RU2018140499A - Способы и композиции для лечения хореи гентингтона - Google Patents
Способы и композиции для лечения хореи гентингтона Download PDFInfo
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Claims (148)
1. Аденоассоциированный вирусный (AAV) вектор, содержащий последовательность нуклеиновой кислоты, расположенную между двумя инвертированными концевыми повторами (ITR),
где указанная нуклеиновая кислота при экспрессии ингибирует или супрессирует экспрессию HTT в клетке,
где указанная последовательность нуклеиновой кислоты содержит последовательность смысловой цепи и последовательность антисмысловой цепи,
где последовательность смысловой цепи содержит по меньшей мере 15 смежных нуклеотидов, отличающихся не больше чем 3 нуклеотидами от нуклеотидной последовательности из последовательностей, перечисленных в таблице 3, таблице 4 или таблице 5, и последовательность антисмысловой цепи содержит по меньшей мере 15 смежных нуклеотидов, отличающихся не больше чем 3 нуклеотидами от нуклеотидной последовательности из последовательностей, перечисленных в таблице 3, таблице 4 или таблице 5, и
где указанная последовательность смысловой цепи и последовательность антисмысловой цепи имеют общую область комплементарности из по меньшей мере четырех нуклеотидов в длину.
2. AAV вектор по п.1, в котором последовательность нуклеиновой кислоты содержит последовательность смысловой цепи и последовательность антисмысловой цепи миРНК-дуплекса.
3. AAV вектор по п.2, в котором миРНК-дуплекс выбран из группы, состоящей из миРНК-дуплексов с ID NO:D-3566-D-3570, и дуплексов с ID NO:D-3500-D-3565.
4. AAV вектор по п.3, в котором миРНК-дуплекс представляет собой D-3546.
5. AAV вектор по п.3, в котором миРНК-дуплекс представляет собой D-3518.
6. AAV вектор по п.3, в котором миРНК-дуплекс представляет собой D-3548.
7. AAV вектор по п.3, в котором миРНК-дуплекс представляет собой D-3566.
8. AAV вектор по п.3, в котором миРНК-дуплекс представляет собой D-3570.
9. AAV вектор по п.3, в котором миРНК-дуплекс представляет собой D-3545.
10. AAV вектор по п.1, в котором область комплементарности составляет по меньшей мере 17 нуклеотидов в длину.
11. AAV вектор по п.10, в котором область комплементарности составляет 19-21 нуклеотидами в длину.
12. AAV вектор по п.11, в котором область комплементарности составляет 19 нуклеотидов в длину.
13. AAV вектор по п.1, в котором последовательность смысловой цепи и последовательность антисмысловой цепи, независимо, составляют 30 нуклеотидов или меньше.
14. AAV вектор по п. 1, в котором по меньшей мере или последовательность смысловой цепи, или последовательность антисмысловой цепи содержит выступ на 3'-конце из по меньшей мере 1 нуклеотида.
15. AAV вектор по п.14, в котором по меньшей мере или последовательность смысловой цепи, или последовательность антисмысловой цепи содержит выступ на 3'-конце из по меньшей мере 2 нуклеотидов.
16. AAV вектор по п.1, в котором AAV вектор содержит серотип капсида, выбранный из группы, состоящей из AAV1, AAV2, AAV3, AAV4, AAV5, AAV6, AAV7, AAV8, AAV9, AAV9.47, AAV9(hu14), AAV10, AAV11, AAV12, AAVrh8, AAVrh10, AAV-DJ8, AAV-DJ, AAV-PHP.A (PHP.A) и AAV-PHP.B (PHP.B) и их вариантов.
17. AAV вектор по п.1, в котором антисмысловая цепь ингибирует или супрессирует экспрессию HTT.
18. AAV вектор по п.17, в котором антисмысловая цепь и смысловая цепь представляют собой двухфункциональный нацеливающий модулирующий полинуклеотид.
