Modulating Calcium Signals to Boost AON Exon Skipping for DMD

Abstract

AON-mediated exon skipping is currently advancing as therapy for DMD, though levels of dystrophin produced remains suboptimal. Thus, identification of compounds with the capacity to boost exon skipping could help fully realize this potentially life-changing DMD treatment. We have assessed whether dantrolene, an already FDA-approved drug, can boost efficacy of AON exon skipping in the context of AON targeting skipping of exons 51, 44 or 45. Additionally, we have begun testing proprietary compounds that regulate the same Ca2 pathway regulated by dantrolene for skip-boosting. . As a second objective we are assessing these compounds for their ability promote exon skipping in patient cells with DMD mutations that have a low level endogenous skipping, dystrophin expression and/or mild phenotypes. Preliminary data indicate that these compounds are effective in at least a subset of patient cell models; one candidate may boost skipping even better than dantrolene. Based on its known activity, this compound promises greater efficacy and a wider therapeutic window than dantrolene. Planned studies will combine chemical genomics with RNA Seq analysis to identify mechanisms of activity and specificity in order to guide discovery of second-generation skipping drugs or combinations with greater activity.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2016
Accession Number
AD1033003

Entities

People

  • M. Carrie Miceli

Organizations

  • University of California

Tags

DTIC Thesaurus Topics

  • Biology
  • Cells
  • Clinical Trials
  • Combination Therapy
  • Demographic Cohorts
  • Disease Attributes
  • Diseases And Disorders
  • Genetic Code
  • Genetic Phenomena
  • Genetic Structures
  • Genetics
  • Medical Personnel
  • Muscle Cells
  • Mutations
  • Phenotypes
  • Students
  • Therapy

Fields of Study

  • Biology
  • Medicine

Readers

  • Immunology and Pathology
  • Molecular Genetics
  • Oncology