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α-Synuclein antisense oligonucleotides as a disease-modifying therapy for Parkinson’s disease
Tracy A. Cole, Hien Zhao, Timothy J. Collier, Ivette Sandoval, Caryl E. Sortwell, Kathy Steece-Collier, Brian F. Daley, Alix Booms, Jack Lipton, Mackenzie Welch, Melissa Berman, Luke Jandreski, Danielle Graham, Andreas Weihofen, Stephanie Celano, Emily Schulz, Allyson Cole-Strauss, Esteban Luna, Duc Quach, Apoorva Mohan, C. Frank Bennett, Eric E. Swayze, Holly B. Kordasiewicz, Kelvin C. Luk, Katrina L. Paumier
Tracy A. Cole, Hien Zhao, Timothy J. Collier, Ivette Sandoval, Caryl E. Sortwell, Kathy Steece-Collier, Brian F. Daley, Alix Booms, Jack Lipton, Mackenzie Welch, Melissa Berman, Luke Jandreski, Danielle Graham, Andreas Weihofen, Stephanie Celano, Emily Schulz, Allyson Cole-Strauss, Esteban Luna, Duc Quach, Apoorva Mohan, C. Frank Bennett, Eric E. Swayze, Holly B. Kordasiewicz, Kelvin C. Luk, Katrina L. Paumier
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Research Article Neuroscience Therapeutics

α-Synuclein antisense oligonucleotides as a disease-modifying therapy for Parkinson’s disease

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Abstract

Parkinson’s disease (PD) is a prevalent neurodegenerative disease with no approved disease-modifying therapies. Multiplications, mutations, and single nucleotide polymorphisms in the SNCA gene, encoding α-synuclein (aSyn) protein, either cause or increase risk for PD. Intracellular accumulations of aSyn are pathological hallmarks of PD. Taken together, reduction of aSyn production may provide a disease-modifying therapy for PD. We show that antisense oligonucleotides (ASOs) reduce production of aSyn in rodent preformed fibril (PFF) models of PD. Reduced aSyn production leads to prevention and removal of established aSyn pathology and prevents dopaminergic cell dysfunction. In addition, we address the translational potential of the approach through characterization of human SNCA-targeting ASOs that efficiently suppress the human SNCA transcript in vivo. We demonstrate broad activity and distribution of the human SNCA ASOs throughout the nonhuman primate brain and a corresponding decrease in aSyn cerebral spinal fluid (CSF) levels. Taken together, these data suggest that, by inhibiting production of aSyn, it may be possible to reverse established pathology; thus, these data support the development of SNCA ASOs as a potential disease-modifying therapy for PD and related synucleinopathies.

Authors

Tracy A. Cole, Hien Zhao, Timothy J. Collier, Ivette Sandoval, Caryl E. Sortwell, Kathy Steece-Collier, Brian F. Daley, Alix Booms, Jack Lipton, Mackenzie Welch, Melissa Berman, Luke Jandreski, Danielle Graham, Andreas Weihofen, Stephanie Celano, Emily Schulz, Allyson Cole-Strauss, Esteban Luna, Duc Quach, Apoorva Mohan, C. Frank Bennett, Eric E. Swayze, Holly B. Kordasiewicz, Kelvin C. Luk, Katrina L. Paumier

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Figure 6

Human SNCA ASOs are potent, suppress aSyn broadly in the primate CNS, and CSF aSyn is a suitable pharmacodynamic biomarker.

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Human SNCA ASOs are potent, suppress aSyn broadly in the primate CNS, an...
(A–D) In vitro dose response of human SNCA hASO1 and hASO2 in SHSY5Y cells and in vivo dose response in SNCA-PAC mouse cortex 2 weeks after injection (n = 10, except 700 μg n = 7 for hASO1; n = 8 for hASO2 [2 mice removed with ROUT analysis from 300 μg and 700 μg groups], combination of 2 studies of n = 4 each; n = 12 for all PBS groups). (E–H) mRNA by RT-PCR and protein by ELISA throughout the brain and spinal cord of the NHP (n = 4 for PBS, hASO1, and hASO2). (I) Representative images for IHC (ASO and aSyn antibody) or ISH (SNCA mRNA). Scale bar: 600 μm for protein/300 μm for ASO and ISH results. (J and K) Quantification of aSyn protein by ELISA in CSF with correlation of aSyn protein levels in the frontal cortex and CSF (n = 2, 3, and 4 for PBS, hASO1, and hASO2, respectively). Data are represented as ± SEM, except for SHSY5Y, which are presented as mean ± SD. *P < 0.05, **P < 0.001, ***P < 0.0001, ****P < 0.00001 (1-way ANOVA with Tukey post hoc analyses).

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