Alpha-L-Locked Nucleic Acid-Modified Antisense Oligonucleotides Induce
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International Journal of Molecular Sciences Article Alpha-l-Locked Nucleic Acid-Modified Antisense Oligonucleotides Induce Efficient Splice Modulation In Vitro Prithi Raguraman 1,2, Tao Wang 1,2, Lixia Ma 3, Per Trolle Jørgensen 4 , Jesper Wengel 4 and Rakesh N. Veedu 1,2,4,* 1 Centre for Molecular Medicine and Innovative Therapeutics, Murdoch University, Perth 6150 Australia; [email protected] (P.R.); [email protected] (T.W.) 2 Perron Institute for Neurological and translational Science, Perth 6005, Australia 3 School of Statistics, Henan University of Economics and Law, Zhengzhou 450001, China; [email protected] 4 Nucleic Acid Center, Department of Physics and Chemistry and Pharmacy, University of Southern Denmark, M 5230 Odense, Denmark; [email protected] (P.T.J.); [email protected] (J.W.) * Correspondence: [email protected] Received: 19 February 2020; Accepted: 29 March 2020; Published: 31 March 2020 Abstract: Alpha-l-Locked nucleic acid (α-l-LNA) is a stereoisomeric analogue of locked nucleic acid (LNA), which possesses excellent biophysical properties and also exhibits high target binding affinity to complementary oligonucleotide sequences and resistance to nuclease degradations. Therefore, α-l-LNA nucleotides could be utilised to develop stable antisense oligonucleotides (AO), which can be truncated without compromising the integrity and efficacy of the AO. In this study, we explored the potential of α-l-LNA nucleotides-modified antisense oligonucleotides to modulate splicing by inducing Dmd exon-23 skipping in mdx mouse myoblasts in vitro. For this purpose, we have synthesised and systematically evaluated the efficacy of α-l-LNA-modified 20-O-methyl phosphorothioate (20-OMePS) AOs of three different sizes including 20mer, 18mer and 16mer AOs in parallel to fully-modified 20-OMePS control AOs. Our results demonstrated that the 18mer and 16mer truncated AO variants showed slightly better exon-skipping efficacy when compared with the fully-23 modified 20-OMePS control AOs, in addition to showing low cytotoxicity. As there was no previous report on using α-l-LNA-modified AOs in splice modulation, we firmly believe that this initial study could be beneficial to further explore and expand the scope of α-l-LNA-modified AO therapeutic molecules. Keywords: α-l-LNA; locked nucleic acids; antisense oligonucleotides; DMD 1. Introduction Alpha-l-locked nucleic acid (α-l-LNA) is a stereoisomeric analogue of locked nucleic acid (LNA) with the inverted stereochemistry at C20, C30 and C40 positions (Figure1). Like LNAs, α-l-LNA also exhibits high binding affinity to complementary RNA and DNA oligonucleotides when incorporated into oligonucleotides [1,2]. Apart from this, α-l-LNA nucleotides also displayed a high degree of resistance to nucleases in addition to showing decreased cytotoxicity [3]. The favourable biophysical properties of α-l-LNA have led to several studies towards evaluating their potential, including for therapeutic applications [4–8]. Int. J. Mol. Sci. 2020, 21, 2434; doi:10.3390/ijms21072434 www.mdpi.com/journal/ijms Int. J. Mol. Sci. 2020, 21, 2434 2 of 12 Int. J. Mol. Sci. 2020, 21, 2434 2 of 12 FigureFigure 1. Structural 1. Structural representation representation of theof the phosphorothioate phosphorothioa nucleicte nucleic acid acid analogues analogues used used in this in this study. study. Duchenne muscular dystrophy (DMD) is a serious muscle-wasting disorder, caused by lack of dystrophinDuchenne protein, muscular which dystrophy is essential (DMD) for the normalis a serious functioning muscle- ofwasting the muscle disorder, cells, caused including by musclelack of contractiondystrophin protein and movement., which is Dystrophinessential for actsthe normal as an anchor, functioning connecting of the themuscle cytoskeleton cells, including of the muscle fibrecontraction and the and extracellular movement. matrix. Dystrophin Lack of acts dystrophin as an anchor, protein connecting usually occurs the cytoskeleton due to mutations of the in muscle one or morefibre and exons the or extracellular deletion of exonsmatrix. of Lack the dystrophin of dystrophin gene protein [9]. Antisense usually oligonucleotideoccurs due to mutations (AO)-mediated in one spliceor more modulation exons or deletion has been of well exons explored of the todystrophin reinstate thegene reading [9]. Antisense frame in oligonucleotide order to produce (AO the)- partiallymediated functional splice modulation dystrophin has proteinbeen well [10 explored–12]. One to suchreinstate drug, the Exondys reading 51frame (Sarepta in order Therapeutics) to produce composedthe partially of phosphorodiamidate functional dystrophin morpholino protein oligomer [10–12] (PMO). One chemistry,such drug was, conditionallyExondys 51 approved(Sarepta inTherapeutics) 2016 by the composed US Food and of Drugphosphorodiamidate Administration (FDA)morpholino for clinical oligomer use [13(PMO)]. Although