Novak, James S., Hogarth, Marshall W., Boehler, Jessica F., Nearing, Marie ORCID: 0000-0002-5261-4544, Vila, Maria C., Heredia, Raul, Fiorillo, Alyson A., Zhang, Aiping, Hathout, Yetrib, Hoffman, Eric P., Jaiswal, Jyoti K., Nagaraju, Kanneboyina, Cirak, Sebahattin and Partridge, Terence A. (2017). Myoblasts and macrophages are required for therapeutic morpholino antisense oligonucleotide delivery to dystrophic muscle. Nat. Commun., 8. LONDON: NATURE PUBLISHING GROUP. ISSN 2041-1723

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Abstract

Exon skipping is a promising therapeutic strategy for Duchenne muscular dystrophy (DMD), employing morpholino antisense oligonucleotides (PMO-AO) to exclude disruptive exons from the mutant DMD transcript and elicit production of truncated dystrophin protein. Clinical trials for PMO show variable and sporadic dystrophin rescue. Here, we show that robust PMO uptake and efficient production of dystrophin following PMO administration coincide with areas of myofiber regeneration and inflammation. PMO localization is sustained in inflammatory foci where it enters macrophages, actively differentiating myoblasts and newly forming myotubes. We conclude that efficient PMO delivery into muscle requires two concomitant events: first, accumulation and retention of PMO within inflammatory foci associated with dystrophic lesions, and second, fusion of PMO-loaded myoblasts into repairing myofibers. Identification of these factors accounts for the variability in clinical trials and suggests strategies to improve this therapeutic approach to DMD.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Novak, James S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hogarth, Marshall W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boehler, Jessica F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nearing, MarieUNSPECIFIEDorcid.org/0000-0002-5261-4544UNSPECIFIED
Vila, Maria C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heredia, RaulUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fiorillo, Alyson A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zhang, AipingUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hathout, YetribUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoffman, Eric P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jaiswal, Jyoti K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nagaraju, KanneboyinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cirak, SebahattinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Partridge, Terence A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-214174
DOI: 10.1038/s41467-017-00924-7
Journal or Publication Title: Nat. Commun.
Volume: 8
Date: 2017
Publisher: NATURE PUBLISHING GROUP
Place of Publication: LONDON
ISSN: 2041-1723
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
DUCHENNE MUSCULAR-DYSTROPHY; MDX MOUSE; SYSTEMIC DELIVERY; REVERTANT FIBERS; SATELLITE CELLS; EXON; MICE; REGENERATION; INFLAMMATION; PATHOLOGYMultiple languages
Multidisciplinary SciencesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/21417

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