A Micro-RNA Approach for the Treatment of Spinocerebellar Ataxia Type 6 (SCA6)
SUMMARY
- Spinocerebellar ataxia type 6 (SCA6) is a rare, dominantly inherited disease that causes Purkinje cell degradation and results in: loss of coordination, tremors, and uncoordinated muscle movement. Current therapies only mitigate symptoms and do not address the underlying pathophysiology responsible for disease progression.
- It is known that individuals with SCA6 have an expanded PolyQ tract in the CACNA1A gene (Q4-Q17 to Q19-Q33), but it was previously inconclusive as to how this abnormality impacts translation of the gene to the product ion channel a1A. The inventors discovered that the CACNA1A gene is bicistronic assoiciated with an IRES and encodes a transcription factor (a1ACT). The Poly Q variant of a1ACT promotes Purkinje cell degradation, while the canonical variant is essential for Purkinje cell function.
- The invention is a microRNA (3191), that blocks the IRES-mediated translation of the pathogenic Poly Q variant of the a1ACT transcription factor, without impacting translation of the the associated a1A ion channel. The microRNA therefore has the potential to treat SCA6 with minimal off-target effects.
- In in vivo proof of concept experiments, the inventors delivered miRNA 3191 via AAV9 to mice models of SCA6 and demonstrated that the therapeutic protected the mice from Purkinje cell degradation and motor defects associated with the ataxia.
FIGURE
ADVANTAGES
ADVANTAGES
- SCA6 disease modifying therapeutic
- Fulfills unmet treatment need
- Highly specific mechanism of action (minimizes side effects)
- Developed associated mouse model for preclinical validation
APPLICATIONS
- Spinocerebellar ataxia type 6 gene therapy (AAV delivered)
PUBLICATIONS
- Yu, M; et al. AN miRNA-mediated therapy for SCA6 blocks IRES-driven translation of the CACNA1A second cistron. Sci Transl Med. 2016 Jul 13; 8(347)
- Xiafei, Du; et al. Second cistron in CACNA1A gene encodes a transcription factor mediating cerebellar development and SCA6. Cell. 2013 Jul 3; 154(1):118-33.
- US: 10,017,765 Additional patent pending