mRNA therapy restores euglycemia and prevents liver tumors in murine model of glycogen storage disease

被引:40
|
作者
Cao, Jingsong [1 ]
Choi, Minjung [1 ]
Guadagnin, Eleonora [1 ]
Soty, Maud [2 ]
Silva, Marine [2 ]
Verzieux, Vincent [2 ]
Weisser, Edward [1 ]
Markel, Arianna [1 ]
Zhuo, Jenny [1 ]
Liang, Shi [1 ]
Yin, Ling [1 ]
Frassetto, Andrea [1 ]
Graham, Anne-Renee [3 ]
Burke, Kristine [3 ]
Ketova, Tatiana [3 ]
Mihai, Cosmin [3 ]
Zalinger, Zach [3 ]
Levy, Becca [3 ]
Besin, Gilles [3 ]
Wolfrom, Meredith [3 ]
Tran, Barbara [3 ]
Tunkey, Christopher [3 ]
Owen, Erik [3 ]
Sarkis, Joe [3 ]
Dousis, Athanasios [3 ]
Presnyak, Vladimir [3 ]
Pepin, Christopher [3 ]
Zheng, Wei [3 ]
Ci, Lei [3 ]
Hard, Marjie [3 ]
Miracco, Edward [3 ]
Rice, Lisa [1 ]
Vi Nguyen [1 ]
Zimmer, Mike [1 ]
Rajarajacholan, Uma [1 ]
Finn, Patrick F. [1 ]
Mithieux, Gilles [2 ]
Rajas, Fabienne [2 ]
Martini, Paolo G., V [1 ]
Giangrande, Paloma H. [1 ]
机构
[1] Moderna Inc, Rare Dis, Cambridge, MA 02139 USA
[2] Univ Claude Bernard Lyon 1, UMR1213, INSERM, Lyon, France
[3] Moderna Inc, Cambridge, MA USA
关键词
HEPATOCELLULAR ADENOMA FORMATION; GENE-THERAPY; GLUCOSE-6-PHOSPHATASE GENE; REPLACEMENT THERAPY; BLOOD-GLUCOSE; CELL THERAPY; MOUSE MODEL; 1A; IA; MUTATIONS;
D O I
10.1038/s41467-021-23318-2
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Glycogen Storage Disease 1a (GSD1a) is a rare, inherited metabolic disorder caused by deficiency of glucose 6-phosphatase (G6Pase-alpha). G6Pase-alpha is critical for maintaining interprandial euglycemia. GSD1a patients exhibit life-threatening hypoglycemia and long-term liver complications including hepatocellular adenomas (HCAs) and carcinomas (HCCs). There is no treatment for GSD1a and the current standard-of-care for managing hypoglycemia (Glycosade((R))/modified cornstarch) fails to prevent HCA/HCC risk. Therapeutic modalities such as enzyme replacement therapy and gene therapy are not ideal options for patients due to challenges in drug-delivery, efficacy, and safety. To develop a new treatment for GSD1a capable of addressing both the life-threatening hypoglycemia and HCA/HCC risk, we encapsulated engineered mRNAs encoding human G6Pase-alpha in lipid nanoparticles. We demonstrate the efficacy and safety of our approach in a preclinical murine model that phenotypically resembles the human condition, thus presenting a potential therapy that could have a significant therapeutic impact on the treatment of GSD1a. Glycogen Storage Disease 1a (Gsd1a) is an inherited disorder caused by glucose 6-phosphatase (G6Pase-alpha) deficiency and characterized by hypoglycaemia and high risk of liver cancer. Here the authors develop a mRNA-based G6Pase-alpha delivery therapy that is efficacious and safe in a mouse model of GSD1a.
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页数:14
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