[HTML][HTML] Glycogen reduction in myotubes of late-onset Pompe disease patients using antisense technology

E Goina, P Peruzzo, B Bembi, A Dardis, E Buratti - Molecular Therapy, 2017 - cell.com
E Goina, P Peruzzo, B Bembi, A Dardis, E Buratti
Molecular Therapy, 2017cell.com
Glycogen storage disease type II (GSDII) is a lysosomal disorder caused by the deficient
activity of acid alpha-glucosidase (GAA) enzyme, leading to the accumulation of glycogen
within the lysosomes. The disease has been classified in infantile and late-onset forms. Most
late-onset patients share a splicing mutation c.-32-13T> G in intron 1 of the GAA gene that
prevents efficient recognition of exon 2 by the spliceosome. In this study, we have mapped
the splicing silencers of GAA exon 2 and developed antisense morpholino oligonucleotides …
Glycogen storage disease type II (GSDII) is a lysosomal disorder caused by the deficient activity of acid alpha-glucosidase (GAA) enzyme, leading to the accumulation of glycogen within the lysosomes. The disease has been classified in infantile and late-onset forms. Most late-onset patients share a splicing mutation c.-32-13T > G in intron 1 of the GAA gene that prevents efficient recognition of exon 2 by the spliceosome. In this study, we have mapped the splicing silencers of GAA exon 2 and developed antisense morpholino oligonucleotides (AMOs) to inhibit those regions and rescue normal splicing in the presence of the c.-32-13T > G mutation. Using a minigene approach and patient fibroblasts, we successfully increased inclusion of exon 2 in the mRNA and GAA enzyme production by targeting a specific silencer with a combination of AMOs. Most importantly, the use of these AMOs in patient myotubes results in a decreased accumulation of glycogen. To our knowledge, this is the only therapeutic approach resulting in a decrease of glycogen accumulation in patient tissues beside enzyme replacement therapy (ERT) and TFEB overexpression. As a result, it may represent a highly novel and promising therapeutic line for GSDII.
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