19. AAV вектор по п.18, в котором смысловая цепь ингибирует или супрессирует экспрессию HTT.
20. Аденоассоциированный вирусный (AAV) вектор, содержащий последовательность нуклеиновой кислоты, расположенную между двумя инвертированными концевыми повторами (ITR), где указанная последовательность нуклеиновой кислоты содержит
(a) стебль и петлю с образованием структуры «стебель-петля», последовательность указанной структуры «стебель-петля» по направлению 5'-3' содержит:
i. мотив UG на 5’-конце стебля или около основания на 5'-конце стебля структуры “«стебель-петля»”;
ii. плечо на 5'-конце стебля, содержащее смысловую цепь и, необязательно, 5' спейсерную область,
где указанная 5' спейсерная область, если присутствует, расположена между указанным мотивом UG и указанной смысловой цепью;
iii. область петли, содержащую мотив UGUG на 5'-конце указанной области петли;
iv. плечо на 3'-конце стебля, содержащее антисмысловую цепь и необязательно 3' спейсерную область, где уридин присутствует на 5'-конце указанной антисмысловой цепи и
где указанная 3' спейсерная область, если присутствует, имеет длину, достаточную для образования одного оборота спирали;
(b) первую фланкирующую область, расположенную на 5'-конце от указанной структуры «стебель-петля»; и
(c) вторую фланкирующую область, расположенную 3' от указанной структуры «стебель-петля», указанная вторая область содержит мотив CNNC,
где указанная антисмысловая цепь и указанная смысловая цепь образуют миРНК-дуплекс, который при экспрессии ингибирует или супрессирует экспрессию HTT в клетке,
где последовательность смысловой цепи содержит по меньшей мере 15 смежных нуклеотидов, отличающихся не больше чем 3 нуклеотидами от нуклеотидной последовательности из последовательностей, перечисленных в таблице 3, таблице 4 или таблице 5, и последовательность антисмысловой цепи содержит по меньшей мере 15 смежных нуклеотидов, отличающихся не больше чем 3 нуклеотидами от нуклеотидной последовательности из последовательностей, перечисленных в таблице 3, таблице 4 или таблице 5, и
где указанная последовательность смысловой цепи и последовательность антисмысловой цепи имеют область комплементарности по меньшей мере четыре нуклеотида в длину.
21. AAV вектор по п.20, где миРНК-дуплекс выбран из группы, состоящей из миРНК-дуплекса с ID NO:D-3566-D-3570 и дуплекса с ID NO:D-3500-D-3565.
22. AAV вектор по п.21, в котором миРНК-дуплекс представляет собой D-3546.
23. AAV вектор по п.21, в котором миРНК-дуплекс представляет собой D-3518.
24. AAV вектор по п.21, в котором миРНК-дуплекс представляет собой D-3548.
25. AAV вектор по п.21, в котором миРНК-дуплекс представляет собой D-3566.
26. AAV вектор по п.21, в котором миРНК-дуплекс представляет собой D-3570.
27. AAV вектор по п.21, в котором миРНК-дуплекс представляет собой D-3545.
28. AAV вектор по п.20, в котором область комплементарности составляет по меньшей мере 17 нуклеотидов в длину.
29. AAV вектор по п.28, в котором область комплементарности составляет 19-21 нуклеотидом в длину.
30. AAV вектор по п.29, в котором область комплементарности составляет 19 нуклеотидов в длину.
31. AAV вектор по п.20, в котором последовательность смысловой цепи и последовательность антисмысловой цепи, независимо, составляют 30 нуклеотидов или меньше.
32. AAV вектор по п.20, в котором по меньшей мере одна из последовательности смысловой цепи и последовательности антисмысловой цепи содержит выступ на 3'-конце из по меньшей мере 1 нуклеотида.
33. AAV вектор по п.32, в котором по меньшей мере одна из последовательности смысловой цепи и последовательности антисмысловой цепи содержит выступ на 3'-конце из по меньшей мере 2 нуклеотидов.
34. AAV вектор по п.20, где AAV вектор содержит серотип капсида, выбранный из группы, состоящей из AAV1, AAV2, AAV3, AAV4, AAV5, AAV6, AAV7, AAV8, AAV9, AAV9.47, AAV9(hu14), AAV10, AAV11, AAV12, AAVrh8, AAVrh10, AAV-DJ8, AAV-DJ, AAV-PHP.A (PHP.A) и AAV-PHP.B (PHP.B) и их вариантов.
35. AAV вектор по п.20, в котором антисмысловая цепь ингибирует или супрессирует экспрессию HTT.
36. AAV вектор по п.35, в котором антисмысловая цепь и смысловая цепь представляют собой двухфункциональный направляющий модулирующий полинуклеотид.
37. AAV вектор по п.36, в котором смысловая цепь ингибирует или супрессирует экспрессию HTT.
38. AAV вектор по п.20, в котором последовательность нуклеиновой кислоты выбраны из группы, состоящей из SEQ ID NO:270-368.
39. AAV вектор по п.38, в котором последовательность нуклеиновой кислоты представляет собой SEQ ID NO:340.
40. AAV вектор по п.38, в котором последовательность нуклеиновой кислоты представляет собой SEQ ID NO:298.
41. AAV вектор по п.38, в котором последовательность нуклеиновой кислоты представляет собой SEQ ID NO:346.
42. AAV вектор по п.38, в котором последовательность нуклеиновой кислоты представляет собой SEQ ID NO:349.
43. AAV вектор по п.38, в котором последовательность нуклеиновой кислоты представляет собой SEQ ID NO:368.
44. AAV вектор по п.38, в котором последовательность нуклеиновой кислоты представляет собой SEQ ID NO:336.
45. AAV вектор по п.38, в котором последовательность нуклеиновой кислоты представляет собой SEQ ID NO:337.
46. Способ ингибирования экспрессии гена HTT в клетке, включающий введение в клетку композиции, содержащей AAV вектор по любому из пп.1-45.
