Personalized allele-specific antisense oligonucleotides for GNAO1-neurodevelopmental disorder

GNAO1-associated disorders are ultra-rare autosomal dominant conditions, which can manifest, depending on the exact pathogenic variant in GNAO1, as a spectrum of neurological phenotypes, including epileptic encephalopathy, developmental delay with movement disorders, or late-onset dystonia. There ar...

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Main Authors: Inna Shomer, Nofar Mor, Shaul Raviv, Noga Budick-Harmelin, Tanya Matchevich, Sharon Avkin-Nachum, Yoach Rais, Rebecca Haffner-Krausz, Ariela Haimovich, Aviv Ziv, Reut Fluss, Bruria Ben-Ze’ev, Gali Heimer, Denis N. Silachev, Vladimir L. Katanaev, Dan Dominissini
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Molecular Therapy: Nucleic Acids
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Online Access:http://www.sciencedirect.com/science/article/pii/S2162253124003196
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author Inna Shomer
Nofar Mor
Shaul Raviv
Noga Budick-Harmelin
Tanya Matchevich
Sharon Avkin-Nachum
Yoach Rais
Rebecca Haffner-Krausz
Ariela Haimovich
Aviv Ziv
Reut Fluss
Bruria Ben-Ze’ev
Gali Heimer
Denis N. Silachev
Vladimir L. Katanaev
Dan Dominissini
author_facet Inna Shomer
Nofar Mor
Shaul Raviv
Noga Budick-Harmelin
Tanya Matchevich
Sharon Avkin-Nachum
Yoach Rais
Rebecca Haffner-Krausz
Ariela Haimovich
Aviv Ziv
Reut Fluss
Bruria Ben-Ze’ev
Gali Heimer
Denis N. Silachev
Vladimir L. Katanaev
Dan Dominissini
author_sort Inna Shomer
collection DOAJ
description GNAO1-associated disorders are ultra-rare autosomal dominant conditions, which can manifest, depending on the exact pathogenic variant in GNAO1, as a spectrum of neurological phenotypes, including epileptic encephalopathy, developmental delay with movement disorders, or late-onset dystonia. There are currently no effective treatments available, apart from symptomatic options. In this work, we suggest harnessing personalized RNA therapy to treat GNAO1 patients and focus specifically on a recurrent pathogenic variant (E246K). We systemically screened allele-specific antisense oligonucleotides (ASOs) targeting the mutated allele to identify a potent and specific sequence using both reporter-based platforms and a patient-derived cellular model. We show that reduction of mutated GNAO1 in vitro by knockout or by ASO has a beneficial functional outcome, which can be measured by cAMP accumulation and gene expression changes. We established a Gnao1-E246K mouse model that shows a neurological phenotype, which partially recapitulates the human condition. Due to sequence similarity, the mouse can be treated with the selected ASO to test treatment efficacy in animal models, as shown in vitro using murine neural progenitor cells. Our results demonstrate a beneficial effect for the reduction of mutated GNAO1 by ASO in patient-derived models, demonstrating its feasibility as a therapeutic approach.
