Messenger RNA therapy for the treatment of Friedreich's ataxia
The present invention provides methods and compositions of treating Friedreich's ataxia (FRDA) based on administering an mRNA encoding a frataxin protein.
1. A method of treating Friedreich's ataxia (FRDA), comprising
administering to a subject in need of treatment a composition comprising an mRNA encoding a frataxin protein, wherein the composition is administered via intrathecal (IT) delivery, wherein the mRNA comprises sequence identical to SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, or SEQ ID NO: 4, and wherein the administering of the composition results in expression of the frataxin protein detectable in the cerebellum of the subject.
2. The method of claim 1 , wherein the administering of the composition results in expression of the frataxin protein detectable in the liver, the spinal cord, the brain, and/or at least one dorsal root ganglion (DRG) of the subject.
3. The method of claim 1 , wherein the mRNA is encapsulated within a liposome.
4. The method of claim 3 , wherein the liposome comprises one or more cationic lipids, one or more non-cationic lipids, and one or more PEG-modified lipids.
5. The method of claim 4 , wherein the one or more cationic lipids comprise a cationic lipid selected from the group consisting of C12-200, MC3, DLinDMA, DLinkC2DMA, cKK-E12, ICE (Imidazole-based), HGT5000, HGT5001 (CCBene), OF-02, DODAC, DDAB, DMRIE, DOSPA, DOGS, DODAP, DODMA and DMDMA, DODAC, DLenDMA, DMRIE, CLinDMA, CpLinDMA, DMOBA, DOcarbDAP, DLinDAP, DLincarbDAP, DLinCDAP, DLin-K-DMA, DLin-K-XTC 2 -DMA, HGT 4003 , and combinations thereof.
6. The method of claim 4 , wherein the liposome further comprises a sphingomyelin.
7. The method of claim 1 , wherein the mRNA is administered once a week, once a month, twice a month, or once every 14 days.
8. A method of delivering frataxin in vivo, comprising administering periodically to a subject with Friedreich's ataxia (FRDA) a composition comprising an mRNA encoding a frataxin protein wherein that the frataxin protein is expressed in vivo at a level of at least 10% of a normal control level in cerebellum of the subject, wherein the composition is administered to via intrathecal (IT) delivery, and wherein the mRNA comprises sequence identical to SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, or SEQ ID NO: 4.
9. The method of claim 8 , wherein the frataxin protein is expressed in the liver, the spinal cord, the brain, and/or at least one dorsal root ganglion (DRG) of the subject.
10. The method of claim 8 , wherein the mRNA is administered once a week, once a month, twice a month, or once every 14 days.