IP Library Granted Patent US 12,258,573
Granted Patent B2
US 12,258,573 · App. 17/635,978 · Granted Mar 25, 2025

Adeno-associated virus vector delivery of alpha-sarcoglycan and the treatment of muscular dystrophy

Inventors: Louise Rodino-Klapac (Grove City, OH); Danielle Griffin (Canal Winchester, OH); Jerry R. Mendell (Columbus, OH)
Assignee: Research Institute at Nationwide Children's Hospital
C12N15/86C07K14/4716A61K48/005C07H21/04C12N2750/14143C12N2830/008
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Quick Facts
Patent No.
US 12,258,573
App. No.
17/635,978
Granted
Mar 25, 2025
Kind
B2
Abstract

Described herein are methods of treating muscular dystrophy in a subject, comprising administration of a recombinant AAV vector AAVrh74.tMCK.hSGCA using a systemic route of administration and at a dose of about 1.0×10 12 vg/kg to about 5.0×10 15 vg/kg. Further disclosed are methods of expressing alpha-sarcoglycan gene in a cell or in a subject in need thereof, decreasing a serum CK level, and increasing alpha-sarcoglycan positive fibers in muscle tissue of a subject.

Claims (13)

1. A method of treating limb-girdle muscular dystrophy type 2D (LGMD2D) in a subject in need thereof comprising the step of intravenously administering a recombinant adeno-associated virus (rAAV), wherein the rAAV is administered using a systemic route of administration at a dose of about 5×10 13 vg/kg to about 2×10 14 vg/kg based on a supercoiled DNA or plasmid as the quantitation standard, and wherein the rAAV comprises a nucleotide sequence with at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to SEQ ID NO: 4 and said nucleotide sequence encodes a protein that retains alpha-sarcoglycan activity, wherein the percentage identity is determined by aligning the sequence information with BLAST as the alignment tool.

2. The method of claim 1 , wherein the rAAV is administered at a dose of about 5×10 13 vg/kg, about 1×10 14 vg/kg, or about 2×10 14 vg/kg based on a supercoiled DNA or plasmid as the quantitation standard.

3. A method of treating limb-girdle muscular dystrophy type 2D (LGMD2D) in a subject in need thereof comprising the step of intravenously administering a recombinant adeno-associated virus (rAAV), wherein the rAAV is administered using a systemic route of administration at a dose of about 1.0×10 13 vg/kg to about 8.0×10 13 vg/kg based on a linearized DNA or plasmid as the quantitation standard, and wherein the rAAV comprises a nucleotide sequence with at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to SEQ ID NO: 4 and said nucleotide sequence encodes a protein that retains alpha-sarcoglycan activity, wherein the percentage identity is determined by aligning the sequence information with BLAST as the alignment tool.

4. The method of claim 3 , wherein level of alpha-sarcoglycan gene expression in a skeletal muscle cell of the subject is increased after administration of the rAAV as compared to the level of alpha-sarcoglycan gene expression before administration of the rAAV; wherein serum CK level in the subject is decreased after administration of the rAAV as compared to serum CK level before administration of the rAAV; wherein locomotor activity and specific-force generation are increased; wherein fibrosis is reduced; wherein resistance to contraction-induced injury in tibialis anterior muscle is increased; and/or wherein number of alpha-sarcoglycan positive fibers in the muscle tissue of the subject is increased after administration of the rAAV as compared to the number of alpha-sarcoglycan positive fibers before administration of the rAAV.

5. The method of claim 3 , wherein level of alpha-sarcoglycan gene expression in a skeletal muscle cell of the subject is increased after administration of the rAAV as compared to the level of alpha-sarcoglycan gene expression before administration of the rAAV.

6. The method of claim 5 , wherein the alpha-sarcoglycan gene expression is detected by measuring the alpha-sarcoglycan protein level by Western blot, and/or immunohistochemistry.

7. The method of claim 3 , wherein fibrosis of the skeletal muscle is reduced in the subject after administration of the rAAV as compared to before administration of the rAAV.

8. The method of claim 7 , wherein the fibrosis, central nucleation, creatine kinase (CK) level, and/or collagen deposition in the skeletal muscle in the subject is reduced after administration of the rAAV as compared to before administration of the rAAV.

9. The method of claim 3 , wherein specific force, fiber diameter size, and/or eccentric contraction in the muscle of the subject are increased after administration of the rAAV as compared to before administration of the rAAV.

10. The method of claim 3 , wherein the subject is a human subject is 4 to 15 years of age, 25 to 55 years of age, or over 50 years of age.

11. The method of claim 3 , wherein the subject is a human subject that is 4-15 years of age, has a confirmed alpha-sarcoglycan (SGCA) mutation in both alleles, and/or was negative for AAVrh74 antibodies.

12. The method of claim 3 , wherein the dose is 1.85×10 13 vg/kg based on a linearized DNA or plasmid as the quantification method.

13. The method of claim 3 , wherein the dose is 7.41×10 13 vg/kg based on a linearized DNA or plasmid as the quantification method.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 2, 2022
From: RODINO-KLAPAC, LOUISE; GRIFFIN, DANIELLE; MENDELL, JERRY R.
To: RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL
Reel/Frame 059145/0078 →
Continuity (4)
Provisional Application 63022843 · May 11, 2020
Provisional Application 63014934 · Apr 24, 2020
Provisional Application 62889749 · Aug 21, 2019
Related Publication 20220290180A1 · Sep 15, 2022
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