Evidence map›Paper›PMID 39119918›Full record

ArticleNucleic acids research2024

Efficacy, biodistribution and safety comparison of chemically modified antisense oligonucleotides in the retina.

Irene Vázquez-Domínguez, Alejandro Allo Anido, Lonneke Duijkers, Tamara Hoppenbrouwers, Anita D M Hoogendoorn, Céline Koster, Rob W J Collin, Alejandro Garanto

Abstract readComparative Study
In one paragraph

Article in Nucleic acids research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Irene Vázquez-DomínguezRadboud university medical center, Department of Human Genetics, Nijmegen, The Netherlands.ORCID 0000-0001-9753-521X
Alejandro Allo AnidoRadboud university medical center, Department of Human Genetics, Nijmegen, The Netherlands.
Lonneke DuijkersRadboud university medical center, Department of Human Genetics, Nijmegen, The Netherlands.
Tamara HoppenbrouwersRadboud university medical center, Department of Human Genetics, Nijmegen, The Netherlands.
Anita D M HoogendoornRadboud university medical center, Amalia Children's Hospital, Department of Pediatrics, Nijmegen, The Netherlands.
Céline KosterDepartments of Human Genetics and Ophthalmology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Rob W J CollinRadboud university medical center, Department of Human Genetics, Nijmegen, The Netherlands.ORCID 0000-0003-4347-6503
Alejandro GarantoRadboud university medical center, Department of Human Genetics, Nijmegen, The Netherlands.ORCID 0000-0001-5721-1560

Funding

Foundation Fighting Blindness USA Project Program Award PPA-0517-0717-RAD
6 · The paper itself

Abstract

Antisense oligonucleotides (AONs) are a versatile tool for treating inherited retinal diseases. However, little is known about how different chemical modifications of AONs can affect their biodistribution, toxicity, and uptake in the retina. Here, we addressed this question by comparing splice-switching AONs with three different chemical modifications commonly used in a clinical setting (2'O-methyl-phosphorothioate (2-OMe/PS), 2'O-methoxyethyl-phosphoriate (2-MOE/PS), and phosphorodiamidite morpholino oligomers (PMO)). These AONs targeted genes exclusively expressed in certain types of retinal cells. Overall, studies in vitro and in vivo in C57BL/6J wild-type mouse retinas showed that 2-OMe/PS and 2-MOE/PS AONs have comparable efficacy and safety profiles. In contrast, octa-guanidine-dendrimer-conjugated in vivo PMO-oligonucleotides (ivPMO) caused toxicity. This was evidenced by externally visible ocular phenotypes in 88.5% of all ivPMO-treated animals, accompanied by severe alterations at the morphological level. However, delivery of unmodified PMO-AONs did not cause any toxicity, although it clearly reduced the efficacy. We conducted the first systematic comparison of different chemical modifications of AONs in the retina. Our results showed that the same AON sequence with different chemical modifications displayed different splicing modulation efficacies, suggesting the 2'MOE/PS modification as the most efficacious in these conditions. Thereby, our work provides important insights for future clinical applications.

Indexed as

Mice, Inbred C57BLOligonucleotides, AntisenseRetinaAnimalsHumansMiceMorpholinosPhosphorothioate OligonucleotidesRetinal DiseasesTissue DistributionMorpholinosOligonucleotides, AntisensePhosphorothioate Oligonucleotides

Identifiers

PMID39119918
PMCPMC11417397

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.