IP Library Granted Patent US 12,215,382
Granted Patent B2
US 12,215,382 · App. 16/807,125 · Granted Feb 4, 2025

Liver protective MARC variants and uses thereof

Inventors: Sekar Kathiresan (Boston, MA); Connor Emdin (Boston, MA)
Assignee: The General Hospital Corporation
C12Q1/6858A61K31/7088A61K31/713A61K45/06C12Q2600/158
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Quick Facts
Patent No.
US 12,215,382
App. No.
16/807,125
Granted
Feb 4, 2025
Kind
B2
Abstract

Described herein are MARC variants that associate with a risk of liver diseases or a symptom(s) thereof, such as cirrhosis, or protection against such liver diseases or symptom(s) thereof. Also described herein are compositions and formulations that can be capable of modulating MARC in a subject and/or treatment of a liver disease or a symptom thereof.

Claims (26)

1. A method of making a protective modification of a MARC1 gene in a subject comprising:

detecting a MARC1 protein variant or a MARC1 protein variant-encoding polynucleotide in the subject, wherein the MARC1 protein variant comprises alanine at a position in the MARC1 protein of the subject corresponding to position 165 of SEQ ID NO: 1; and

administering, to the subject thereof having the MARC1 protein variant or the MARC1 protein variant-encoding polynucleotide, a programmable nuclease-based system comprising a nuclease or a guide polynucleotide each configured to bind a target polynucleotide, wherein the target polynucleotide is the MARC1 protein variant-encoding polynucleotide, and

wherein the programmable nuclease-based system is configured to modify the MARC1 protein variant-encoding polynucleotide from the alanine at the position in the MARC1 protein of the subject corresponding to position 165 of SEQ ID NO: 1 to a threonine, thereby making a protective modification of the MARC1 gene in the subject.

2. The method of claim 1 , wherein the subject has a liver disease or symptom thereof.

3. The method of claim 2 , wherein the liver disease or symptom thereof comprises alcoholic cirrhosis, non-alcoholic cirrhosis, a hepatitis-related cirrhosis, hepatic steatosis, alcohol-related fatty liver disease (ALD), or nonalcoholic fatty liver disease (NAFLD).

4. The method of claim 1 , wherein the subject has an elevated amount, activity of, or both of or one or more of aminotransferase (ALT), alkaline phosphatase (ALP), total cholesterol, low-density lipoprotein (LDL) cholesterol, or a combination thereof as compared to a subject having threonine at position 165 of MARC1 prior to administration.

5. The method of claim 1 , wherein the protective modification of the MARC1 gene produces in the subject a decrease in:

(a) an amount of, activity of, or both of aminotransferase (ALT), alkaline phosphatase (ALP), or any combination thereof in the subject;

(b) an amount of total cholesterol, low-density lipoprotein (LDL) cholesterol, triglycerides, or any combination thereof in the subject; or

(c) both (a) and (b).

6. The method of claim 1 , wherein the subject is

a) heterozygous for a MARC1 variant allele comprising alanine at a position in the MARC1 protein of the subject corresponding to position 165 of SEQ ID NO: 1; or

b) homozygous for the MARC1 variant allele comprising alanine at a position in the MARC1 protein of the subject corresponding to position 165 of SEQ ID NO: 1.

7. A method of reducing total cholesterol, low-density lipoprotein, or a combination thereof in a subject thereof, comprising:

detecting a MARC1 protein variant or a MARC1 protein variant-encoding polynucleotide in the subject, wherein the MARC1 protein variant comprises alanine at a position in the MARC1 protein of the subject corresponding to position 165 of SEQ ID NO: 1; and

administering to the subject having the MARC1 protein variant or the MARC1 protein variant-encoding polynucleotide a programmable nuclease-based system comprising a nuclease or a guide polynucleotide each configured to bind a target polynucleotide, wherein the target polynucleotide is the MARC1 protein variant-encoding polynucleotide,

wherein the programmable nuclease-based system is configured to modify the MARC1 protein variant-encoding polynucleotide, wherein the modification comprises modifying the alanine at the position in the MARC1 protein of the subject corresponding to position 165 of SEQ ID NO: 1 to a threonine, thereby reducing total cholesterol, low-density lipoprotein, or a combination thereof in the subject.

8. The method of claim 7 , wherein the subject is

a) heterozygous for a MARC1 variant allele comprising alanine at a position in the MARC1 protein of the subject corresponding to position 165 of SEQ ID NO: 1; or

b) homozygous for the MARC1 variant allele comprising alanine at a position in the MARC1 protein of the subject corresponding to position 165 of SEQ ID NO: 1.

9. The method of claim 8 , wherein

the MARC1 protein variant is SEQ ID NO: 22.

10. The method of claim 7 , wherein the subject has an elevated amount, activity of, or both of or one or more of aminotransferase (ALT), alkaline phosphatase (ALP), or a combination thereof prior to administration.

11. The method of claim 7 , wherein the subject has a liver disease or a symptom thereof, wherein the liver disease is selected from the group consisting of: alcoholic cirrhosis, non-alcoholic cirrhosis, a hepatitis-related cirrhosis, hepatic steatosis, alcohol-related fatty liver disease (ALD), and nonalcoholic fatty liver disease (NAFLD).

12. The method of claim 1 , wherein the MARC1 protein variant is SEQ ID NO: 22.

Assignments (3)
CONFIRMATORY LICENSE Recorded Oct 2, 2023
From: BROAD INSTITUTE, INC.
To: NATIONAL INSTITUTES OF HEALTH (NIH), U.S. DEPT. OF HEALTH AND HUMAN SERVICES (DHHS), U.S. GOVERNMENT
Reel/Frame 065091/0180 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 13, 2022
From: KATHIRESAN, SEKAR
To: THE GENERAL HOSPITAL CORPORATION
Reel/Frame 059585/0254 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 13, 2022
From: EMDIN, CONNOR
To: THE GENERAL HOSPITAL CORPORATION
Reel/Frame 059585/0333 →
Continuity (2)
Provisional Application 62812881 · Mar 1, 2019
Related Publication 20210262022A1 · Aug 26, 2021
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