« Muscle-targeting of antisense agents as therapy for myopathies » par Mme Maëlle LIMPENS
Défense publique de thèse de doctorat en vue de l’obtention du grade académique de Doctorat en Sciences biomédicales et pharmaceutiques.
Promoteur : Prof. Alexandra Tassin, UMONS
Co-promoteur : Prof. Anne-Emilie Decleves, UMONS
Président du jury : Dr. Rosica Mincheva, UMONS
Secrétaire du jury : Prof. Sophie Laurent, UMONS
Membres du jury :
- Carmen Burtea, UMONS
- Frédérique Coppee, UMONS
- Prof. Annemieke Madder, Faculty of Sciences, Department of Organic Chemistry, University of Ghent (BE)
- Dr. Philipp Heher, Randall Centre for Cell and Molecular Biophysics, King’s College London, Guy’s Campus, London (UK) – John Walton Muscular Dystrophy Research Centre, NIHR Newcastle Biomedical Research Centre, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne (UK)
Muscular dystrophies (MD) are a genetically and clinically heterogeneous group of over 30 diseases causing skeletal muscle weakness. Currently, there is no cure for MD, but antisense tools such as antisense oligonucleotides (ASO) proved promising. However, the use of ASOs is currently limited because of their restricted tissue delivery, lack of tissue selectivity, and rapid clearance after systemic administration. An interdisciplinary project was initiated at UMONS Health Institute to develop strategies of targeted drug delivery based on nanocarriers (NC) functionalized with muscle-specific peptidic ligands (MSPep), to improve ASO transport in the bloodstream and delivery into skeletal muscle. Our group has already identified 4 promising peptides following 2 phage display screenings against
- (i) Human myotubes (MSPepIC)
- (ii) A synthetic MMP (Muscle Membrane Protein) protein fragment (MSPepG1, MSPepG2, MSPepG3).
- AIM#1: To evaluate the biological properties of MSPep (tissue specificity, biodistribution, cellular uptake).
- AIM#2: To improve MSPepG uptake through physiological processes
- AIM#3: To establish a Proof of concept for Facioscapulohumeral dystrophy (FSHD), caused by the aberrant expression of the DUX4 gene (double homeobox 4) in skeletal muscle. To this aim, MSPep-ASO will be conjugated with ASOs directed against the 3’UTR of DUX4 mRNAs. MSPep-ASO conjugates will be tested in DUX4-inducible cellular models.
The first aim of the thesis was to evaluate the biological properties of 4 peptides (MSPeps) previously selected (by phage display) for their ability to specifically target myotubes (MSPepIC) or a muscle membrane protein (MMP; MSPepG1-G3). MSPeps were coupled with Rhodamine for imaging and tested in vitro in healthy human muscle cells (54-6 myoblasts/myotubes and 16 UBic myotubes), hepatic cells (HepaRG and HepG2 cell line) and renal cells (HEK293 cell line). A significant increase in uptake of each MSPep was observed in differentiated muscle cells when compared to non muscle cells (HepaRG, HepG2 and HEK293), confirming their muscle specificity. We selected MSPepIC and MSPepG3 as the most specific for muscle-targeting. For the second aim, we first improved MMP translocation at the plasma membrane by mimicking physiological processes in vitro. As expected, improving MMP translocation significantly increased MSPepG3 uptake in differentiated C2C12 murine myotubes. MSPepIC uptake was only moderately influenced by the improvement of MMP translocation. Finally, to establish a proof-of-concept for FSHD, we designed the coupling of MSPepIC and MSPepG3 to Antisense Oligonucleotides (ASO, 2’O-methoxyethyl (MOE) chemistry) targeting the DUX4 3’UTR. These MSPep-ASO conjugates were synthetized with a FAM fluorophore for imaging and were tested in a DUX4-inducible human muscle cell line (LHCN-M2-iDUX4). Promising preliminary results were obtained since we observed a significant decrease in the percentage of DUX4-positive nuclei for MSPepIC and MSPepG3 conjugates.
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