Polynucleotides encoding propionyl-CoA carboxylase alpha and beta subunits for the treatment of propionic acidemia
This disclosure relates to mRNA therapy for the treatment of propionic acidemia (PA). mRNAs for use in the invention, when administered in vivo, encode human propionyl-CoA carboxylase alpha (PCCA) and/or human propionyl-CoA carboxylase beta (PCCB), and isoforms thereof, functional fragments thereof, and fusion proteins comprising PCCA and/or PCCB. mRNAs of the invention are preferably encapsulated in lipid nanoparticles (LNPs) to effect efficient delivery to cells and/or tissues in subjects, when administered thereto. mRNA therapies of the invention increase and/or restore deficient levels of propionyl-CoA carboxylase (PCC) expression and/or activity in subjects. mRNA therapies of the invention further decrease levels of disease-associated toxic metabolites associated with deficient PCCA or PCCB activity, in subjects.
1 . A messenger RNA (mRNA) comprising:
(i) a 5′-terminal cap;
(ii) a 5′ untranslated region (UTR);
(iii) an open reading frame (ORF) encoding the propionyl-CoA carboxylase alpha (PCCA) polypeptide set forth in SEQ ID NO:1, wherein the ORF has at least 93% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:11;
(iv) a 3′ UTR; and
(v) a poly-A-region.
2 . The mRNA of claim 1 , wherein the ORF has at least 95% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:11.
3 . The mRNA of claim 1 , wherein the ORF has at least 98% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:11.
4 . The mRNA of claim 1 , wherein the ORF has at least 99% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:11.
5 . The mRNA of claim 1 , wherein the ORF has the nucleic acid sequence set forth in SEQ ID NO: 11.
6 . The mRNA of claim 1 , wherein the 5′ UTR comprises the nucleic acid sequence set forth in SEQ ID NO:199.
7 . The mRNA of claim 1 , wherein the 3′ UTR comprises the nucleic acid sequence set forth in SEQ ID NO:178.
8 . The mRNA of claim 1 , wherein the 5′ UTR comprises the nucleic acid sequence set forth in SEQ ID NO:199, and wherein the 3′ UTR comprises the nucleic acid sequence set forth in SEQ ID NO:178.
9 . The mRNA of claim 1 , comprising the nucleic acid sequence set forth in SEQ ID NO:203.
10 . The mRNA of claim 1 , wherein the poly-A region is at least 100 nucleotides in length.
11 . The mRNA of claim 1 , wherein all of the uracils are N1-methylpseudouracils.
12 . The mRNA of claim 5 , wherein the poly-A region is at least 100 nucleotides in length.
13 . The mRNA of claim 5 , wherein all of the uracils are N1-methylpseudouracils.
14 . The mRNA of claim 9 , wherein the poly-A region is at least 100 nucleotides in length.
15 . The mRNA of claim 9 , wherein all of the uracils are N1-methylpseudouracils.
16 . The mRNA of claim 14 , wherein all of the uracils are N1-methylpseudouracils.
17 . A pharmaceutical composition comprising a first mRNA and a second mRNA,
wherein the first mRNA comprises (i) a first 5′-terminal cap, (ii) a first 5′ UTR, (iii) a first ORF encoding the PCCA polypeptide set forth in SEQ ID NO:1, wherein the ORF has at least 93% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:11, (iv) a first 3′ UTR, and (v) a first poly-A-region, and
wherein the second mRNA comprises (i) a second 5′-terminal cap, (ii) a second 5′ UTR, (iii) a second ORF encoding the PCCB polypeptide set forth in SEQ ID NO:15, wherein the ORF has at least 93% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:25, (iv) a second 3′ UTR, and (v) a second poly-A-region.
18 . The pharmaceutical composition of claim 17 , wherein the first ORF has at least 95% sequence identity to the nucleic acid sequence set forth in SEQ ID NO: 11, and wherein the second ORF has at least 95% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:25.
19 . The pharmaceutical composition of claim 17 , wherein the first ORF has at least 98% sequence identity to the nucleic acid sequence set forth in SEQ ID NO: 11, and wherein the second ORF has at least 98% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:25.
20 . The pharmaceutical composition of claim 17 , wherein the first ORF has at least 99% sequence identity to the nucleic acid sequence set forth in SEQ ID NO: 11, and wherein the second ORF has at least 99% sequence identity to the nucleic acid sequence set forth in SEQ ID NO:25.
21 . The pharmaceutical composition of claim 17 , wherein the first ORF has to the nucleic acid sequence set forth in SEQ ID NO:11, and wherein the second ORF has the nucleic acid sequence set forth in SEQ ID NO:25.
