Inhibition of DUX4 expression with antisense LNA gapmers as a therapy for facioscapulohumeral muscular dystrophy.

Abstract:

:Facioscapulohumeral muscular dystrophy (FSHD), characterized by progressive muscle weakness and deterioration, is genetically linked to aberrant expression of DUX4 in muscle. DUX4, in its full-length form, is cytotoxic in nongermline tissues. Here, we designed locked nucleic acid (LNA) gapmer antisense oligonucleotides (AOs) to knock down DUX4 in immortalized FSHD myoblasts and the FLExDUX4 FSHD mouse model. Using a screening method capable of reliably evaluating the knockdown efficiency of LNA gapmers against endogenous DUX4 messenger RNA in vitro, we demonstrate that several designed LNA gapmers selectively and effectively reduced DUX4 expression with nearly complete knockdown. We also found potential functional benefits of AOs on muscle fusion and structure in vitro. Finally, we show that one of the LNA gapmers was taken up and induced effective silencing of DUX4 upon local treatment in vivo. The LNA gapmers developed here will help facilitate the development of FSHD therapies.

authors

Lim KRQ,Maruyama R,Echigoya Y,Nguyen Q,Zhang A,Khawaja H,Sen Chandra S,Jones T,Jones P,Chen YW,Yokota T

doi

10.1073/pnas.1909649117

subject

Has Abstract

pub_date

2020-07-14 00:00:00

pages

16509-16515

issue

28

eissn

0027-8424

issn

1091-6490

pii

1909649117

journal_volume

117

pub_type

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