression in PC12 Cells
[0151] PC12 cells were grown in DMEM/F12 media with 10% FBS, 5%
horse serum, glutamine and Penicillin/Streptomycin, then 30,000
cells per well were plated in 24-well plates coated with
collagen.
[0152] PC12 cells were treated for 72 hr with 1 .mu.M of BA-441,
BA-442, BA-434 or non-targeting sdRNA diluted in DMEM-F12
supplemented with 1% FBS and 100 ng/ml NGF. PTEN protein expression
was examined by Western blotting. The primary antibodies used were
mouse anti-GAPDH (1:3000 dilution, Santa Cruz, Dallas, Tex.) and
rabbit anti-PTEN (1:1500, Cell Signaling Technology, Danvers,
Mass.) and corresponding secondary antibodies conjugated to horse
radish peroxidase (1:5000, Cell Signaling Technology).
[0153] FIG. 11 shows PTEN reduction after treatment with BA-434 and
BA-442. The low FBS concentration did not affect PTEN mRNA
expression in untreated cells and cells treated with NTC.
Example 10
qPCR Analysis of PTEN Knock-Down in Rat Primary Neurons
[0154] Timed pregnant Sprague Dawley rats were purchased from
Taconic Biosciences (Rensselear, N.Y.). Animals were euthanized by
CO.sub.2 asphyxiation and embryonic day 17 (El 7) embryos were
removed from uterus. The embryo heads were separated, stored in
Hibernate-E medium (Life Technologies, Woburn, Mass.) on ice. The
cortex and hippocampus of the embryo were isolated from whole brain
in DM (dissociation medium: HBSS with 2 mM MgCl.sub.2, 0.2 mM
kynurenic acid, 2 mM HEPES, pH 7.2) under dissecting microscope,
and transferred into a 15 ml conical tubes with DM on ice.
[0155] The neuron cells were dissociated in a tissue culture hood.
The DM was removed from the cortex and hippocampus tissues, a 5 mL
warm sterilized papain/DL-cysteine (12.5 units of papain in
1.times.DM solution, with DL-cysteine) was added into the tube, and
the tube inverted once to mix the brain tissues with solution,
which was then incubated at 37.degree. C. water bath for 5 min. The
tube was transferred from the water bath into the tissue culture
incubator, and brain tissue pieces were allowed to settle down to
the bottom of the tube. The papain solution was removed and 5 mL 1%
trypsin inhibitor (Worthington, Lake Wood, N.J.) in 1.times.DM was
added to the brain tissue. The tube was inverted and then placed in
the oven at 37.degree. C. for 3 min. The trypsin inhibitor was then
removed and this procedure was repeated 2 more times. After removal
of the final trypsin inhibitor solution, 2 mL of ice cold plating
medium was added and the cells triturated with a glass pipette and
a latex bulb 10 to 20 times, until tissue was fully dissociated.
For cortical neurons from I litter (between 8 to 12 embryos), the
neurons were placed into 20 mL cold plating medium and trituration
was performed as described before.
[0156] For plating and culture of the neurons, 24-well plates were
pre-coated with 0.1 mg/mL poly-D-lysine overnight and washed with
sterile water twice and ready for cell plating. Cortical neurons
were plated at a density of 200 k to 400 k cells/well and cultured
at 37.degree. C. incubator with 5% CO.sub.2. Hippocampus neurons
were plated at a density of 5,000 to 20,000 cells/well in 8-well
chamber slide pre-coated with PDL.
[0157] If the plating medium was DMEM with 10% FBS, 1.times.P/S,
and 1.times.Glutamax, the medium was exchanged to Neurobasal medium
supplemented with 1.times.B27, 1.times.P/S, and 1.times.Glutamax
after one day. Half of the cell culture medium was replaced with
fresh Neurobasal medium every 4 days.
[0158] To examine effects of BA-434 on PTEN mRNA expression in
primary neurons, neurons were cultured for 8 days and then treated
with different concentrations of BA-434, BA-441 or BA-442 ranging
from 0.1 .mu.M to 1 .mu.M. Corresponding concentrations of NTC and
MAP4K4 sdRNA were used as negative controls. sdRNAs were diluted in
complete neurobasal culture medium and applied to the cells.
[0159] RNA was isolated from cells at 72 hr after treatment and
PTEN mRNA was analyzed by qPCR. RNA was isolated from neuronal
cells using Purelink RNA mini kit (Thermo Fisher Scientific)
according to the manufacture's instruction. cDNA was prepared from
RNA using High Capacity cDNA Reverse transcription kits (Thermo
Fisher Scientific). 500 ng of RNA was mixed in a reaction tube with
10.times.Reaction buffer, 25.times.dNTP mix, 10.times.RT random
primers and MultiScribe Reverse Transcriptase. Tubes were loaded on
thermal cycler and the following program was run: 25.degree. C. for
10 min, 37.degree. C. for 120 min, and then 85.degree. C. for 5 min
to inactivate the RT reaction.
[0160] qPCR was performed using SYBR green PCR master mix (Thermo
Fisher Scientific) using the following primers specific for PTEN
and CSF-1 (housekeeping gene for internal normalization) transcript
sequences:
[0161] The primers for PTEN transcript sequence are:
TABLE-US-00001 5' forward: (SEQ ID NO: 1) AAG GAC CAG AGA TAA AAA
GGG AGT; 5' reverse: (SEQ ID NO: 2) ACC TTT AGC TGG CAG ACC AC;
[0162] The primers for CSF-1 transcript sequence are:
TABLE-US-00002 5' forward: (SEQ ID NO: 3) CAA GGA CTA TAA GGA ACA
GAA CGA G (housekeeping gene CSF1); 5' reverse: (SEQ ID NO: 4) GAA
ATT CTT GAT TTT CTC CAG CA.
[0163] 25 ng/.mu.L of cDNA diluted 1:5 and 1.5 .mu.L of dilution
were mixed with qPCR master mix (Thermo Fisher Scientific). Each
reaction was run in duplicate. Ct values were collected and
normalized with housekeeping gene CSF1 for each sample (.DELTA.Ct).
All the samples are then normalized with non-targeting control
(NTC) samples (.DELTA..DELTA.Ct) and converted to
2^.DELTA..DELTA.Ct.
[0164] FIG. 12 shows that BA-434 most effectively reduced PTEN mRNA
transcript. Three day treatment with 1 .mu.M BA-434 induced a more
than 95% decrease in PTEN mRNA transcript. BA-441 was less
effective and induced an 85% reduction in PTEN mRNA transcript
after 3 days of treatment (1 .mu.M). BA-442 decreased PTEN mRNA
transcript by more than 90% after 3 days of treatment (1 .mu.M),
however, this sdRNA also reduced MAP4k4 mRNA and consequently is
not specific to PTEN mRNA. The experiments were repeated and
similar results were obtained (FIG. 13). Low concentrations of
BA-434 at 0.5 .mu.M and 0.1 .mu.M were still effective and reduced
PTEN mRNA transcript by 95% or more (FIG. 14). When BA-434
treatment was sustained for 4 and 5 days, PTEN mRNA reduction
remained over 90% (FIG. 15), demonstrating sustained treatment
efficacy.
Example 11
Protein Analysis in Primary Neurons Treated With sdRNA
[0165] Primary cortical neurons were prepared as described in
EXAMPLE 10 and cultured for 8 days.
