Hope for Prion Disease: New Drug Shows Promise
A new treatment for prion disease offers hope for patients and researchers alike.
Juliana E Gentile, Taylor L Corridon, Dimas Echeverria, Fiona E Serack, Zachary E Kennedy, Corrie L Gallant-Behm, Matthew R Hassler, Garth Kinberger, Nikita G Kamath, Katherine Y Gross, Yuan Lian, Rachael Miller, Kendrick DeSouza-Lenz, Michael Howard, Kenia Guzman, Nathan Chan, Daniel T Curtis, Kevin Fettes, Marc Lemaitre, Gregg Cappon, Aimee L Jackson, Ken Yamada, Julia F Alterman, Alissa A Coffey, Eric Vallabh Minikel, Anastasia Khvorova, Sonia M Vallabh
― 5 min read
Table of Contents
Prion disease is a brain condition that can lead to severe and fatal damage. It's tricky because it is caused by a bad version of a protein called prion protein (or PrP for short). When these proteins misbehave and fold incorrectly, they result in a series of problems that lead to the death of brain cells. This disease is not only hard to treat but also impossible to cure at this time.
You may have heard of mad cow disease, right? That’s a type of prion disease! In humans, Prion Diseases include Creutzfeldt-Jakob disease (CJD) and a few others. One of the biggest issues is that once symptoms show up, it's usually too late for effective treatment, and patients often leave this world sooner than expected.
The Culprits Behind Prion Disease
The gene responsible for prion protein in humans is called PRNP. When this gene goes haywire and produces the misfolded prion, it starts a cascade of trouble in the brain. The body has a tough time getting rid of these rogue proteins, so they accumulate in the brain and lead to damage in the nervous system.
Many scientists believe that if you could lower the amount of these misbehaving proteins, it could help treat or delay the onset of the disease. Several studies hint that targeting prion protein effectively could be a solid way to combat prion disease.
The Research Breakthrough
Recent research has been focused on a form of medication known as SiRNA – that stands for small interfering RNA. siRNA helps reduce the amount of prion protein in the body, but there’s a new twist: researchers are now experimenting with a special type of siRNA called "divalent siRNA." Think of it as a superhero version of the original!
This new divalent siRNA is designed to be more effective at targeting and reducing prion protein levels in the brain. How does it work? Essentially, it binds to the harmful RNA, guiding the cell machinery to knock down the levels of these pesky proteins.
In lab tests with mice, this new drug candidate was able to significantly extend the lives of those afflicted with prion disease. It’s like finding a new tool in a toolbox that helps fix an old problem!
How Divalent siRNA Works
So, how exactly does this fancy siRNA work? Normal siRNA grabs onto RNA and helps chop it up. Our special divalent siRNA comes with an extra edge. Think of it like a double-sided sword; it binds even better and is better at sticking around in the brain.
When scientists tested this new drug in mice with prion disease, they found that it reduced prion protein levels by a staggering amount. After just one dose, the protein level was reduced so much, that it almost looked like the mice were back to normal. Okay, maybe not quite normal, but you get the idea!
Testing in Mice
The mice that received treatment with the divalent siRNA showed a considerable increase in survival time compared to those that didn’t get the treatment. Picture this: while the untreated mice were playing the waiting game with prion disease, the treated mice were busy enjoying an extended version of their lives.
Of course, the scientists weren’t just throwing darts at a board; they carefully monitored everything. They saw improvements in weight and activity levels among treated mice, suggesting that this treatment can provide a better quality of life even as they face a tough disease.
The Road Ahead
While testing the siRNA in mice is impressive, there’s always a next step to consider. How will this perform in humans? That’s the million-dollar question! Researchers are hopeful and currently working on plans to test this in people diagnosed with prion disease.
Before we start throwing parties to celebrate a cure, it’s important to remember that there is a long road ahead. They need to ensure that the drug is safe and effective in humans – no one likes to be a guinea pig for a new treatment!
Dosing and Administration
One of the first things they figured out was how to deliver this drug. The leading method is through injections into the Cerebrospinal Fluid (this is the fluid that surrounds and protects the brain and spinal cord). This helps the medication get right where it’s needed.
They also experimented with different dosing regimens to find the most effective way to deliver the drug. Early tests showed that giving the drug multiple times increased its effectiveness. The more, the merrier, right?
The Future of Treatment
Now that they’ve made this progress, the next step is to gather more information on how the drug will work in different individuals. They want to ensure that it remains effective and can be safely given to a wide variety of patients.
This journey isn’t just about one drug but opens up options for other types of neurodegenerative diseases. If divalent siRNA 2439-s4 does end up proving itself in humans, it could pave the way for similar treatments for diseases like Alzheimer’s or Huntington’s disease.
Conclusion
The development of divalent siRNA 2439-s4 is a significant leap forward in the race against prion disease. While it’s still early days, the promise shown in animal models and the potential for human application is an exciting beacon of hope for those affected by prion diseases.
So, while we’re not popping the confetti just yet, it's fair to say that researchers are onto something big. Who knows what the future holds? Maybe we'll be sharing tales of successful treatments in no time. After all, if you can teach an old dog new tricks, maybe we can teach an old brain a few as well!
Title: Divalent siRNA for prion disease
Abstract: Pharmacologic lowering of PrP expression is efficacious against prion disease in animal models and is now being tested clinically. 50% lowering of PrP increases both survival time and healthy life in prion-infected mice, but does not prevent symptom onset nor halt disease progression. Additional drug candidates should seek to reduce PrP expression to even lower levels. Divalent siRNA is a novel oligonucleotide drug modality with promising potency, durability, and biodistribution data in preclinical models, inspiring us to seek in this technology a new drug candidate for prion disease. Here, we first identify a tool compound against the mouse PrP gene and establish the efficacy of PrP-lowering divalent siRNA in prion-infected mice. We then introduce humanized transgenic mouse lines harboring the full non-coding sequence of the human PrP gene as tools for identifying human sequence-targeted drugs. We identify a highly potent siRNA sequence against the human PrP gene and determine that a chemical scaffold incorporating extended nucleic acid and a 3' antisense tail unmatched to the RNA target yields superior potency. We nominate PrP-lowering divalent siRNA 2439-s4 as a new drug candidate for human prion disease.
Authors: Juliana E Gentile, Taylor L Corridon, Dimas Echeverria, Fiona E Serack, Zachary E Kennedy, Corrie L Gallant-Behm, Matthew R Hassler, Garth Kinberger, Nikita G Kamath, Katherine Y Gross, Yuan Lian, Rachael Miller, Kendrick DeSouza-Lenz, Michael Howard, Kenia Guzman, Nathan Chan, Daniel T Curtis, Kevin Fettes, Marc Lemaitre, Gregg Cappon, Aimee L Jackson, Ken Yamada, Julia F Alterman, Alissa A Coffey, Eric Vallabh Minikel, Anastasia Khvorova, Sonia M Vallabh
Last Update: 2024-12-09 00:00:00
Language: English
Source URL: https://www.biorxiv.org/content/10.1101/2024.12.05.627039
Source PDF: https://www.biorxiv.org/content/10.1101/2024.12.05.627039.full.pdf
Licence: https://creativecommons.org/licenses/by/4.0/
Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.
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