METHODS AND MEANS FOR EFFICIENT SKIPPING OF AT LEAST ONE OF THE FOLLOWING EXONS OF THE HUMAN DUCHENNE MUSCULAR DYSTROPHY GENE: 43, 46, 50-53
The invention relates a method wherein a molecule is used for inducing and/or promoting skipping of at least one of exon 43, exon 46, exons 50-53 of the DMD pre-mRNA in a patient, preferably in an isolated cell of a patient, the method comprising providing said cell and/or said patient with a molecule. The invention also relates to said molecule as such.
1 . A molecule, which binds to a continuous stretch of at least 8 nucleotides within one of the following nucleotide sequences selected from:
(SEQ ID NO: 4)
5′-GGCGGTAAACCGUUUACUUCAAGAGCUGAGGGCAAAGCAGCCUGA
CCUAGCUCCUGGACUGACCACUAUUGG-3′
for skipping of exon 50;
(SEQ ID NO: 2)
5′AGAUAGUCUACAACAAAGCUCAGGUCGGAUUGACAUUAUUCAUAGC
AAGAAGACAGCAGCAUUGCAAAGUGCAACGCCUGUGG-3′
for skipping of exon 43
(SEQ ID NO: 3)
5′UUAUGGUUGGAGGAAGCAGAUAACAUUGCUAGUAUCCCACUUGAAC
CUGGAAAAGAGCAGCAACUAAAAGAAAAGC-3′
for skipping of exon 46;
(SEQ ID NO: 5)
5′CUCCUACUCAGACUGUUACUCUGGUGACACAACCUGUGGUUACUAA
GGAAACUGCCAUCUCCAAACUAGAAAUGCCAUCUUCCUUGAUG UUGG
AGGUAC-3′
for skipping of exon 51;
(SEQ ID NO: 6)
5′AUGCAGGAUUUGGAACAGAGGCGUCCCCAGUUGGAAGAACUCAUUA
CCGCUGCCCAAAAUUUGAAAAACAAGACCAGCAAUCAAGAGGCU-3′
for skipping of exon 52,
and
(SEQ ID NO: 7)
5′AAAUGUUAAAGGAUUCAACACAAUGGCUGGAAGCUAAGGAAAA GC
UGAGCAGGUCUUAGGACAGGCCAGAG-3′
for skipping of exon 53.
2 . A molecule according to claim 1 , wherein the molecule comprises or consists of the antisense nucleotide sequence selected from SEQ ID NO: 8-358, and/or SEQ ID NO 529-535 as depicted in tables 1 to 6.
3 . A molecule according to claim 2 , wherein the molecule comprises or consists of the antisense nucleotide sequence selected from SEQ ID NO:16, SEQ ID NO:65, SEQ ID NO:70, SEQ ID NO:91, SEQ ID NO:110, SEQ ID NO:117, SEQ ID NO:127, SEQ ID NO:165, SEQ ID NO:166, SEQ ID NO:167, SEQ ID NO:246, SEQ ID NO:299 and SEQ ID NO:357.
4 . A molecule according to claim 1 , comprising a 2′-O-alkyl phosphorothioate antisense oligonucleotide.
5 . A molecule according to claim 4 , comprising a 2′-O methyl phosphorothioate ribose.
6 . A viral-based vector, comprising an expression cassette that drives expression of a molecule as defined in claim 1 .
7 . A molecule according to claim 1 for use as a medicament, preferably for modulating splicing of the DMD pre-mRNA of a DMD or BMD patient or for the treatment of a DMD or BMD patient.
8 . A pharmaceutical composition comprising a molecule as defined in claim 1 , a pharmaceutical acceptable carrier, and optionally combined with a molecule which is able to induce or promote skipping of at least one of exon 6, 7, 11, 17, 19, 21, 43, 44, 45, 50-53, 55, 57, 59, 62, 63, 65, 66, 69, or 75 of the DMD pre-mRNA of a patient.
9 . A method for inducing and/or promoting skipping of at least one of exon 43, exon 46, and exons 50-53 of the DMD pre-mRNA in a patient, preferably in an isolated cell of a patient, the method comprising providing said cell and/or said patient with a molecule as defined in claim 1 .
10 . A method according to claim 9 , wherein an additional molecule is used which is able to induce or promote skipping of at least one of exon 6, 7, 11, 17, 19, 21, 43, 44, 45, 50-53, 55, 57, 59, 62, 63, 65, 66, 69, or 75 of the DMD pre-mRNA of a patient.
11 . A method of treating a patient with DMD or BMD comprising administering the molecule of claim 1 , wherein following administration, splicing of the DMD pre-mRNA of said patient is modulated, thereby treating said patient.