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Abstract Details

Spherical Nucleic Acids (SNAs) for the Treatment of Neurologic Diseases
Neuromuscular and Clinical Neurophysiology (EMG)
P15 - Poster Session 15 (12:00 PM-1:00 PM)
1-012

Our aim was to explore the pharmacodynamics and biodistribution of spherical nucleic acids (SNAs) in human neurons (iNs) and in the mouse, rat, and nonhuman primate (NHP) central nervous system (CNS).

SNAs are densely packed oligonucleotides radially arranged around a nanoparticle core. Prior work indicates that: i) SNAs show increased cellular uptake and target affinity compared with their linear counterparts, ii) the splice-switching oligonucleotide nusinersen formulated into SNA (nusinersen-SNA) improves survival of spinal muscular atrophy (SMA) mice following intracerebroventricular injection, and iii) intrathecally delivered nusinersen-SNA shows improved biodistribution throughout the rat CNS relative to nusinersen. We hypothesized that the SNA-mediated increased survival was due, in part, to improved pharmacodynamics and persistence in target tissues.

We treated iNs with nusinersen or nusinersen-SNA and monitored cellular uptake and splice-switching of survival of motor neuron 2 (SMN2). We then intracerebroventricularly-administered nusinersen-SNA to SMA mice and assessed SMN2 engagement after 7 days. Finally, we intrathecally administered radiolabeled nusinersen-SNA to rats and NHP and measured CNS biodistribution by nuclear imaging and computed tomography. 
Nusinersen-SNA improved pharmacology (SMN2 exon 7 inclusion) in both iNs and a mouse model of SMA relative to nusinersen. Nuclear imaging indicated that nusinersen-SNA effectively reached every rat brain region analyzed and persisted for 21 days. In NHP, nusinersen-SNA was detected throughout the entire brain, with standardized uptake values persisting above ½-maximal for 14 days. 
Our data indicate that the SNA-mediated improvement in efficacy is due to improved pharmacodynamics and biodistribution. First, SNAs rapidly enter neurons and engage their targets. Second, SNAs dose-dependently induce full-length SMN2 expression in a model of SMA. Third, SNAs distribute widely throughout the rat and NHP CNS and persist for long periods of time, reaching deep and superficial brain regions. Collectively, these results support the development of SNAs as therapeutics for CNS diseases.
Authors/Disclosures
Grant T. Corbett, PhD
PRESENTER
Dr. Corbett has received personal compensation for serving as an employee of Novo Nordisk Inc.. Dr. Corbett has stock in Novo Nordisk Inc.
Lauren R. Moore (University of Louisville School of Medicine) No disclosure on file
No disclosure on file
No disclosure on file
No disclosure on file
Weston Daniel No disclosure on file
No disclosure on file
No disclosure on file