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Proof-of-concept for multiple AON delivery by a single U7snRNA vector to restore splicing defects in ABCA4

Suárez-Herrera, Nuria; Riswick, Iris B; Vázquez-Domínguez, Irene; Duijkers, Lonneke; Karjosukarso, Dyah W; Piccolo, Davide; Bauwens, Miriam; ... Collin, Rob WJ; + view all (2024) Proof-of-concept for multiple AON delivery by a single U7snRNA vector to restore splicing defects in ABCA4. Molecular Therapy , 32 (3) pp. 837-851. 10.1016/j.ymthe.2024.01.019.

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Abstract

The high allelic heterogeneity in Stargardt disease (STGD1) complicates the design of intervention strategies. A significant proportion of pathogenic intronic ABCA4 variants alters the pre-mRNA splicing process. Antisense oligonucleotides (AONs) are an attractive yet mutation-specific therapeutic strategy to restore these splicing defects. In this study, we experimentally assessed the potential of a splicing modulation therapy to target multiple intronic ABCA4 variants. AONs were inserted into U7snRNA gene cassettes and tested in midigene-based splice assays. Five potent antisense sequences were selected to generate a multiple U7snRNA cassette construct, and this combination vector showed substantial rescue of all of the splicing defects. Therefore, the combination cassette was used for viral synthesis and assessment in patient-derived photoreceptor precursor cells (PPCs). Simultaneous delivery of several modified U7snRNAs through a single AAV, however, did not show substantial splicing correction, probably due to suboptimal transduction efficiency in PPCs and/or a heterogeneous viral population containing incomplete AAV genomes. Overall, these data demonstrate the potential of the U7snRNA system to rescue multiple splicing defects, but also suggest that AAV-associated challenges are still a limiting step, underscoring the need for further optimization before implementing this strategy as a potential treatment for STGD1.

Type: Article
Title: Proof-of-concept for multiple AON delivery by a single U7snRNA vector to restore splicing defects in ABCA4
Location: United States
DOI: 10.1016/j.ymthe.2024.01.019
Publisher version: https://doi.org/10.1016/j.ymthe.2024.01.019
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: U7snRNA, antisense oligonucleotide, splicing modulation, AAV, RNA therapy, ABCA4, Stargardt disease, inherited retinal disease, patient-derived photoreceptor precursor cells
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/10186131
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