22 . The pharmaceutical composition of claim 17 , wherein the first 5′ UTR comprises the nucleic acid sequence set forth in SEQ ID NO: 199, wherein the first 3′ UTR comprises the nucleic acid sequence set forth in SEQ ID NO:178, wherein the second 5′ UTR comprises the nucleic acid sequence set forth in SEQ ID NO: 199, and wherein the second 3′ UTR comprises the nucleic acid sequence set forth in SEQ ID NO:178.
23 . The pharmaceutical composition of claim 17 , wherein the first mRNA comprises the nucleic acid sequence set forth in SEQ ID NO:203, and wherein the second mRNA comprises the nucleic acid sequence set forth in SEQ ID NO:205.
24 . The pharmaceutical composition of claim 17 , wherein the first poly-A region is at least 100 nucleotides in length, and wherein the second poly-A region is at least 100 nucleotides in length.
25 . The pharmaceutical composition of claim 17 , wherein all of the uracils of the first mRNA are N1-methylpseudouracils, and wherein all of the uracils of the second mRNA are N1-methylpseudouracils.
26 . The pharmaceutical composition of claim 21 , wherein the first poly-A region is at least 100 nucleotides in length, and wherein the second poly-A region is at least 100 nucleotides in length.
27 . The pharmaceutical composition of claim 21 , wherein all of the uracils of the first mRNA are N1-methylpseudouracils, and wherein all of the uracils of the second mRNA are N1-methylpseudouracils.
28 . The pharmaceutical composition of claim 23 , wherein the first poly-A region is at least 100 nucleotides in length, and wherein the second poly-A region is at least 100 nucleotides in length.
29 . The pharmaceutical composition of claim 23 , wherein all of the uracils of the first mRNA are N1-methylpseudouracils, and wherein all of the uracils of the second mRNA are N1-methylpseudouracils.
30 . The pharmaceutical composition of claim 28 , wherein all of the uracils of the first mRNA are N1-methylpseudouracils, and wherein all of the uracils of the second mRNA are N1-methylpseudouracils.
31 . The pharmaceutical composition of claim 17 , wherein the first mRNA and the second mRNA are encapsulated into a lipid nanoparticle.
32 . The pharmaceutical composition of claim 31 , wherein the lipid nanoparticle comprises an ionizable lipid, a structural lipid, a phospholipid, and a polyethylene glycol (PEG)-modified lipid.
33 . The pharmaceutical composition of claim 32 , wherein the ionizable lipid is
or a salt thereof, wherein the structural lipid is cholesterol, wherein the phospholipid is 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC) or 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine (DOPE), and wherein the PEG-modified lipid is 1,2-dimyristoyl-sn-glycerol methoxypolyethylene glycol (PEG-DMG) or Compound I
34 . The pharmaceutical composition of claim 21 , wherein the first mRNA and the second mRNA are encapsulated into a lipid nanoparticle.
35 . The pharmaceutical composition of claim 34 , wherein the lipid nanoparticle comprises an ionizable lipid, a structural lipid, a phospholipid, and a polyethylene glycol (PEG)-modified lipid.
36 . The pharmaceutical composition of claim 35 , wherein the ionizable lipid is
or a salt thereof, wherein the structural lipid is cholesterol, wherein the phospholipid is 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC) or 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine (DOPE), and wherein the PEG-modified lipid is 1,2-dimyristoyl-sn-glycerol methoxypolyethylene glycol (PEG-DMG) or Compound I
37 . The pharmaceutical composition of claim 25 , wherein the first mRNA and the second mRNA are encapsulated into a lipid nanoparticle.
38 . The pharmaceutical composition of claim 37 , wherein the lipid nanoparticle comprises an ionizable lipid, a structural lipid, a phospholipid, and a polyethylene glycol (PEG)-modified lipid.
39 . The pharmaceutical composition of claim 38 , wherein the ionizable lipid is
or a salt thereof, wherein the structural lipid is cholesterol, wherein the phospholipid is 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC) or 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine (DOPE), and wherein the PEG-modified lipid is 1,2-dimyristoyl-sn-glycerol methoxypolyethylene glycol PEG-DMG) or Compound I
40 . The pharmaceutical composition of claim 27 , wherein the first mRNA and the second mRNA are encapsulated into a lipid nanoparticle.
41 . The pharmaceutical composition of claim 40 , wherein the lipid nanoparticle comprises an ionizable lipid, a structural lipid, a phospholipid, and a polyethylene glycol (PEG)-modified lipid.
42 . The pharmaceutical composition of claim 41 , wherein the ionizable lipid is
or a salt thereof, wherein the structural lipid is cholesterol, wherein the phospholipid is 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC) or 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine (DOPE), and wherein the PEG-modified lipid is 1,2-dimyristoyl-sn-glycerol methoxypolyethylene glycol (PEG-DMG) or Compound I