[0166] Neurons were treated for 48 hr, 72 hr or 96 hr with 1 .mu.M
sdRNAs BA-434, BA-441 and BA-442 and then collected and lysed in
RIPA buffer with proteinase inhibiter and phosphatase inhibitors
(HALT, Thermo Fisher Scientific). Protein was loaded 10% Bis-Tris
protein gels (Thermo Fisher Scientific), resolved by SDS- PAGE and
transferred onto Immobilon-P PVDF membrane (Millipore, Billerica,
Mass.). The membranes were incubated with antibodies against PTEN
(Cell Signaling), Phospho-S6 Serine 240/44 (Cell Signaling),
Phospho-Akt Threonine 308 (Cell Signaling), unphosphorylated S6
protein (Cell Signaling) and GAPDH (Santa Cruz). The membranes were
washed with TBS-T buffer and blotted with anti-rabbit IgG (Promega)
or anti-mouse IgG (Promega) secondary antibodies conjugated with
horseradish peroxidase. Proteins were detected by chemiluminescence
using Chemi-Doc imager (Biorad, Hercules, Calif.). The
densitometric measurements of each band were performed with ImageJ.
Values for PTEN and pS6 bands were normalized with the values of
GAPDH band.
[0167] FIG. 16 show protein levels of PTEN, pS6 and GAPDH (loading
control) in primary cortical neurons treated with BA-434, BA-441,
BA-442, or NTC sdRNA for 48 hr or 72 hr. Densitometric analysis
revealed a maximal decrease in PTEN protein levels at 72 hr for all
treatments. However, BA-434 was more effective than BA-441 or
BA-442 in reducing PTEN protein levels in rat primary neurons
(FIGS. 16A and B). BA-434 treated cells also showed highest levels
of phosphorylated S6 (FIGS. 16A and C).
[0168] FIG. 17 shows protein levels of PTEN, pAKT Thr 308, pS6 Ser
240/44 and unphosphorylated S6 (loading control) in primary
cortical neurons, treated with BA-434, BA-442, MAP4K4 or NTC sdRNA
for 96 hr, and then extracted for Western blotting at 96 hr or 120
hrs. Densitometric analysis revealed that both, BA-434 and BA-442
reduce neuronal PTEN protein levels after 3 days of treatment and
PTEN protein levels further decrease 24 hr after treatment washout
indicating that the treatment efficacy is maintained even without
treatment exposure. Both, BA-434 and BA-442 increased Akt and S6
phosphorylation, respectively, which correlates with PTEN protein
reduction suggesting that PTEN gene silencing activates AKT/mTOR
signaling.
[0169] Use of RNAi for knock down of protein expression is
typically effective immediately after it is added to cells in
tissue culture. However, when sdRNA was applied to primary cortical
neurons, it took at least 3 days to observe PTEN mRNA and protein
knockdown (FIGS. 16B and 18). However, when fluorescent PTEN
(Cy3-PTEN) is added to cultured cells, Cy3 fluorescence is observed
immediately as with other fluorescent sdRNAs tested (FIG. 4). This
could indicate that, in neurons, the high cholesterol level in the
membrane delays the cleavage of the sdRNA to allow it access to the
cytoplasm leading to a sustained delivery even after single
dosing.
Example 12
Effect of Modification of BA-434 and Potency of BA-434 in
Comparison to Commercially Available Self-Delivering siRNAs
[0170] To improve the stability of BA-434, the lead sdRNA sequence
with highest efficacy in neuronal cells, a fully fluoro- and
methyl-modified (34FM) BA-434 (BA-434_fm) was synthesized.
BA-434_fm has the same nucleotide sequence as BA-434 but increased
fluoro-modification. Efficacy of BA-434 and BA-434_fm were compared
against each other and against commercially available Accell sdRNAs
produced by Dharmacon (Lafayette, Colo.).
[0171] Rat primary neurons were obtained and cultured as described
in EXAMPLE 10. After 9 days in culture, cortical neurons were
treated for 4 days with 0.1 .mu.M or 0.5 .mu.M BA-434, BA-434_fm or
NTC sdRNA or Accell PTEN sdRNA or Accell NTC sdRNA. After 4 days of
treatment, neurons were either extracted for PTEN mRNA analysis by
qPCR as described in EXAMPLE 10 or for western blotting as
described in EXAMPLE 11.
[0172] FIG. 14 shows that BA-434 possesses higher efficacy in
reducing PTEN mRNA compared to both, BA-434_fm (99% vs 95% at 0.5
.mu.M and 95% vs. 60% at 0.1 .mu.M) and Accell PTEN sdRNA (99% vs
95% at 0.5 .mu.M and 95% vs. 35% at 0.1 .mu.M) (FIG. 14A). Western
botting revealed that BA-434 and BA-434_fm treatment decreased PTEN
protein level by 60%, whereas Accell PTEN sdRNA decreased PTEN
protein levels by only 52% (FIG. 14B). Moreover, the BA-434 and
BA-434_fm treated neurons showed higher phosphorylation of AKT
compared to Accell sdRNA (FIG. 14B).
[0173] These results demonstrate that BA-434 sdRNA is a more
efficacious compound than commercially available sdRNAs and
possesses the optimal nucleotide modification for maximum potency
in neuronal cells.
Example 13
Time-Course Analysis of BA-434 in Primary Rat Cortical Neurons
[0174] Primary rat cortical neurons from 17d embryos were obtained
from rat cortices (Brainbits Inc. Springfield, Ill.). Cortices were
digested with papain and dissociated. After dissociation, cortical
neurons were cultured in poly-D-lysine-coated 24-well plates with
Neurobasal medium containing NbActiv (Brainbits, Springfield,
Ill.), 1% fetal bovine serum and penicillin-streptomycin. After 3 d
in culture, cells were treated with 0.01 .mu.M, 0.1 .mu.M, 0.5
.mu.M or 1 .mu.M BA-434 sdRNA or 1 .mu.M non-targeting control
(NTC) sdRNA. After 3 d of treatment, sdRNA was washed out from
wells by medium exchange. Neurons were extracted either at 1 d, 4
d, 7 d or 11 d after washout (4 d, 7 d, 10 d and 14 d after
treatment administration), and then processed for biochemical
analysis. PTEN and GAPDH protein levels in cell culture samples
were revealed using immunoblotting and measured by densitometry as
described in EXAMPLE 11.
[0175] FIG. 19 shows that PTEN protein levels were reduced in a
dose-dependent fashion starting at 4 d after treatment (19A and B).
The reduction in PTEN protein levels further decreased at 7 d and
10 d after treatment, although sdRNA was not present in the media
for 4 d or 7 d, respectively (FIGS. 19A-B). These results
demonstrate that a treatment effect lasts longer than the actual
treatment exposure suggesting that a single dose would have
extended efficacy. At 10 dafter treatment, 7 dafter treatment
washout, PTEN protein level increased (FIGS. 19A-B), which
indicates that the treatment effects on PTEN expression are
reversible.
Example 14
Evaluation of Neurite Outgrowth in NGF-Deprived PC12 Cells
[0176] PC 12 cells were obtained from ATCC. Cells were plated in
collagen-I (70 .mu.g/ml)-coated 6-well plates and cultured in PC12
growth media containing RPMI basal medium (Gibco.RTM., ThermoFisher
Scientific), 10% horse serum, 5% fetal bovine serum and penicillin
streptomycin until reaching 80% confluency. Cells were extracted by
trypsinization, plated on PDL pre-coated coverslips coated with 5
.mu.g/ml laminin and cultured in DMEM/F12 media supplemented with
I% FBS and 1 ng/ml nerve growth factor (NGF, Peprotech, Rocky Hill,
N.J.) for inducing neurite outgrowth. After 3 din culture, cells
were treated with 1 .mu.M BA-434 or 1 .mu.M non-targeting control
(NTC) sdRNA for 3 days. Subsequently, sdRNA was washed out from
wells by medium exchange and PC12 cells were kept in culture for
one additional day until fixation with 4% paraformaldehyde
solution. Cells were labeled with fluorescent antibodies against
beta-3 tubulin and with Hoechst.RTM. (ThermoFisher Scientific,
Waltham, Mass.) nuclear counterstain. IO images per coverslip were
acquired by fluorescence microscopy, and neurite length per image
was semi-automatically quantified using the NeuroJ plugin for
ImageJ. In addition, total number of neurites and the number of
cells with neurites was manually quantified for each image by
experimenter blinded to the experimental conditions.
