MEANS AND METHODS FOR COUNTERACTING MUSCLE DISORDERS
First Claim
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1. A composition comprising:
- a first compound that increases the level of a functional dystrophin protein produced in a muscle cell of a Duchenne Muscular Dystrophy (DMD) or Becker Muscular Dystrophy (BMD) individual,wherein said first compound is an antisense oligonucleotide that induces skipping of an exon of human dystrophin pre-mRNA of said individual; and
a second compound comprising a steroid;
wherein, upon administration to a DMD or BMD patient, the composition increases the ratio of said dystrophin to laminin-α
2 in muscle tissue of said patient as compared to the ratio of said dystrophin to laminin-α
2 in muscle tissue of a patient administered with said first compound and not said second compound; and
wherein said antisense oligonucleotide is complementary to a portion of said exon selected from the group consisting of;
exon 2, exon 8, exon 43, exon 44, exon 45, exon 46, exon 50, exon 52, exon 53 and exon 55, that is 13 to 50 nucleotides in length andwherein said oligonucleotide comprises a non-naturally occurring modification
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Abstract
The invention provides means and methods for alleviating one or more symptom(s) of Duchenne Muscular Dystrophy and/or Becker Muscular Dystrophy. Therapies using compounds for providing patients with functional muscle proteins are combined with at least one adjunct compound for reducing inflammation, preferably for reducing muscle tissue inflammation, and/or at least one adjunct compound for improving muscle fiber function, integrity and/or survival.
26 Citations
22 Claims
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1. A composition comprising:
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a first compound that increases the level of a functional dystrophin protein produced in a muscle cell of a Duchenne Muscular Dystrophy (DMD) or Becker Muscular Dystrophy (BMD) individual, wherein said first compound is an antisense oligonucleotide that induces skipping of an exon of human dystrophin pre-mRNA of said individual; and a second compound comprising a steroid; wherein, upon administration to a DMD or BMD patient, the composition increases the ratio of said dystrophin to laminin-α
2 in muscle tissue of said patient as compared to the ratio of said dystrophin to laminin-α
2 in muscle tissue of a patient administered with said first compound and not said second compound; andwherein said antisense oligonucleotide is complementary to a portion of said exon selected from the group consisting of;
exon 2, exon 8, exon 43, exon 44, exon 45, exon 46, exon 50, exon 52, exon 53 and exon 55, that is 13 to 50 nucleotides in length andwherein said oligonucleotide comprises a non-naturally occurring modification - View Dependent Claims (2, 3, 4, 5, 6, 12, 13, 14, 15, 16, 17, 18)
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7. A method for alleviating one or more symptom(s) of Duchenne Muscular Dystrophy or Becker Muscular Dystrophy in an individual, the method comprising administering to a DMD or BMD patient:
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a first compound that increases the level of a functional dystrophin protein produced in a muscle cell of said individual in said individual, wherein said first compound is an antisense oligonucleotide that induces skipping of an exon selected from the group consisting of;
exon 2, exon 8, exon 43, exon 44, exon 45, exon 46, exon 50, exon 52, exon 53 and exon 55 of the dystrophin pre-mRNA of said individual, anda second compound, comprising a steroid; wherein, upon administration to a DMD or BMD patient, the composition increases the ratio of said dystrophin to laminin-α
2 in muscle tissue of said patient as compared to the ratio of said dystrophin to laminin-α
2 in muscle tissue of a patient administered with said first compound and not said second compound; andwherein said antisense oligonucleotide is complementary to a portion of the exon that is 13 to 50 nucleotides in length and wherein said oligonucleotide comprises a non-naturally occurring modification. - View Dependent Claims (8, 9, 10, 19, 20, 21, 22)
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11. A method for increasing the production of a functional dystrophin protein in a cell, said cell comprising pre-mRNA of a dystrophin gene encoding an aberrant dystrophin protein comprising:
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providing said cell with a first compound for inhibiting inclusion of an exon selected from the group consisting of;
exon 2, exon 8, exon 43, exon 44, exon 45, exon 46, exon 50, exon 52, exon 53 and exon 55 into mRNA produced from splicing of said dystrophin pre-mRNA, wherein said first compound is an antisense oligonucleotide that induces the skipping of the exon of the human dystrophin pre-mRNA, andproviding said cell with a second compound comprising a steroid, said method further comprising allowing translation of mRNA produced from splicing of said pre-mRNA; wherein, upon administration to a DMD or BMD patient, the composition increases the ratio of said dystrophin to laminin-α
2 in muscle tissue of said patient as compared to the ratio of said dystrophin to laminin-α
2 in muscle tissue of a patient administered with said first compound and not said second compound; andwherein said antisense oligonucleotide is complementary to a portion of the exon that is 13 to 50 nucleotides in length and wherein said oligonucleotide comprises a non-naturally occurring modification.
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Specification