chemistry the, PMOwas drugconditionally is approved approved for DMD, in 2016 the productionby the US Food cost and of PMOs Drug isAdministration extremely high, (FDA) and importantly, for clinical use it is [13] not. compatibleAlthough the with PMO standard drug is phosphoramidite approved for DMD, chemistry. the production This problem cost could of PMO be addresseds is extremely by developing high, and shorterimportantly, phosphorothioate it is not compatible AOs, which with couldstandard help phosphoramidite reduce the cost of chemistry. the AOs. ItThis is worth problem adding could here be thataddressed a parallel by trialdeveloping conducted shorter for another phosphorothi AO candidateoate AOs Drisapersen, which could composed help ofreduc 20-OMePSe the cost chemistry of the (FigureAOs. It1 is) (BioMarinworth adding Pharmaceutical) here that a para wasllel rejected trial byconducted the FDA for [ 14 another]. Herein, AO we candidate report the Drisapersen systematic α l evaluationcomposed of of 2′--OMePS-LNA modifiedchemistry 2 (Figure0-OMePS 1) AOs(BioMarin and their Pharmaceutical) efficiency to inducewas rejected exon-skipping by the FDA in [14]mdx. mouse myotubes in vitro. Herein, we report the systematic evaluation of α-L-LNA modified 2′-OMePS AOs and their efficiency to induce exon-skipping in mdx mouse myotubes in vitro. 2. Results 2. ResultsFirst, we synthesised 20mer α-l-LNA-modified 20-OMePS AO (NAC 9078) containing three α-l-LNA nucleotides at positions 15, 18 and 20 and their corresponding fully-modified 2 -OMePS First, we synthesised 20mer α-L-LNA-modified 2′-OMePS AO (NAC 9078) containing0 three α- control AO (20mer, 3642). The AOs were then systematically truncated by removing one and two L-LNA nucleotides at positions 15, 18 and 20 and their corresponding fully-modified 2′-OMePS nucleotides respectively from the 5 and 3 ends to produce 18mer AOs (NAC 9079 with three α-l-LNA control AO (20mer, 3642). The AOs0 were0 then systematically truncated by removing one and two modification at positions 13, 15 and 18, and NAC 9080 with five α-l-LNA nucleotides at positions 2, nucleotides respectively from the 5′ and 3′ ends to produce 18mer AOs (NAC 9079 with three α-L- 7, 10, 14 and 17) and a 16mer AO (NAC 9081 with three modifications at positions 12, 14 and 16) as LNA modification at positions 13, 15 and 18, and NAC 9080 with five α-L-LNA nucleotides at well as their 2 -OMePS controls (18mer, 4036; 16mer, 4039). The binding affinity of the AOs against positions 2, 7, 010, 14 and 17) and a 16mer AO (NAC 9081 with three modifications at positions 12, 14 the complementary RNA target was examined by performing a thermal stability analysis (Table1). and 16) as well as their 2′-OMePS controls (18mer, 4036; 16mer, 4039). The binding affinity of the AOs The Dmd exon-23 skipping efficiency of the AOs was then analysed in vitro using the H-2Kb-tsA58 against the complementary RNA target was examined by performing a thermal stability analysis (H2K) mdx mouse myotubes. Briefly, the cells were plated on a 24-well plate and allowed to differentiate (Table 1). The Dmd exon-23 skipping efficiency of the AOs was then analysed in vitro using the H- into myotubes over 24 h. These cells were then transfected with the AOs using Lipofectin, a cationic 2Kb-tsA58 (H2K) mdx mouse myotubes. Briefly, the cells were plated on a 24-well plate and allowed lipid-based delivery agent, at 2.5, 5, 12.5, 25, 50 and 100 nM concentrations. The treated cells were to differentiate into myotubes over 24 h. These cells were then transfected with the AOs using collected after 24 h of incubation, and subsequently the RNA was isolated followed by RT-PCR Lipofectin, a cationic lipid-based delivery agent, at 2.5, 5, 12.5, 25, 50 and 100 nM concentrations. The analysis. The PCR products were later analysed by 2% agarose gel electrophoresis. The gel images treated cells were collected after 24 h of incubation, and subsequently the RNA was isolated followed were quantified by performing a densitometry analysis using the ImageJ software. by RT-PCR analysis. The PCR products were later analysed by 2% agarose gel electrophoresis. The 2.1.gel images Evaluation were of quantifiedα-l-LNA AOs by per to Induceforming Exon-23 a densitometry Skipping analysis using the ImageJ software. The exon-23 skipping efficiency of α-l-LNA modified 20-OMePS AOs was evaluated in parallel to the corresponding 20-OMePS control unmodified AOs of similar lengths. The 20mer NAC 9078 Int. J. Mol. Sci. 2020, 21, 2434 3 of 12 Int. J. Mol. Sci. 2020, 21, 2434 Table 1. Sequences used in this study. 3 of 12 AO Name Sequence (5′-3′ direction) Tm (°C) NAC 9078 (20mer) GGC CAA ACC UCG GCαT UAαC CαT 65.2 containing three α-l-LNA nucleotides with a melting temperature (Tm) of 65.2 ◦C (Table1) showed efficient exon-23 skippingNAC 9079 (Figure (18mer)2 ). TheGCC exon AAA skipping CCU CGG e ffiαCciencyUαT AC wasαC similar64.2 or even better when NAC 9080 (18mer) GαCC AAA αCCU αCGG CαTU AαCC 68.8 directly compared with the corresponding 20-OMePS AOs (Figure2A).