[0177] FIG. 20 shows that BA-434 promotes neurite outgrowth in
NGF-deprived PC12 cells. In comparison to untreated and NTC-treated
PC12 cells, BA-434-treated cells grew more neurite (FIGS. 20 A, C,
D) that were longer on average (FIGS. 20A and B). One reason, why
injured axons in the spinal cord do not regenerate is the lack of
trophic support. All neurotrophins activate phosphatidylinositol
3-phoshate (PI3K)/AKT signaling, which is required for axon growth
and regeneration. PTEN counteracts activation of AKT signaling.
Thus, these results suggest that treatment with BA-434 compensates
for the lack of neurotrophic factors in the injured spinal
cord.
Example 15
Effect of PTEN Knock Down on Astrocyte Wound Healing
[0178] After mammalian spinal cord injury reactive astrocytes form
a glial scar (REF). Migration of reactive astrocyte into the lesion
epicenter have a crucial role in CNS wound healing after trauma.
Enhancing migration of astrocytes into the lesion site after rodent
spinal cord contusion injury promotes seclusion of CNS infiltrating
blood borne monocytes, to enhance lesion contraction resulting in a
reduced lesion area and to improve recovery of hindlimb function.
Increased migration of astrocytes in vitro after astrocyte
monolayer wound scratch correlates with increased astrocytes
migration and enhanced wound healing in vivo (Okada et al. (2006)
Nature Medicine 12(7):829-34). PTEN knock-out promotes cell
migration and wound healing in vivo (Squarize et al. (2010) PLOS
One 5(5): e10643).
[0179] To determine the effects of PTEN knock down by BA-434 on
astrocyte migration and wound healing in vitro, primary rat
astrocytes (Gibco, Thermo Fisher Scientific). Cells were seeded on
PDL precoated glass coverslips (Corning) and grown in DMEM
supplemented with 1% N2 (Hyclone, GE Healthcare Life Sciences,
Marlborough, Mass.) and 10% FBS (Hyclone) (astrocyte growth media).
After 3 d., medium was exchanged to 98% DMEM, 1% N2 and 1% FBS
(astrocyte differentiation media) and cells were treated with 1
.mu.M of non-targeting control sdRNA, 1 .mu.M of BA-434 or left
untreated. After 3 d of treatment, media was exchanged to astrocyte
growth media to washout sdRNA.
[0180] After sdRNA washout, astrocyte monolayer was scratched with
a sterile 100 uL pipette tip to induce an in vitro wound in the
monolayer. 3 dafter wounding cells were fixed using 4% PFA. Cells
were immunolabeled with fluorescent GFAP antibodies. The in vitro
wound was imaged using an epifluorescence microscope. The cell free
area of the in vitro wound was measured using ImageJ plug-in.
[0181] FIG. 21 shows that after wound scratch, BA-434 treated
astrocytes grew into the in vitro wound (FIG. 21A) resulting in a
reduced the cell-free area after 3 days (FIG. 21B). These results
suggest that BA-434 promotes astrocyte migration and astrocyte
wound healing and spinal cord repair after injury. Contrary to
current beliefs, promoting astrocyte migration aids rather than
prevents CNS axon regeneration (Anderson et al. (2016) Nature.
532:195-200).
Example 16
PTEN Expression in Retinal Tissue
[0182] To determine PTEN expression in the normal retina,
immunocytochemistry techniques were used. The eyes of adult rats
were removed and fixed by immersion in 4% paraformaldehyde in 0.1 M
phosphate buffer. The retinas were dissected, and prepared as
flattened whole-mounts, immersed for 1 hr in the fixative solution,
and rinsed in buffer, and left 4 h in a solution of 3% bovine serum
albumin (BSA) with 2% Triton-X (blocking solution) with rabbit
antibodies against PTEN (Cell Signaling). The retinas were rinsed
in PBS+2% Triton-X then incubated in blocking solution with mouse
antibody against NF-200 (BioLegend, San Diego, Calif.). After
rinsing in PBS+2% Triton-X the retinas were incubated with the
following secondary antibodies: Cy3-conjugated goat anti-rabbit
antibody and a FITC-conjugated goat anti-mouse antibody. After
rinsing in PBS+2% Triton-X 3 times over 1 hr, the retinas were
given a final rinse in PBS, and then flat mounted on slides for
viewing with a fluorescent microscope.
[0183] In FIG. 22 three areas from a single retina are shown. The
left panel shows the region near the disc, the middle panel is an
image from the center of the retina, and the right panel is an
image from the peripheral retina. It can be seen that there is
strong PTEN immunoreaction near the disc region, and axons in the
peripheral region are not labelled for PTEN. This pattern of PTEN
expression of the retina correlates with the regenerative ability
of RGC axons: axons near the periphery of the retina have a robust
regenerative ability, those near the disc regenerate less
robustly.
Example 17
PTEN Immunoreactivity in Retinal Tissue
[0184] Using the same whole-mount techniques described in EXAMPLE
14, retinas were prepared to examine PTEN immunoreactivity.
[0185] FIG. 23 shows that the RGC cell bodies react strongly with
PTEN, even in the periphery, despite the absence of immunostaining
in their axonal processes.
Example 18
Knockdown of PTEN in Retinal Tissue
[0186] To investigate the ability of BA-434 to knockdown the
expression of PTEN in the retina, 46 .mu.g Cy3-BA-434 were injected
into the vitreous in a total volume of 5 .mu.L using a Hamilton
syringe inserted into the posterior chamber without damaging the
lens. The needle was inserted in the sclera just above the radial
edge of the retina so that the retina was not touched by the
needle. For this procedure, the rats were anesthetized, the eye was
immobilized between 2 gloved fingers, and the sclera was punctured
at the nasal superior aspect of the retina. The compound was
injected into the vitreous using 1 mm of the Hamilton syringe
capillary needle.
[0187] For the whole mount preparation, the superior aspect of the
eye was identified by tying a silk suture to the tissue so that the
eye orientation could be identified after removal. During the
preparation of the retina, whole mount was prepared (as described
in EXAMPLE 16). A longer, deeper cut was made in the superior part
of the retina during the flat mount procedure to allow
identification of the orientation of the retina on the slide, which
allows precise localization of the quadrant of the eye where the
test BA-434 was injected.
[0188] FIG. 24 shows a whole mount preparation. The Cy3-BA-434 was
located throughout the retina, with a higher concentration where
the compound was injected which the lower right quadrant of the eye
is shown in the photograph. PTEN immunolabeling of the retina,
shown in FIG. 24C, was reduced at the injection site.
[0189] At higher magnification of a BA-434-treated retina, there is
the greatest loss of immunoreaction of axonal PTEN in the quadrant
of the retina closest to the injection site (FIG. 25). Western
blots of the retinas indicate that there is knockdown throughout
the retina, but the magnitude of knockdown is variable across the
retina at 4 days. Observation in the optic nerve shows that PTEN is
routinely present in RGC axons (FIG. 28) and the expression of PTEN
changes after axon injury. An upregulation of PTEN after axonal
injury is detrimental to successful axon regeneration and knockdown
of PTEN facilitates regrowth.
