1. Hepatocyte-targeted RNAi Therapeutics for the Treatment of Chronic Hepatitis B Virus Infection
- Author
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Darren H. Wakefield, Kerstin Jahn-Hofmann, Julia Hegge, Claudia E. Oropeza, Hans-Peter Vornlocher, Markus Hossbach, Qili Chu, David B. Rozema, Ingo Roehl, Alan McLachlan, Holly Hamilton, Philipp Hadwiger, Christine I. Wooddell, Matthias John, Jason Klein, Jochen Deckert, and David L. Lewis
- Subjects
Male ,Hepatitis B virus ,Small interfering RNA ,Acetylgalactosamine ,Genotype ,Biology ,medicine.disease_cause ,Virus ,RNAi Therapeutics ,Mice ,Drug Delivery Systems ,Hepatitis B, Chronic ,RNA interference ,Drug Discovery ,medicine ,Genetics ,Animals ,Humans ,Amino Acid Sequence ,RNA, Small Interfering ,Molecular Biology ,Pharmacology ,Gene knockdown ,Binding Sites ,RNA ,Genetic Therapy ,Virology ,Macaca fascicularis ,Cholesterol ,Gene Knockdown Techniques ,Hepatocytes ,RNA, Viral ,Molecular Medicine ,Original Article ,Female ,RNA Interference ,Peptides ,Viral load - Abstract
RNA interference (RNAi)-based therapeutics have the potential to treat chronic hepatitis B virus (HBV) infection in a fundamentally different manner than current therapies. Using RNAi, it is possible to knock down expression of viral RNAs including the pregenomic RNA from which the replicative intermediates are derived, thus reducing viral load, and the viral proteins that result in disease and impact the immune system's ability to eliminate the virus. We previously described the use of polymer-based Dynamic PolyConjugate (DPC) for the targeted delivery of siRNAs to hepatocytes. Here, we first show in proof-of-concept studies that simple coinjection of a hepatocyte-targeted, N-acetylgalactosamine-conjugated melittin-like peptide (NAG-MLP) with a liver-tropic cholesterol-conjugated siRNA (chol-siRNA) targeting coagulation factor VII (F7) results in efficient F7 knockdown in mice and nonhuman primates without changes in clinical chemistry or induction of cytokines. Using transient and transgenic mouse models of HBV infection, we show that a single coinjection of NAG-MLP with potent chol-siRNAs targeting conserved HBV sequences resulted in multilog repression of viral RNA, proteins, and viral DNA with long duration of effect. These results suggest that coinjection of NAG-MLP and chol-siHBVs holds great promise as a new therapeutic for patients chronically infected with HBV.
- Published
- 2013
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