CNS delivery of mRNA and uses thereof
The present invention provides, among other things, methods and compositions for effective delivery of messenger RNA (mRNA) to the central system (CNS). In particular, the present invention provides methods and compositions for administering intrathecally to a subject in need of delivery a composition comprising an mRNA encoding a protein, encapsulated within a liposome, such that the administering of the composition results in the intracellular delivery of mRNA in neurons in the brain and/or spinal cord. The present invention is particularly useful for the treatment of CNS diseases, disorders or conditions, such as spinal muscular atrophy.
1. A composition for treating spinal muscular atrophy, comprising a codon optimized mRNA encoding the Survival of Motor Neuron (SMN) protein, encapsulated within a liposome; wherein the codon optimized mRNA comprises the full-length sequences of SEQ ID NO:3, SEQ ID NO: 4, SEQ ID NO: 10 or SEQ ID NO: 11, and further wherein the liposome comprises one or more cationic or non-cationic lipids, cholesterol-based lipids and polyethylene glycol (PEG)-modified lipids.
2. The composition of claim 1 , wherein the one or more cationic lipids are selected from the group consisting of C12-200, MC3, DLinDMA, DLinkC2DMA, cKK-E12, ICE (Imidazol-based), HGT5000, HGT5001, DODAC, DDAB, DMRIE, DOSPA, DOGS, DODAP, DODMA, DLenDMA, CLinDMA, CpLinDMA, DMOBA, DOcarbDAP, DLinDAP, DLincarbDAP, DLinCDAP, DLin-KDMA, DLin-K-XTC2-DMA, HGT4003, and combinations thereof.
3. The composition of claim 1 , wherein the cationic lipid is cKK-E12:
4. The composition of claim 1 , wherein the one or more PEG-modified lipids constitute about 1-10% by molar ratio of the total lipid composition.
5. The composition of claim 1 , wherein the liposome has a size ranging from about 40-100 nm.
6. The composition of claim 1 , wherein the codon optimized mRNA has a length of or greater than about 0.5 kb, 1 kb, 1.5 kb, 2 kb, 2.5 kb, 3 kb, 3.5 kb, 4 kb, 4.5 kb, or 5 kb.
7. The composition of claim 1 , wherein administration of the composition results in intracellular expression of the SMN protein within the cytosol of the neurons.
8. The composition of claim 1 , wherein administration of the composition results in expression of the SMN protein and secretion extracellularly from the neurons after expression.
9. The composition of claim 1 , wherein the codon optimized mRNA comprises one or more modified nucleotides.
10. The composition of claim 1 , wherein the codon optimized mRNA is unmodified.
11. The composition of claim 1 , wherein the amount of codon optimized mRNA is from about 0.01 mg/kg to about 10 mg/kg body weight of a subject.
12. The composition of claim 1 , wherein administration of the composition results in expression of the SMN protein encoded by the codon optimized mRNA that is detectable in brain and/or spinal tissue at least 24 hours after administration.
13. A composition for treating spinal muscular atrophy, comprising a codon optimized mRNA encoding the Survival of Motor Neuron (SMN) protein, encapsulated within a liposome; wherein the codon optimized mRNA comprises the full-length sequences of SEQ ID NO:3, SEQ ID NO: 4, SEQ ID NO: 10 or SEQ ID NO: 11, and wherein the liposome comprises one or more cationic or non-cationic lipids, cholesterol-based lipids, polyethylene glycol (PEG)-modified lipids, and sphingomyelin.
14. The composition of claim 13 , wherein the one or more cationic lipids are selected from the group consisting of C12-200, MC3, DLinDMA, DLinkC2DMA, cKK-E12, ICE (Imidazol-based), HGT5000, HGT5001, DODAC, DDAB, DMRIE, DOSPA, DOGS, DODAP, DODMA, DLenDMA, CLinDMA, CpLinDMA, DMOBA, DOcarbDAP, DLinDAP, DLincarbDAP, DLinCDAP, DLin-KDMA, DLin-K-XTC2-DMA, HGT4003, and combinations thereof.
15. The composition of claim 13 , wherein the cationic lipid is cKK-E12:
16. The composition of claim 13 , wherein the one or more PEG-modified lipids constitute about 1-10% by molar ratio of the total lipid composition.
17. The composition of claim 13 , wherein the liposome has a size ranging from about 40-100 nm.
18. The composition of claim 13 , wherein the codon optimized mRNA has a length of or greater than about 0.5 kb, 1 kb, 1.5 kb, 2 kb, 2.5 kb, 3 kb, 3.5 kb, 4 kb, 4.5 kb, or 5 kb.
19. The composition of claim 13 , wherein administration of the composition results in intracellular expression of the SMN protein within the cytosol of the neurons.
20. The composition of claim 13 , wherein administration of the composition results in expression of the SMN protein and secretion extracellularly from the neurons after expression.
21. The composition of claim 13 , wherein the codon optimized mRNA comprises one or more modified nucleotides.
22. The composition of claim 13 , wherein the codon optimized mRNA is unmodified.
23. The composition of claim 13 , wherein the amount of codon optimized mRNA is from about 0 .01 mg/kg to about 10 mg/kg body weight of a subject.
24. The composition of claim 13 , wherein administration of the composition results in expression of the SMN protein encoded by the codon optimized mRNA that is detectable in brain and/or spinal tissue at least 24 hours after administration.