Example 19
Time-Course Analysis of PTEN Protein Knock-Down in Rat Retina after
BA-434 Intravitreal Administration
[0190] The left eye of 12 adult rats was intravitreally injected
with 40 .mu.g BA-434 as described in EXAMPLE 15. As the control, 3
rats were similarly injected with 40 .mu.g NTC (non-targeting
control) sdRNA. Whole retinas from the left and right eye of each
rat were extracted at 4 d, 7 d, and 14 dafter injection of BA-434
(3 rats per time point) or 14 dafter injection of NTC,
respectively, and snap frozen in liquid nitrogen.
[0191] Tissue weight was measured and an equivalent volume of lysis
buffer (Boston Bioproducts, Boston, Mass.) was added to each
sample. Retinas were homogenized inside lysis buffer using a
16-gauge needle syringe. Samples were incubated on ice for 30 min
and then centrifuged at 10,000 rpm for 10 min at 4.degree. C.
Supernatant was transferred to a new tube and mixed 3:1 with
Laemmli buffer (BioRad). Samples were boiled at 95.degree. C. for
min.
[0192] Samples were subjected for SDS-PAGE as described in EXAMPLE
11 for protein separation. Proteins were transferred on PVDF
membranes (Millipore). Membranes were immunolabeled with antibodies
against PTEN (Cell Signaling) and GAPDH (Santa Cruz).
[0193] PTEN and GAPDH protein levels were revealed by
chemiluminescence and measured using densitometric analysis as
described in EXAMPLE 11. PTEN levels were normalized against GAPDH
and the ratio between left (treated) and right (untreated) eye was
determined for each individual animal.
[0194] PTEN and GAPDH levels were also investigated in pooled
samples, which contained IO .mu.g of each individual animal per
group. In pooled retina samples, levels of phosphorylated AKT
(pAKT), glycogen synthase kinase beta (pGSK3.beta.) and ribosomal
protein S6 (pS6rb) as well as the corresponding unphosphorylated
protein (AKT, GSK3.beta. and S6rb) were also examined as described
above.
[0195] FIG. 26 shows that BA-434 reduced PTEN protein levels in the
rat retina in a time-dependent fashion. While at 4 d after BA-434
treatment, PTEN protein levels were comparable with non-targeting
control and untreated eyes, PTEN protein was markedly reduced at 7
and 14 d after BA-434 treatment in comparison to control. FIG. 27
shows that reduction in PTEN protein correlated with increase
phosphorylation of AKT (FIG. 27A), GSK-3beta (FIG. 27B) and (FIG.
27C). These results suggests that PTEN knock down with BA-434
activates intracellular signaling pathways in retinal ganglion
cells, which promote axon regeneration after injury.
Example 20
Promotion of Axon Regeneration by BA-434
[0196] To determine the ability of BA-434 to promote axon
regeneration, an optic nerve crush model was used.
[0197] For surgery, the head was immobilized with a rodent head
holder/gas mask and the periorbital area was shaved and prepared by
cleaning with 70% alcohol followed by iodine (Povidone solution).
The skin was opened along the mid-line of the skull and retracted
laterally to expose the left superior orbital rim. An incision was
made in the rim periosteum to access the superior aspect of the
left orbit. The superior rectus and oblique muscles were sectioned
near their insertion in the eye and the retractor bulbi muscle was
opened longitudinally to access the optic nerve (ON) at its exit
from the eye. The optic nerve was crushed with fine forceps or by
tying a 10-0 fine suture around the nerve. This procedure was done
after lifting the nerve out of the sheath to avoid damaging the
ophthalmic artery. The optic nerve was crushed, and at the same
time 40 .mu.g BA-434 or non-targeting control (NTC) sdRNA was
injected into the eye, as described in EXAMPLE 16. In all animals,
the left eye was the treated eye and the right eye was untreated
(without optic nerve injury). Following optic nerve crush the
retinal blood flow was assessed by direct ophthalmoscopy of the eye
fundus through the operating microscope. When necessary, eye fundus
examination was facilitated by a drop of 1% tropicamide (Alcon)
Animals that show ischemia were euthanized.
[0198] Two weeks later 0.5% cholera toxin beta (CTB) subunit
conjugated to Alexa 555 (Thermo Fisher Scientific) was injected
intravitreally into the left eye to anterogradely label the retinal
ganglion cells (RGCs) and their injured axons. Twenty-four hours
after injection of CTB, the animals were deeply anaesthetized and
then transcardially perfused with 4% paraformaldehyde solution.
After perfusion and a 1 cm piece of optic nerve, with the injury
site in the center, were extracted and transferred to 30% sucrose
solution for 48 hrs. The optic nerve was embedded in Shandon M-1
embedding matrix (Thermo Fisher Scientific) and snap-frozen in cold
(-80.degree. C.) isopentane. 15 .mu.m longitudinal sections of the
optic nerve were prepared using a Leica cryostat and mounted on
Superfrost Plus microscope slides (Thermo Fisher Scientific).
[0199] Sections were immunolabeled with rabbit anti-IBA-1 primary
antibodies and corresponding secondary fluorescent antibody as
described in EXAMPLE 13 as well as with DNA-binding dye DAPI
(Thermo Fisher Scientific). Sections were then imaged using a Nikon
epifluorescence microscope. FIG. 28 shows a longitudinal image of
the crushed optic nerve from a control animal. Injured axons do not
regenerate through the lesion site and the axonal tips remain close
the rostral lesion border (FIG. 29A). The lesion site can be
unambiguously identified because it accumulates IBA-1 positive
immune cells immune cells (FIGS. 29B and C).
[0200] GAP43 is only expressed in growing axons during development
or during regeneration. To determine if BA-434 can induce
long-distance regeneration, after applying BA-434 to the eye after
optic nerves crush the sections were immunolabeled with anti-GAP43
antibody (Abeam, Cambridge, Mass.) as described in EXAMPLE 13. FIG.
30 shows that after BA-434 treatment markedly more CTB-positive
axons were visible inside and behind the injury site. These axons
were also GAP-43 positive (FIG. 30C) demonstrating that they were
regenerating through the lesion. The distance of regeneration in
relation to the rostral lesion border was also markedly increased
in the BA-434 treated animal demonstrating that the treatment
promotes long-distance regeneration.
Example 21
In Vivo Injection of BA-434-Cy3 and Spinal Cord PTEN Expression
[0201] To determine tissue distribution of BA-434 in the spinal
cord, a laminectomy was performed in adult Balb-C mice and BA-434
(10 .mu.g-50 .mu.g) was injected into the grey matter of the spinal
cord. 24 hr after intraspinal injection the mice were deeply
anaesthetized and then transcardially perfused with 4%
paraformaldehyde. A 1.5 cm piece of spinal cord comprising the
injection site, was dissected from the vertebral column and
transferred to 30% sucrose solution. 20 um cryostat sections were
prepared and imaged as described in EXAMPLE 17. Sections were
immunolabeled with a PTEN antibody as described in EXAMPLE 13.
[0202] FIG. 31 shows that neurons in the grey matter of the spinal
cord highly express PTEN. Moreover, BA-434 injected directly into
the spinal cord (FIG. 32A) is able to spread from the immediate
injection site to the surrounding gray matter, which comprises a
vast number of PTEN-expressing cells (FIG. 32B) including
propriospinal interneurons.
Example 22
Uptake of BA-434 by Neuronal Axons
[0203] To determine whether BA-434 is taken up by neuronal axons,
E17 cortical neurons were obtained as described in EXAMPLE 10 and
plated in microfluidic chambers.
[0204] Microfluidic chambers consisted of a cell soma compartment
and an axon compartment which are connected by capillary channels
with a diameter of 5 .mu.m.
[0205] Microfluidic chambers were casted using custom made molds
that were filled with polydimethylsiloxane (PDMS) and cured at
60.degree. C. After removal from the molds, PDMS microfluidic
chambers were tested for proper sealing and separation of both
compartments by adding Trypan blue solution to the axon
compartment.
