Targeted delivery of an inhibitor of miR-21 to macrophages for the treatment of pulmonary fibrosis
The present invention relates to a composition for use in the treatment of pulmonary fibrosis of a subject, wherein the composition comprises an inhibitor of miR-21 and a moiety that delivers said inhibitor of miR-21 to a macrophage. Further, the composition may be administered by a pulmonary administration. In particular aspects, said subject to be treated suffers from pulmonary fibrosis and further has a lung disease or disorder, wherein the lung disease or disorder may be a corona virus disease. Furthermore, the invention relates to a composition, wherein the composition comprises an inhibitor of miR-21 and a moiety that delivers said inhibitor of miR-21 to a lung macrophage.
1 . A method of treating pulmonary fibrosis associated with and/or caused by a viral infection, the method comprising administering to a subject in need thereof a composition comprising an inhibitor of miR-21 and a moiety that delivers said inhibitor of miR-21 selectively to a lung macrophage, wherein said moiety comprises mannose, wherein the inhibitor of miR-21 is conjugated to said moiety via a linker, and wherein:
(i) the linker is:
wherein * represents a bond to the moiety that delivers said inhibitor of miR-21 selectively to a lung macrophage and ** represents a bond to the inhibitor of miR-21; and/or
(ii) the moiety that delivers said inhibitor of miR-21 to a macrophage is:
wherein the linker is attached at the anomeric carbon at the lower right hand part of the structure.
2 . The method of claim 1 , wherein the selectively delivery means a selective and preferential binding to said macrophage over non-target cells.
3 . The method of claim 1 , wherein the composition is administered by a pulmonary administration.
4 . The method of claim 3 , wherein the composition is administered by an aerosolized composition to the lung of the subject by inhalation or by other means of local administration to the lung, bronchi and/or airways.
5 . The method of claim 1 , wherein the viral infection is a corona virus infection.
6 . The method of claim 1 , wherein the pulmonary fibrosis is associated with and/or caused by pulmonary support or mechanical ventilation, optionally following Adult/Acute Respiratory Distress Syndrome (ARDS).
7 . The method of claim 1 , wherein the composition is administered to the subject at least about 5 days after Adult/Acute Respiratory Distress Syndrome (ARDS).
8 . The method of claim 1 , wherein the composition is administered by intraarterial administration.
9 . The method of claim 1 , wherein the inhibitor of miR-21 comprises or is an antisense miRNA-21.
10 . The method of claim 9 , wherein the antisense miRNA-21 is an oligonucleotide that comprises a sequence complementary to miR-21.
11 . The method of claim 9 , wherein the antisense miRNA-21 is a locked nucleic acid (LNA) or a phosphorothioated LNA/DNA mixmer.
12 . The method of claim 1 , wherein the inhibitor of miR-21 is selected from SEQ ID NO:1, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO: 7, SEQ ID NO:8 and SEQ ID NO: 9.
13 . The method of claim 1 , wherein the composition contains the following compound, wherein the LNA-antimiR-21 is SEQ ID NO:1:
14 . The method of claim 7 , wherein the composition is further to be administered to the subject at least about 19 days after Adult/Acute Respiratory Distress Syndrome (ARDS).
15 . The method of claim 8 , wherein the composition is administered by intracardial administration, intracoronary administration, and/or by administration via inhalation.
16 . The method of claim 12 , wherein the inhibitor of miR-21 is bound to the linker via the phosphor atom of a terminal phosphorothioate group.
17 . The method of claim 1 , wherein the linker is:
wherein * represents a bond to the moiety that delivers said inhibitor of miR-21 selectively to a lung macrophage and ** represents a bond to the inhibitor of miR-21; and the moiety that delivers said inhibitor of miR-21 to a macrophage is:
wherein the linker is attached at the anomeric carbon at the lower right hand part of the structure.