47. Способ по п.46, в котором клетка представляет собой клетку млекопитающего.
48. Способ по п.47, в котором клетка млекопитающего представляет собой шипиковый нейрон среднего размера.
49. Способ по п.47, в котором клетка млекопитающего представляет собой кортикальный нейрон.
50. Способ по п.47, в котором клетка млекопитающего представляет собой астроцит.
51. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 1.
52. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 2.
53. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 5.
54. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 10.
55. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 20.
56. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 50.
57. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 3:1.
58. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 5:1.
59. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 10:1.
60. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 20:1.
61. Способ по п.46, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 50:1.
62. Способ лечения хореи Гентингтона (HD) у индивида, нуждающегося в лечении, включающий введение индивиду терапевтически эффективного количества композиции, содержащей AAV вектор по любому из пп.1-45.
63. Способ по п.62, в котором экспрессию HTT ингибируют или супрессируют.
64. Способ по п.63, в котором экспрессию HTT ингибируют или супрессируют на от приблизительно 30% до приблизительно 70%.
65. Способ по п.63, в котором экспрессию HTT ингибируют или супрессируют на от приблизительно 50% до приблизительно 90%.
66. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 1.
67. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 2.
68. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 5.
69. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 10.
70. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 20.
71. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 50.
72. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 3:1.
73. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 5:1.
74. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 10:1.
75. Способ по п.62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 20:1.
76. Способ по п. 62, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 50:1.
77. Способ ингибирования экспрессии гена HTT в клетке, в которой ген HTT вызывает эффект приобретения функции внутри клетки, включающий введение в клетку композиции, содержащей AAV вектор по любому из пп.1-45.
78. Способ по п.77, в котором клетка представляет собой клетку млекопитающего.
79. Способ по п.78, в котором клетка млекопитающего представляет собой шипиковый нейрон среднего размера.
80. Способ по п.77, в котором клетка млекопитающего представляет собой кортикальный нейрон.
81. Способ по п.77, в котором клетка млекопитающего представляет собой астроцит.
82. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 1.
83. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 2.
84. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 5.
85. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 10.
86. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 20.
87. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет больше чем 50.
88. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 3:1.
89. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 5:1.
90. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 10:1.
91. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 20:1.
92. Способ по п.77, в котором композиция имеет соотношение антисмысловой и смысловой цепей, которое составляет по меньшей мере 50:1.
93. Способ ингибирования экспрессии гена HTT в области центральной нервной системы индивида, включающий введение указанному индивиду композиции, содержащей по меньшей мере один аденоассоциированный вирусный (AAV) вектор, содержащий последовательность нуклеиновой кислоты, расположенную между двумя инвертированными концевыми повторами (ITR),
где указанная последовательность нуклеиновой кислоты содержит антисмысловую цепь и смысловую цепь,
где указанная антисмысловая цепь и указанная смысловая цепь образуют миРНК-дуплекс, который при экспрессии ингибирует или супрессирует экспрессию HTT у указанного индивида.
94. Способ по п.93, в котором областью является передний мозг.
95. Способ по п.94, в котором экспрессию снижают в скорлупе в переднем мозге.
96. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 40-70%.
97. Способ по п.96, в котором экспрессию HTT в скорлупе снижают на 40-60%.
98. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 50-70%.
99. Способ по п.98, в котором экспрессию HTT в скорлупе снижают на 50-60%.
100. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 50%.
101. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 51%.
102. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 52%.
103. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 53%.
104. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 54%.
105. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 55%.
106. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 56%.
107. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 57%.
108. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 58%.
109. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 59%.
110. Способ по п.95, в котором экспрессию HTT в скорлупе снижают на 60%.
111. Способ лечения хореи Гентингтона (HD) у индивида, нуждающегося в лечении, способ ингибирования экспрессии гена HTT в области центральной нервной системы индивида, включающий введение указанному индивиду композиции, содержащей по меньшей мере один аденоассоциированный вирусный (AAV) вектор, содержащий последовательность нуклеиновой кислоты, расположенную между двумя инвертированными концевыми повторами (ITR),
где указанная последовательность нуклеиновой кислоты содержит антисмысловую цепь и смысловую цепь,
где указанная антисмысловая цепь и указанная смысловая цепь образуют миРНК-дуплекс, который при экспрессии ингибирует или супрессирует экспрессию HTT у указанного индивида.
112. Способ по п.111, в котором областью является передний мозг.
113. Способ по п.112, в котором экспрессию снижают в скорлупе в переднем мозге.
114. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 40-70%.
115. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 40-60%.
116. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 50-70%.
117. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 50-60%.
118. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 50%.
119. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 51%.
120. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 52%.
121. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 53%.
122. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 54%.
123. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 55%.
124. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 56%.
125. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 57%.
126. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 58%.
127. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 59%.
128. Способ по п.113, в котором экспрессию HTT в скорлупе снижают на 60%.
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