[0206] PDL/Laminin pre-coated coverslips (Fisher Scientific,
Hampton, N.H.) and El 7 rat cortical neurons were plated on the
coverslip. 10 days after plating 1 .mu.m of BA-434-Cy3 was added to
the axon compartment. 3 days after treatment administration, 4%
paraformaldehyde solution was added to each compartment to fix
neuronal soma and axons.
[0207] Microfluidic chambers were imaged using an epifluorescence
microscope. FIG. 33 shows that axons have uptaken BA-434-Cy3. In
addition, BA-434-Cy3 fluorescence was detected in the neuronal cell
bodies of the soma compartment. These results demonstrate that
BA-434 is uptaken by neuronal axons and retrogradely transported to
the neuronal soma, suggesting that local delivery of BA-434 to the
lesion site is sufficient to silence PTEN gene expression in the
axons and the neuronal cell bodies, even if latter are far away
from the injury site.
Example 23
Delivery, Dose and Therapeutic Window for Treatment of SCI with
sdRNA
[0208] To examine the effects of BA-434 on axon regeneration and
function recovery after SCI and to validate the clinical route of
delivery by direct application to the injured spinal cord during
decompression surgery, local delivery in a fibrin or collagen
matrix in a rat model of spinal cord injury is used (FIG. 37).
[0209] Adult pathogen-free male and female Sprague-Dawley rats (8
weeks) are housed under a 12-h light-dark cycle with free access to
water and food. Under isoflurane anesthesia (3-5%), rats are
subjected to laminectomy at the level of T9. To do this, the skin
is opened and bone removed with rongeurs to expose the T9 spinal
cord. The spinal cord is injured by contusion injury using the
Infinite Horizon contusion injury device (Precision Systems and
Instrumentation because it models human SCI lesions. On the day of
surgery, animals are randomized to their respective group.
[0210] After contusion injury sdRNA is delivered by injecting the
sdRNA into a matrix already FDA-approved for human use. Either an
approved fibrin sealant such as Tisseel.RTM., or a collagen matrix,
such as Evolence.RTM., is used. Both compounds are sold as
pre-filled syringes. The gel is applied to the spinal cord and
allowed to polymerize and to control residual bleeding from the
surgery. Either directly after the injury, 1 d or 3 d after injury,
5 .mu.L containing about 40 .mu.g sdRNA is injected into the formed
clot, or using a sterile Hamilton syringe. For controls, a
non-targeting sdRNA is injected into the matrix after contusion and
laminectomy only (sham) animals are used as well. After test
compound application, the overlaying muscle and skin are
sutured.
[0211] Determination of sdRNA diffusion and activity in spinal cord
tissue is determined by using Cy-3 fluorescently labeled sdRNA
(both BA-434 and NTC). The animals are sacrificed with an overdose
of anesthetics and perfused with 0.9% saline followed by perfusion
with 4% PFA solution. A 2 cm spinal cord piece, with the lesion
site in the center will be dissected from the vertebral column and
transferred to 30% sucrose. 30 .mu.m serial longitudinal cryostat
sections of the spinal cord are prepared and mounted onto
superfrost microscope slides and the area of Cy3 fluorescence will
be revealed and measured with epifluorescence microscopy.
[0212] To examine efficacy and activity of BA-434 in the rat spinal
cord, the biomarkers PTEN, p-S6 and p-AKT are evaluated in spinal
cord tissue at different time-points after treatment
administration. Western blotting of spinal cord tissue is performed
as described in EXAMPLE 13. The animals are sacrificed with an
overdose of anesthetics and perfused with 0.9% saline. 3 pieces of
spinal cord tissue are collected including the lesion site and the
dorsal and ventral regions directly adjacent to the lesion site.
After tissue is dissected from vertebral column it is snap frozen
with liquid nitrogen.
[0213] Tissue samples are processed as described in EXAMPLE 19.
Proteins are resolved with SDS-PAGE as described in EXAMPLE 11 and
probed with antibodies as described in Example 11.
[0214] For anterograde labeling of regenerating CST axons, 4 months
after injury, CST fibers are labeled by injection of the
anterograde tracer BDA (Molecular Probes, Eugene, Oreg.) into the
motor cortex using a 10 .mu.l Hamilton syringe. Approximately 3
.mu.L 10% BDA prepared in saline is injected at 8 sites from each
side. The animals are euthanized with anesthetic overdoses 2 weeks
later, and perfused transcardially with saline, then 4%
paraformaldehyde. The spinal cords are removed and serial
longitudinal cryostat sections of the spinal cord are cut at 30
.mu.m thickness and reacted for BDA with avidin-biotin-peroxidase
complex or with fluorescent secondary antibodies. Sections are
co-labelled with fluorescent antibodies against GAP-43 as described
in EXAMPLE 17 to identify regenerating axons. Measurement of axon
regeneration is assessed as described in Dergham J. Neurosc (2002).
22:6570-6577).
[0215] For the demonstrating anatomical spinal cord regeneration
and repair, the rats are sacrificed with an overdose of anesthetic
and were intracardially perfused with 0.9% saline, followed by
phosphate-buffered 4% paraformaldehyde (PFA). Brain and spinal cord
(containing also the site of SCI) is extracted from skull and the
vertebral column, respectively. CNS tissue is post-fixed in 4% PFA
for 2 hr and transferred into a 30% sucrose solution for at least
48 h. Cryostat sections of the PFA-fixed spinal cord piece are
prepared. Spinal cord is embedded into tissue molds using Shandon
M1 embedding matrix (Thermo Fisher Scientific) and snap-frozen in
cold isopentane. 15 .mu.m longitudinal sections of the lesion site
and coronal sections of the adjacent rostral and caudal spinal cord
regions are obtained using a Leica cryostat, mounted onto Super
Frost microscope slides and dried. Sections are permeabilized with
0.1% Triton-X in 1.times.PBS for 1 hr and subsequently incubated
for 1 hr with a blocking solution (5% normal goat serum, 3% BSA in
PBS).
[0216] Regenerating fibers are detected with fluorescent antibodies
against serotonin (to reveal regeneration of raphespinal fibers),
PKC-gamma (to reveal regeneration of CST fibers) and GAP43 (to
reveal all regenerating fibers). Antibody labeling procedure is
performed as described in EXAMPLE 13. Images of the tissue sections
are acquired by fluorescent microscopy. The number v, caudal and
inside the lesion site will be manually counted by an experimenter
blinded to the experimental conditions.
[0217] Spinal cord repair and wound healing is revealed by
immunolabeling the tissue section with antibodies against the
astrocyte marker GFAP. Immunolabeling is performed as described in
EXAMPLE 13. The size of the lesion is identified by increased GFAP
immunoreactivity of the astroglial scar. Lesion area of every 6th
consecutive section will be measured with ImageJ and average area
is determined for each animal.
[0218] Motor function of control and sdRNA treated rats treated
with sdRNA is assessed using a battery of behavioral assays that
measure hindlimb locomotor function including the Basso, Beattie,
and Bresnahan (BBB) Open Field Locomotor Rating Scale (Basso, et
al. (1995) ibid.) and the horizontal ladder. For BBB scoring, rats
are evaluated by two observers for 4 min. Locomotion is taped using
a video camera by another observer. Hindlimb BBB scores are
determined for each animal in a blinded fashion for both hind-limbs
and then averaged to obtain the score of each animal. For
horizontal ladder animals are video recorded while passing an
elevated horizontal with variable spaced ladder rungs and foot
slips between the ladder rungs are counted for each animal. The
average number of foot slips per animal from two ladder runs will
be obtained and used as a measure for voluntary hind limb
control.
