Oral Presentation ASSCR, AGCTS, ISCT ANZ and Friends Joint Scientific Conference 2019

Development of a splice-switching molecular therapy for SOD1 motor neurone disease (#37)

Loren L Flynn 1 2 , Samantha Barton 3 , Doris Tomas 3 , Ianthe L Pitout 1 2 , Thomas Swanson 4 , Sue Fletcher 1 , Craig Metz 4 , Steve D Wilton 1 2 , Bradley Turner 3 , Anthony Akkari 1 2 4
  1. CMMIT, Murdoch University, Murdoch, WA, Australia
  2. Perron Institute for Neurological and Translational Science, Nedlands, WA, Australia
  3. Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australia
  4. Black Swan Pharmaceuticals, Durham, NC, USA

Amyotrophic lateral sclerosis (ALS) is the most common motor neurone disease, a severe neurodegenerative disease resulting in death within 2-5 years from diagnosis. Current therapies are non-specific, prolonging survival by less than three months in some patients, highlighting the urgent need for more targeted therapies. Mutations in Cu/Zn superoxide dismutase (SOD1) are a common cause of ALS, inducing disease through misfolded protein aggregates, leading to neuronal toxicity. Others have shown that SOD1 protein suppression could be therapeutic. We have developed splice-switching morpholino antisense oligonucleotides (PMOs) to induce the targeted removal of frame-shifting SOD1 exons to disrupt the reading frame, producing a premature termination codon that leads to nonsense mediated decay of the transcript. Following PMO transfection in iPSC-derived motor neurons from multiple SOD1 patient cell strains we observe up to 93% SOD1 protein suppression (P=0.001). Importantly, direct comparison of exon skipping PMOs with alternative SOD1 knockdown strategies in vitro, suggests that exon skipping PMOs are more effective at suppressing SOD1, and have a superior safety profile. Preliminary results of PMO evaluation in a transgenic SOD1G93A mouse model showed modest SOD1 exon skipping in some mice following administration of a low dose of PMO, with high dose treated mice currently being assessed. The levels of PMO-induced SOD1 knockdown in vitro, together with results by others showing the in vivo effects of SOD1 knockdown, strongly suggest this approach could have therapeutic potential for those with SOD1-ALS.

  • Have you presented your abstract at another international meeting?: No