Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease

Late-onset Pompe disease (LOPD) is overwhelmingly caused by a single mutation that disrupts splicing of acid-alpha glucosidase (GAA) and results in the accumulation of lysosomal glycogen in muscle cells leading to progressive muscle weakness in patients. Current therapeutics for LOPD do not meet the...

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Main Authors: Ryan A. Oliver, Meghan E. Ahern, Perla G. Castaneda, Tushare Jinadasa, Anirban Bardhan, Kathy Y. Morgan, Kristin Ha, Kailash Adhikari, Nino Jungels, Noa Liberman, Anindita Mitra, Christopher D. Greer, Alec M. Wright, Emily G. Thompson, Stephanie Garcia, Elena Copson, Senkara Allu, Xuyu Tan, Alex J. Callahan, Bao Zhong Cai, Vincent Guerlavais, Kevin J. Kim, Annika B. Malmberg
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Molecular Therapy: Nucleic Acids
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Online Access:http://www.sciencedirect.com/science/article/pii/S2162253125000782
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author Ryan A. Oliver
Meghan E. Ahern
Perla G. Castaneda
Tushare Jinadasa
Anirban Bardhan
Kathy Y. Morgan
Kristin Ha
Kailash Adhikari
Nino Jungels
Noa Liberman
Anindita Mitra
Christopher D. Greer
Alec M. Wright
Emily G. Thompson
Stephanie Garcia
Elena Copson
Senkara Allu
Xuyu Tan
Alex J. Callahan
Bao Zhong Cai
Vincent Guerlavais
Kevin J. Kim
Annika B. Malmberg
author_facet Ryan A. Oliver
Meghan E. Ahern
Perla G. Castaneda
Tushare Jinadasa
Anirban Bardhan
Kathy Y. Morgan
Kristin Ha
Kailash Adhikari
Nino Jungels
Noa Liberman
Anindita Mitra
Christopher D. Greer
Alec M. Wright
Emily G. Thompson
Stephanie Garcia
Elena Copson
Senkara Allu
Xuyu Tan
Alex J. Callahan
Bao Zhong Cai
Vincent Guerlavais
Kevin J. Kim
Annika B. Malmberg
author_sort Ryan A. Oliver
collection DOAJ
description Late-onset Pompe disease (LOPD) is overwhelmingly caused by a single mutation that disrupts splicing of acid-alpha glucosidase (GAA) and results in the accumulation of lysosomal glycogen in muscle cells leading to progressive muscle weakness in patients. Current therapeutics for LOPD do not meet the needs of patients and have largely been developed in mutant animal models lacking Gaa expression, which more closely mimic the less common infantile form of the disease. Here we design and evaluate peptide-conjugated phosphorodiamidate morpholino oligomers (PPMOs) to target the causative mutation in GAA and correct pathogenic splicing in muscle tissue. We show PPMO compounds correct LOPD splicing in both patient induced pluripotent stem cell-derived muscle cells and in skeletal muscle tissue after intravenous dosing in a newly developed humanized LOPD animal model that recapitulates patient LOPD splicing.
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spelling doaj-art-e322a43ac2fe4070bb85945362ef0a202025-08-20T02:16:29ZengElsevierMolecular Therapy: Nucleic Acids2162-25312025-06-0136210252410.1016/j.omtn.2025.102524Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe diseaseRyan A. Oliver0Meghan E. Ahern1Perla G. Castaneda2Tushare Jinadasa3Anirban Bardhan4Kathy Y. Morgan5Kristin Ha6Kailash Adhikari7Nino Jungels8Noa Liberman9Anindita Mitra10Christopher D. Greer11Alec M. Wright12Emily G. Thompson13Stephanie Garcia14Elena Copson15Senkara Allu16Xuyu Tan17Alex J. Callahan18Bao Zhong Cai19Vincent Guerlavais20Kevin J. Kim21Annika B. Malmberg22Sarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USA; Corresponding author: Kathy Y. Morgan, Sarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USA.Sarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USASarepta Therapeutics, Inc, 215 First Street, Cambridge, MA 02142, USALate-onset Pompe disease (LOPD) is overwhelmingly caused by a single mutation that disrupts splicing of acid-alpha glucosidase (GAA) and results in the accumulation of lysosomal glycogen in muscle cells leading to progressive muscle weakness in patients. Current therapeutics for LOPD do not meet the needs of patients and have largely been developed in mutant animal models lacking Gaa expression, which more closely mimic the less common infantile form of the disease. Here we design and evaluate peptide-conjugated phosphorodiamidate morpholino oligomers (PPMOs) to target the causative mutation in GAA and correct pathogenic splicing in muscle tissue. We show PPMO compounds correct LOPD splicing in both patient induced pluripotent stem cell-derived muscle cells and in skeletal muscle tissue after intravenous dosing in a newly developed humanized LOPD animal model that recapitulates patient LOPD splicing.http://www.sciencedirect.com/science/article/pii/S2162253125000782MT: Oligonucleotides: Therapies and Applicationslate-onset Pompe diseaselysosomal storage diseaseoligonucleotide therapeuticsRNA medicinessplice switching antisense oligonucleotide
spellingShingle Ryan A. Oliver
Meghan E. Ahern
Perla G. Castaneda
Tushare Jinadasa
Anirban Bardhan
Kathy Y. Morgan
Kristin Ha
Kailash Adhikari
Nino Jungels
Noa Liberman
Anindita Mitra
Christopher D. Greer
Alec M. Wright
Emily G. Thompson
Stephanie Garcia
Elena Copson
Senkara Allu
Xuyu Tan
Alex J. Callahan
Bao Zhong Cai
Vincent Guerlavais
Kevin J. Kim
Annika B. Malmberg
Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease
Molecular Therapy: Nucleic Acids
MT: Oligonucleotides: Therapies and Applications
late-onset Pompe disease
lysosomal storage disease
oligonucleotide therapeutics
RNA medicines
splice switching antisense oligonucleotide
title Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease
title_full Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease
title_fullStr Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease
title_full_unstemmed Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease
title_short Splicing correction by peptide-conjugated morpholinos as a novel treatment for late-onset Pompe disease
title_sort splicing correction by peptide conjugated morpholinos as a novel treatment for late onset pompe disease
topic MT: Oligonucleotides: Therapies and Applications
late-onset Pompe disease
lysosomal storage disease
oligonucleotide therapeutics
RNA medicines
splice switching antisense oligonucleotide
url http://www.sciencedirect.com/science/article/pii/S2162253125000782
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