[0219] Delivery of BA-434 locally to the spinal cord lesion site
promotes after SCI enhances regeneration and spinal cord repair.
Neurons in the spinal cord grey matter highly express PTEN (FIGS.
31 and 32). Stimulation of plasticity in the spinal cord e.g., by
enhancing axon sprouting and by stimulating regeneration of injured
axon at the lesion site is sufficient to promote functional
recovery after SCI. After BA-434 administration to the injury site,
PTEN expression in spinal cord interneurons is decreased which
correlates with an increased amount of PKC gamma, 5HT and
GAP43-positive fibers in and around the lesion, indicating that the
treatment induces plasticity of the local circuitry in the spinal
cord. In addition, BA-434 local administration to the lesion site
reduces lesion area and improves hindlimb function after contusion
injury in rats.
Example 24
Prevention of Retinal Ganglion Neuron Loss in a Model of Glaucoma
with sdRNA
[0220] To determine the effects of BA-434 on retinal ganglion
neuron survival and functional recovery in the setting of glaucoma
(as a model of optic neuropathy), local intravitreal delivery of
BA-434 is performed (as also described for FIG. 30B) in a rat model
of glaucoma. In this model, injection of hyperosmolar saline
solution into the aqueous humor outflow tracts, including the
episcleral vessels that drain aqueous humor (Morrison et al. (2008)
Prog. Brain Res., 173:285-301). Five to seven days after saline
injection, Tono-Pen measurements show that intraocular pressure is
elevated, as occurs in glaucoma.
[0221] One week after the procedure to induce an elevation in
intraocular pressure in the left eye, BA-434 is injected
intravitreally in one cohort as described above in EXAMPLE 18. For
a control cohort, NTC is injected intravitreally and another group
receives no injection. One to two weeks after sdRNA injection, the
animals are perfused transcardially with 4% paraformaldehyde to fix
the tissues. Optic nerves are dissected and immersion fixed for an
additional 24 hours. They are then embedded in plastic to allow for
ultrathin sectioning. Ultrathin cross sections of the optic nerve
from the area immediately adjacent to the eye globe are stained
using Luxol Fast Blue to identify myelinated axons in the nerve.
Counting of the myelinated axons in high power microscopic views
show that knockdown of PTEN using BA-434 prevents loss of
myelinated axons as compared to the NTC control, thus lessening the
nerve loss caused by elevated intraocular pressure. Degenerative
changes in the nerve (which only contains axons derived from
retinal ganglion cells) are also reduced by BA-434 treatment.
[0222] As a companion validation, retinas are removed from the eyes
of the BA-434 and NTC treated rats and prepared for flat mount
fluorescent microscopy characterization as described in EXAMPLE 18
above Immunofluorescent histochemistry shows using antibodies
against Brn3a identifies all retinal ganglion cells (RGCs) in the
flatmount specimen. Counting of the stained cell bodies shows that
BA-434 treatment prevents the loss of RGCs in eyes with elevated
intraocular pressure, modeling glaucoma, while NTC treatment or no
injection show no capacity for preventing loss of RGCs in the
retina.
EQUIVALENTS
[0223] Those skilled in the art will recognize, or be able to
ascertain, using no more than routine experimentation, numerous
equivalents to the specific embodiments described specifically
herein. Such equivalents are intended to be encompassed in the
scope of the following claims.
Sequence CWU 1
1
10124DNAArtificial SequenceSynthetic Construct 1aaggaccaga
gataaaaagg gagt 24220DNAArtificial SequenceSynthetic Construct
2acctttagct ggcagaccac 20325DNAArtificial SequenceSynthetic
Construct 3caaggactat aaggaacaga acgag 25423DNAArtificial
SequenceSynthetic Construct 4gaaattcttg attttctcca gca
23515RNAArtificial SequenceSynthetic Construct 5uagcuaccug uuaaa
15620RNAArtificial SequenceSynthetic Construct 6uuuaacaggu
agcuauaaua 20715RNAArtificial SequenceSynthetic
Constructmodified_base(1)..(1)ummodified_base(2)..(2)2'-O-methylated
adenosinemodified_base(4)..(4)cmmodified_base(5)..(5)ummodified_base(7)..-
(7)cmmodified_base(8)..(8)cmmodified_base(9)..(9)ummodified_base(11)..(12)-
ummodified_base(13)..(15)2'-O-methylated adenosine 7uagcuaccug
uuaaa 15820RNAArtificial SequenceSynthetic
Constructmodified_base(1)..(1)ummodified_base(2)..(3)2'-fluorinated
uridinemodified_base(6)..(6)2'-fluorinated
cytidinemodified_base(9)..(9)gmmodified_base(10)..(10)2'-fluorinated
uridinemodified_base(13)..(13)2'-fluorinated
cytidinemodified_base(14)..(14)2'-fluorinated
uridinemodified_base(16)..(16)2'-fluorinated
uridinemodified_base(19)..(19)2'-fluorinated uridine 8uuuaacaggu
agcuauaaua 2098718DNAHomo sapiens 9cctcccctcg cccggcgcgg tcccgtccgc
ctctcgctcg cctcccgcct cccctcggtc 60ttccgaggcg cccgggctcc cggcgcggcg
gcggaggggg cgggcaggcc ggcgggcggt 120gatgtggcgg gactctttat
gcgctgcggc aggatacgcg ctcggcgctg ggacgcgact 180gcgctcagtt
ctctcctctc ggaagctgca gccatgatgg aagtttgaga gttgagccgc
240tgtgaggcga ggccgggctc aggcgaggga gatgagagac ggcggcggcc
gcggcccgga 300gcccctctca gcgcctgtga gcagccgcgg gggcagcgcc
ctcggggagc cggccggcct 360gcggcggcgg cagcggcggc gtttctcgcc
tcctcttcgt cttttctaac cgtgcagcct 420cttcctcggc ttctcctgaa
agggaaggtg gaagccgtgg gctcgggcgg gagccggctg 480aggcgcggcg
gcggcggcgg cacctcccgc tcctggagcg ggggggagaa gcggcggcgg
540cggcggccgc ggcggctgca gctccaggga gggggtctga gtcgcctgtc
