Oligonucleotide for the Treatment of Muscular Dystrophy Patients
First Claim
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1. A method for designing an oligonucleotide for producing an at least partially functional protein, wherein said method comprises the following steps:
- (a) identifying an in-frame combination of a first and a second exon in a same pre-mRNA, wherein a region of said second exon has at least 50% identity with a region of said first exon;
(b) designing an oligonucleotide that is functional to bind to said region of said first exon and said region of said second exon, and(c) wherein said binding results in the skipping of said first and said second exon.
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Abstract
The invention relates to an oligonucleotide and to a pharmaceutical composition comprising said oligonucleotide. This oligonucleotide is able to bind to a region of a first exon from a dystrophin pre-mRNA and to a region of a second exon within the same pre-mRNA, wherein said region of said second exon has at least 50% identity with said region of said first exon, wherein said oligonucleotide is suitable for the skipping of said first and second exons of said pre-mRNA, and preferably the entire stretch of exons in between.
16 Citations
23 Claims
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1. A method for designing an oligonucleotide for producing an at least partially functional protein, wherein said method comprises the following steps:
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(a) identifying an in-frame combination of a first and a second exon in a same pre-mRNA, wherein a region of said second exon has at least 50% identity with a region of said first exon; (b) designing an oligonucleotide that is functional to bind to said region of said first exon and said region of said second exon, and (c) wherein said binding results in the skipping of said first and said second exon. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. A method of preventing, delaying, ameliorating and/or treating a disease in a subject, comprising
administering a formulation comprising an oligonucleotide which is functional to bind to a region within a first exon and a a region within a second exon, wherein said region of said second exon has at least 50% identity with said region of said first exon, wherein said oligonucleotide is not capable of binding to non-exon sequences, wherein said first and said second exons are within a same pre-mRNA in said subject, wherein said binding of said oligonucleotide is functional to interfere with at least one splicing regulatory sequence in said regions of said first and second exons and/or with the secondary structure encompassing at least said first and/or said second exon in said pre-mRNA, wherein said splicing regulatory sequence comprises an exonic splicing enhancer (ESE), an exon recognition sequence (ERS) and/or a binding site for a serine-arginine (SR) protein, or and/or wherein said binding of said oligonucleotide results in the skipping of said first exon and of said second exon, preferably in the skipping of a multi-exon stretch starting with said first exon and encompassing one or more exons present between said first and said second exons and at the most in the skipping of the entire stretch of exons in between said first and said second exons, wherein an in-frame transcript is obtained allowing production of an at least partially functional protein and wherein said oligonucleotide sequence is not part of a formulation comprising a combination of two or more distinct oligonucleotide sequences linked with one or more linker(s).
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18. A composition comprising an oligonucleotide, and optionally further comprising a pharmaceutically acceptable carrier, diluent, excipient, salt, adjuvant and/or solvent, said oligonucleotide comprising a sequence complementary a first exon, wherein a region of said second exon has at least 50% identity with said region of said first exon, and each of said first and said second exons are independently selected from the group consisting of:
- exons 10, 18, 30, 8, 9, 11, 13, 19, 22, 23, 34, 40, 42, 44, 45, 47, 51, 53, 55, 56, 57 and 60 of the dystrophin pre-mRNA, wherein said first and said second exons are not the same exon, wherein said oligonucleotide comprises a modification selected from the group consisting of;
at least one backbone modification, at least one base modification, at least one sugar modification, and a moiety which is conjugated to said oligonucleotide, wherein said oligonucleotide sequence is not part of a formulation comprising cocktail or a combination of two or more distinct oligonucleotide sequences possibly linked with one or more linker(s). - View Dependent Claims (19, 20, 21)
- exons 10, 18, 30, 8, 9, 11, 13, 19, 22, 23, 34, 40, 42, 44, 45, 47, 51, 53, 55, 56, 57 and 60 of the dystrophin pre-mRNA, wherein said first and said second exons are not the same exon, wherein said oligonucleotide comprises a modification selected from the group consisting of;
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22. A composition comprising an oligonucleotide, wherein said oligonucleotide comprises the base sequence as defined in any one of SEQ ID NO selected from the group consisting of:
- SEQ ID NO;
1679, 1688, 1671 to 1678, 1680 to 1687, 1689 to 1741 and 1778 to 1891, and having a length, which is defined by the number of nucleotides present in said base sequence or which is 1, 2, 3, 4, or 5 nucleotides longer. - View Dependent Claims (23)
- SEQ ID NO;
Specification