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spelling doaj-art-d79b5d60474b446aa200fe6a1350f3812025-01-18T05:04:24ZengElsevierMolecular Therapy: Nucleic Acids2162-25312025-03-01361102432Personalized allele-specific antisense oligonucleotides for GNAO1-neurodevelopmental disorderInna Shomer0Nofar Mor1Shaul Raviv2Noga Budick-Harmelin3Tanya Matchevich4Sharon Avkin-Nachum5Yoach Rais6Rebecca Haffner-Krausz7Ariela Haimovich8Aviv Ziv9Reut Fluss10Bruria Ben-Ze’ev11Gali Heimer12Denis N. Silachev13Vladimir L. Katanaev14Dan Dominissini15Cancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, Israel; Corresponding author: Nofar Mor, Cancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, Israel.Cancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelDepartment of Veterinary Resources, Weizmann Institute of Science, Rehovot, IsraelCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, IsraelSheba Medical Center, Edmond and Lilly Safra Children’s Hospital, Tel Hashomer, IsraelSheba Medical Center, Edmond and Lilly Safra Children’s Hospital, Tel Hashomer, IsraelInstitute of Life Sciences and Biomedicine, Far Eastern Federal University, 690090 Vladivostok, Russia; A.N. Belozersky Research Institute of Physico-Chemical Biology, Moscow State University, 119992 Moscow, Russia; Department of Cell Physiology and Metabolism, Faculty of Medicine, Translational Research Center in Oncohaematology, University of Geneva, 1211 Geneva, SwitzerlandInstitute of Life Sciences and Biomedicine, Far Eastern Federal University, 690090 Vladivostok, Russia; Department of Cell Physiology and Metabolism, Faculty of Medicine, Translational Research Center in Oncohaematology, University of Geneva, 1211 Geneva, SwitzerlandCancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Corresponding author: Dan Dominissini, Cancer Research Center and Wohl Institute for Translational Medicine, Tel Hashomer, Ramat Gan, Israel.GNAO1-associated disorders are ultra-rare autosomal dominant conditions, which can manifest, depending on the exact pathogenic variant in GNAO1, as a spectrum of neurological phenotypes, including epileptic encephalopathy, developmental delay with movement disorders, or late-onset dystonia. There are currently no effective treatments available, apart from symptomatic options. In this work, we suggest harnessing personalized RNA therapy to treat GNAO1 patients and focus specifically on a recurrent pathogenic variant (E246K). We systemically screened allele-specific antisense oligonucleotides (ASOs) targeting the mutated allele to identify a potent and specific sequence using both reporter-based platforms and a patient-derived cellular model. We show that reduction of mutated GNAO1 in vitro by knockout or by ASO has a beneficial functional outcome, which can be measured by cAMP accumulation and gene expression changes. We established a Gnao1-E246K mouse model that shows a neurological phenotype, which partially recapitulates the human condition. Due to sequence similarity, the mouse can be treated with the selected ASO to test treatment efficacy in animal models, as shown in vitro using murine neural progenitor cells. Our results demonstrate a beneficial effect for the reduction of mutated GNAO1 by ASO in patient-derived models, demonstrating its feasibility as a therapeutic approach.http://www.sciencedirect.com/science/article/pii/S2162253124003196MT: Oligonucleotides: Therapies and ApplicationsGNAO1personalized ASOsantisense oligonucleotidesASOsindividualized ASOs
spellingShingle Inna Shomer
Nofar Mor
Shaul Raviv
Noga Budick-Harmelin
Tanya Matchevich
Sharon Avkin-Nachum
Yoach Rais
Rebecca Haffner-Krausz
Ariela Haimovich
Aviv Ziv
Reut Fluss
Bruria Ben-Ze’ev
Gali Heimer
Denis N. Silachev
Vladimir L. Katanaev
Dan Dominissini
Personalized allele-specific antisense oligonucleotides for GNAO1-neurodevelopmental disorder
Molecular Therapy: Nucleic Acids
MT: Oligonucleotides: Therapies and Applications
GNAO1
personalized ASOs
antisense oligonucleotides
ASOs
individualized ASOs
title Personalized allele-specific antisense oligonucleotides for GNAO1-neurodevelopmental disorder
title_full Personalized allele-specific antisense oligonucleotides for GNAO1-neurodevelopmental disorder
title_fullStr Personalized allele-specific antisense oligonucleotides for GNAO1-neurodevelopmental disorder
title_full_unstemmed Personalized allele-specific antisense oligonucleotides for GNAO1-neurodevelopmental disorder
title_short Personalized allele-specific antisense oligonucleotides for GNAO1-neurodevelopmental disorder
title_sort personalized allele specific antisense oligonucleotides for gnao1 neurodevelopmental disorder
topic MT: Oligonucleotides: Therapies and Applications
GNAO1
personalized ASOs
antisense oligonucleotides
ASOs
individualized ASOs
url http://www.sciencedirect.com/science/article/pii/S2162253124003196
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