accatttcca 600gggctgggaa cgccggagag ttggtctctc cccttctact
gcctccaaca cggcggcggc 660ggcggcggca catccaggga cccgggccgg
ttttaaacct cccgtccgcc gccgccgcac 720cccccgtggc ccgggctccg
gaggccgccg gcggaggcag ccgttcggag gattattcgt 780cttctcccca
ttccgctgcc gccgctgcca ggcctctggc tgctgaggag aagcaggccc
840agtcgctgca accatccagc agccgccgca gcagccatta cccggctgcg
gtccagagcc 900aagcggcggc agagcgaggg gcatcagcta ccgccaagtc
cagagccatt tccatcctgc 960agaagaagcc ccgccaccag cagcttctgc
catctctctc ctcctttttc ttcagccaca 1020ggctcccaga catgacagcc
atcatcaaag agatcgttag cagaaacaaa aggagatatc 1080aagaggatgg
attcgactta gacttgacct atatttatcc aaacattatt gctatgggat
1140ttcctgcaga aagacttgaa ggcgtataca ggaacaatat tgatgatgta
gtaaggtttt 1200tggattcaaa gcataaaaac cattacaaga tatacaatct
ttgtgctgaa agacattatg 1260acaccgccaa atttaattgc agagttgcac
aatatccttt tgaagaccat aacccaccac 1320agctagaact tatcaaaccc
ttttgtgaag atcttgacca atggctaagt gaagatgaca 1380atcatgttgc
agcaattcac tgtaaagctg gaaagggacg aactggtgta atgatatgtg
1440catatttatt acatcggggc aaatttttaa aggcacaaga ggccctagat
ttctatgggg 1500aagtaaggac cagagacaaa aagggagtaa ctattcccag
tcagaggcgc tatgtgtatt 1560attatagcta cctgttaaag aatcatctgg
attatagacc agtggcactg ttgtttcaca 1620agatgatgtt tgaaactatt
ccaatgttca gtggcggaac ttgcaatcct cagtttgtgg 1680tctgccagct
aaaggtgaag atatattcct ccaattcagg acccacacga cgggaagaca
1740agttcatgta ctttgagttc cctcagccgt tacctgtgtg tggtgatatc
aaagtagagt 1800tcttccacaa acagaacaag atgctaaaaa aggacaaaat
gtttcacttt tgggtaaata 1860cattcttcat accaggacca gaggaaacct
cagaaaaagt agaaaatgga agtctatgtg 1920atcaagaaat cgatagcatt
tgcagtatag agcgtgcaga taatgacaag gaatatctag 1980tacttacttt
aacaaaaaat gatcttgaca aagcaaataa agacaaagcc aaccgatact
2040tttctccaaa ttttaaggtg aagctgtact tcacaaaaac agtagaggag
ccgtcaaatc 2100cagaggctag cagttcaact tctgtaacac cagatgttag
tgacaatgaa cctgatcatt 2160atagatattc tgacaccact gactctgatc
cagagaatga accttttgat gaagatcagc 2220atacacaaat tacaaaagtc
tgaatttttt tttatcaaga gggataaaac accatgaaaa 2280taaacttgaa
taaactgaaa atggaccttt ttttttttaa tggcaatagg acattgtgtc
2340agattaccag ttataggaac aattctcttt tcctgaccaa tcttgtttta
ccctatacat 2400ccacagggtt ttgacacttg ttgtccagtt gaaaaaaggt
tgtgtagctg tgtcatgtat 2460ataccttttt gtgtcaaaag gacatttaaa
attcaattag gattaataaa gatggcactt 2520tcccgtttta ttccagtttt
ataaaaagtg gagacagact gatgtgtata cgtaggaatt 2580ttttcctttt
gtgttctgtc accaactgaa gtggctaaag agctttgtga tatactggtt
2640cacatcctac ccctttgcac ttgtggcaac agataagttt gcagttggct
aagagaggtt 2700tccgaagggt tttgctacat tctaatgcat gtattcgggt
taggggaatg gagggaatgc 2760tcagaaagga aataatttta tgctggactc
tggaccatat accatctcca gctatttaca 2820cacacctttc tttagcatgc
tacagttatt aatctggaca ttcgaggaat tggccgctgt 2880cactgcttgt
tgtttgcgca ttttttttta aagcatattg gtgctagaaa aggcagctaa
2940aggaagtgaa tctgtattgg ggtacaggaa tgaaccttct gcaacatctt
aagatccaca 3000aatgaaggga tataaaaata atgtcatagg taagaaacac
agcaacaatg acttaaccat 3060ataaatgtgg aggctatcaa caaagaatgg
gcttgaaaca ttataaaaat tgacaatgat 3120ttattaaata tgttttctca
attgtaacga cttctccatc tcctgtgtaa tcaaggccag 3180tgctaaaatt
cagatgctgt tagtacctac atcagtcaac aacttacact tattttacta
3240gttttcaatc ataatacctg ctgtggatgc ttcatgtgct gcctgcaagc
ttcttttttc 3300tcattaaata taaaatattt tgtaatgctg cacagaaatt
ttcaatttga gattctacag 3360taagcgtttt ttttctttga agatttatga
tgcacttatt caatagctgt cagccgttcc 3420acccttttga ccttacacat
tctattacaa tgaattttgc agttttgcac attttttaaa 3480tgtcattaac
tgttagggaa ttttacttga atactgaata catataatgt ttatattaaa
3540aaggacattt gtgttaaaaa ggaaattaga gttgcagtaa actttcaatg
ctgcacacaa 3600aaaaaagaca tttgattttt cagtagaaat tgtcctacat
gtgctttatt gatttgctat 3660tgaaagaata gggttttttt tttttttttt
tttttttttt ttaaatgtgc agtgttgaat 3720catttcttca tagtgctccc
ccgagttggg actagggctt caatttcact tcttaaaaaa 3780aatcatcata
tatttgatat gcccagactg catacgattt taagcggagt acaactacta
3840ttgtaaagct aatgtgaaga tattattaaa aaggtttttt tttccagaaa
tttggtgtct 3900tcaaattata ccttcacctt gacatttgaa tatccagcca
ttttgtttct taatggtata 3960aaattccatt ttcaataact tattggtgct
gaaattgttc actagctgtg gtctgaccta 4020gttaatttac aaatacagat
tgaataggac ctactagagc agcatttata gagtttgatg 4080gcaaatagat
taggcagaac ttcatctaaa atattcttag taaataatgt tgacacgttt
4140tccatacctt gtcagtttca ttcaacaatt tttaaatttt taacaaagct
cttaggattt 4200acacatttat atttaaacat tgatatatag agtattgatt
gattgctcat aagttaaatt 4260ggtaaagtta gagacaacta ttctaacacc
tcaccattga aatttatatg ccaccttgtc 4320tttcataaaa gctgaaaatt
gttacctaaa atgaaaatca acttcatgtt ttgaagatag 4380ttataaatat
tgttctttgt tacaatttcg ggcaccgcat attaaaacgt aactttattg
4440ttccaatatg taacatggag ggccaggtca taaataatga cattataatg
ggcttttgca 4500ctgttattat ttttcctttg gaatgtgaag gtctgaatga
gggttttgat tttgaatgtt 4560tcaatgtttt tgagaagcct tgcttacatt
ttatggtgta gtcattggaa atggaaaaat 4620ggcattatat atattatata
tataaatata tattatacat actctcctta ctttatttca 4680gttaccatcc
ccatagaatt tgacaagaat tgctatgact gaaaggtttt cgagtcctaa
4740ttaaaacttt atttatggca gtattcataa ttagcctgaa atgcattctg
taggtaatct 4800ctgagtttct ggaatatttt cttagacttt ttggatgtgc
agcagcttac atgtctgaag 4860ttacttgaag gcatcacttt taagaaagct
tacagttggg ccctgtacca tcccaagtcc 4920tttgtagctc ctcttgaaca
tgtttgccat acttttaaaa gggtagttga ataaatagca 4980tcaccattct
ttgctgtggc acaggttata aacttaagtg gagtttaccg gcagcatcaa
5040atgtttcagc tttaaaaaat aaaagtaggg tacaagttta atgtttagtt
ctagaaattt 5100tgtgcaatat gttcataacg atggctgtgg ttgccacaaa
gtgcctcgtt tacctttaaa 5160tactgttaat gtgtcatgca tgcagatgga
aggggtggaa ctgtgcacta aagtgggggc 5220tttaactgta gtatttggca
gagttgcctt ctacctgcca gttcaaaagt tcaacctgtt 5280ttcatataga
atatatatac taaaaaattt cagtctgtta aacagcctta ctctgattca
5340gcctcttcag atactcttgt gctgtgcagc agtggctctg tgtgtaaatg
ctatgcactg 5400aggatacaca aaaataccaa tatgatgtgt acaggataat
gcctcatccc aatcagatgt 5460ccatttgtta ttgtgtttgt taacaaccct
ttatctctta gtgttataaa ctccacttaa 5520aactgattaa agtctcattc
ttgtcattgt gtgggtgttt tattaaatga gagtttataa 5580ttcaaattgc
ttaagtccat tgaagtttta attaatgggc agccaaatgt gaatacaaag
5640ttttcagttt ttttttttcc tgctgtcctt caaagcctac tgtttaaaaa
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tttaattaag gaaaaacact 5760tatttttagg gctttagtca tcacttcata
aattgtataa gcacattaaa tagcgttcta 5820gtcctgaaaa agtccaagat
tcttagaaaa ttgtgcatat ttttattatg acagatgttt 5880gaagataatt
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5940ttattctgta ctctgccatc agcatatgga aagcttcatt tactcatcat
gacttgtgcc 6000atataaaaat tgatatttcg gaatagtcta aaggactttt
tgtacttgaa tttaatcatg 6060ttgtttctaa tattcttaaa agcttgaaga
ctaaagcata tcctttcaac aaagcatagt 6120aaggtaataa gaaagtgtag
tttgtacaag tgttaaaaaa ataaagtaga caatgttaca 6180gtgggactta
ttatttcaag tttacatttt ctccatgtaa ttttttaaaa agtaaatgaa
6240aaaatgtgca ataatgtaaa atatgaagtg tatgtgtaca cacattttat
ttttcggtat 6300cttgggtata cgtatggttg aaaactatac tggagtctaa
aagtattcta atttataaga 6360agacattttg gtgatgtttg aaaaatagaa
atgtgctagt tttgttttta tatcatgtcc 6420tttgtacgtt gtaatatgag
ctggcttggt tcagtaaatg ccatcaccat ttccattgag 6480aatttaaaac
tcaccagtgt ttaatatgca ggcttccaaa ggcttatgaa aaaaatcaag
6540acccttaaat ctagttaatt tgctgctaac atgaaactct ttggttcttt
tatttttgcc 6600agataattag acacacatct aaagcttagt cttaaatggc
ttaagtgtag ctattgatta 6660gtgctgttgc tagttcagaa agaaatgttt
gtgaatggaa acaagaatat tcagtccaaa 6720ctgttgtaag gacagtacct
gaaaaccagg aaacaggata atggaaaaag tcttttaaag 6780atgaaatgtt
ggagccaact ttcttataga attaattgta tgtggctata gaaagcctaa
6840tgattgttgc ttatttttga gagcatatta ttcttttatg accataatct
tgctgttttt 6900ccatcttcca aaagatcttc cttctaatat gtatatcaga
atgtgggtag ccagtcagac 6960aaattcatat tggttggtag ctttaaaaag
tttgtaatgt gaagacagga aaggacaaaa 7020tagtttgctt tggtggtagt
actctggttg ttaagctagg tattttgaga ctacttcccc 7080atcacaacaa
caataaaata atcactcata atcctatcac ctggagacat agccatcgtt
7140aatatgttag tgactataca atcatgtttt cttctgtata tccatgtata
ttctttaaaa 7200atgaaattta tactgtacct gatctcaaag ctttttagct
tagtatatct gtcatgaatt 7260tgtaggatgt tccattgcat cagaaaacgg
acagtgattt gattactttc taatgccaca 7320gatgcagatt acatgtagtt
attgagaatc ctttcgaatt cagtggctta atcatgaatg 7380tctaaatatt
gttgacatta ggatgataca tgtaaattaa agttacattt gtttagcata
7440gacaagctta acattgtaga tgtttctctt caaaaatcat cttaaacatt
tgcatttgga 7500attgtgttaa atagaatgtg tgaaacactg tattagtaaa
cttcatcacc tttctacttc 7560cttatagttt gaacttttca gtttttgtag
ttcccaaaca gttgctcaat ttagagcaaa 7620ttaatttaac acctgccaaa
aaaaggctgc tgttggctta tcagttgtct ttaaattcaa 7680atgctcatgt
gacttttatc acatcaaaaa atatttcatt aatgattcac ctttagctct
7740gaaaattacc gcgtttagta attatagtgg gcttataaaa acatgcaact
ctttttgata 7800gttatttgag aattttggtg aaaaatattt agctgagggc
agtatagaac ttataaacca 7860atatattgat atttttaaaa catttttaca
tataagtaaa ctgccatctt tgagcataac 7920tacatttaaa aataaagctg
catattttta aatcaagtgt ttaacaagaa tttatatttt 7980ttatttttta
aaattaaaaa taatttatat ttcctctgtt gcatgaggat tctcatctgt
8040gcttataatg gttagagatt ttatttgtgt ggaatgaagt gaggcttgta
gtcatggttc 8100tagtgtttca gtttgccaag tctgtttact gcagtgaaat
tcatcaaatg tttcagtgtg 8160gttttctgta gcctatcatt tactggctat
ttttttatgt acacctttag gattttctgc 8220ctactctatc cagttgtcca
aatgatatcc tacattttac aaatgccctt tcagtttcta 8280ttttcttttt
ccattaaatt gccctcatgt cctaatgtgc agtttgtaag tgtgtgtgtg
8340tgtgtctgtg tgtgtgtgaa tttgattttc aagagtgcta gacttccaat
ttgagagatt 8400aaataattta attcaggcaa acatttttca ttggaatttc
acagttcatt gtaatgaaaa 8460tgttaatcct ggatgacctt tgacatacag
taatgaatct tggatattaa tgaatttgtt 8520agtagcatct tgatgtgtgt
tttaatgagt tattttcaaa gttgtgcatt aaaccaaagt 8580tggcatactg
gaagtgttta tatcaagttc catttggcta ctgatggaca aaaaatagaa
8640atgccttcct atggagagta tttttccttt aaaaaattaa aaaggttaat
tattttgact 8700aaaaaaaaaa aaaaaaaa 8718101212DNARattus norvegicus
10atgacagcca tcatcaaaga gatcgttagc agaaacaaaa ggagatatca agaggatgga
60ttcgacttag acttgaccta tatttatcca aatattattg ctatgggatt tcctgcagaa
120agacttgaag gtgtatacag gaacaatatt gatgatgtag taaggttttt
ggattcaaag 180cataaaaacc attacaagat atacaatcta tgtgctgaga
gacattatga caccgccaaa 240tttaactgca gagttgcaca gtatcctttt
gaagaccata acccaccaca gctagaactt 300atcaaaccct tttgtgaaga
tcttgaccaa tggctaagtg aagacgacaa tcatgttgca 360gcaattcact
gtaaagctgg gaaaggacgg actggtgtaa tgatttgtgc atatttattg
420catcggggca agtttttaaa ggcacaagag gccctggatt tttatgggga
agtaaggacc 480agagataaaa agggagtaac tattcccagt cagaggcgct
atgtatatta ttatagctac 540ctgttaaaga atcacctgga ttacagacca
gtggcactgt tgtttcacaa gatgatgttt 600gaaactattc caatgttcag
tggcggaact tgcaatcccc agtttgtggt ctgccagcta 660aaggtgaaga
tctactcctc caactcagga cccacgcggc gggaggacaa gctcatgtac
720tttgagttcc ctcagccatt gcctgtgtgt ggtgacatca aagtagagtt
cttccacaaa 780cagaacaaga tgctcaaaaa ggacaaaatg tttcactttt
gggtaaatac gttcttcata 840ccaggaccag aggaaacctc agaaaaagtg
gaaaatggaa gtctttgtga tcaggaaatc 900gatagcattt gtagtataga
gcgtgcggat aatgacaagg agtatcttgt gctcaccctg 960acaaaaaatg
atcttgacaa agcaaacaaa gacaaggcca accgatactt ctctccaaat
1020tttaaggtga agttatactt cacaaaaaca gtagaggagc catcaaatcc
agaggctagc 1080agttcaactt ctgtgactcc agacgttagt gacaatgaac
ctgatcatta tagatattct 1140gacaccactg actctgatcc agagaatgaa
ccttttgatg aagatcagca ttcacaaatt 1200acaaaagtct ga 1212
* * * * *