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      Targeted delivery of antisense oligonucleotides to pancreatic β-cells

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          Abstract

          Receptor-dependent productive uptake of GLP1-conjugated antisense oligonucleotides occurs selectively in pancreatic β-cells.

          Abstract

          Antisense oligonucleotide (ASO) silencing of the expression of disease-associated genes is an attractive novel therapeutic approach, but treatments are limited by the ability to deliver ASOs to cells and tissues. Following systemic administration, ASOs preferentially accumulate in liver and kidney. Among the cell types refractory to ASO uptake is the pancreatic insulin-secreting β-cell. Here, we show that conjugation of ASOs to a ligand of the glucagon-like peptide-1 receptor (GLP1R) can productively deliver ASO cargo to pancreatic β-cells both in vitro and in vivo. Ligand-conjugated ASOs silenced target genes in pancreatic islets at doses that did not affect target gene expression in liver or other tissues, indicating enhanced tissue and cell type specificity. This finding has potential to broaden the use of ASO technology, opening up novel therapeutic opportunities, and presents an innovative approach for targeted delivery of ASOs to additional cell types.

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          Overcoming cellular barriers for RNA therapeutics

          Recent progress in delivering RNA therapeutics to the inside of cells might lead to more success in clinical applications.
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            Ligand-Targeted Drug Delivery

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              GLP-1 receptor activation indirectly reduces hepatic lipid accumulation but does not attenuate development of atherosclerosis in diabetic male ApoE(-/-) mice.

              Glucagon-like peptide-1 receptor (GLP-1R) agonists reduce lipid accumulation in peripheral tissues, attenuating atherosclerosis and hepatic steatosis in preclinical studies. We examined whether GLP-1R activation decreases atherosclerosis progression in high-fat diet-fed male ApoE(-/-) mice after administration of streptozotocin and treatment with the long-acting GLP-1R agonist taspoglutide administered once monthly vs. metformin in the drinking water for 12 wk. Taspoglutide did not reduce plaque area or lipid content in the aortic arch or abdominal aorta, and no significant change in aortic macrophage accumulation was detected after taspoglutide or metformin. In contrast, hepatic triglyceride levels were significantly reduced in livers from taspoglutide-treated mice. Both peripheral and intracerebroventricular administration of exendin-4 rapidly decreased plasma triglyceride levels in fasted mice, and taspoglutide therapy in ApoE(-/-) mice modulated the expression of hepatic genes controlling fatty acid uptake and oxidation. We were unable to detect expression of the entire Glp1r coding sequence in macrophages isolated from ApoE(-/-), C57BL/6, and IL10(-/-) mice. Similarly, Glp1r mRNA transcripts were not detected in RNA from isolated murine hepatocytes. Using Western blotting and tissue extracts from Glp1r(+/+) and Glp1r(-/-) mice, and cells transfected with a tagged murine GLP-1R cDNA, we could not validate the sensitivity and specificity of three different GLP-1R antisera commonly used for the detection of GLP-1R protein. Taken together, these findings illustrate divergent actions of GLP-1R agonists on atherosclerosis progression and accumulation of ectopic lipid in ApoE(-/-) mice and highlight the importance of indirect GLP-1R actions for the control of hepatic lipid accumulation.
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                Author and article information

                Journal
                Sci Adv
                Sci Adv
                SciAdv
                advances
                Science Advances
                American Association for the Advancement of Science
                2375-2548
                October 2018
                17 October 2018
                : 4
                : 10
                : eaat3386
                Affiliations
                [1 ]Cardiovascular Renal and Metabolic Diseases, IMED Biotech Unit, AstraZeneca, Gothenburg, Sweden.
                [2 ]Discovery Sciences, IMED Biotech Unit, AstraZeneca, Gothenburg, Sweden.
                [3 ]Drug Safety and Metabolism, IMED Biotech Unit, AstraZeneca, Gothenburg, Sweden.
                [4 ]Ionis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92010, USA.
                Author notes
                [* ]Corresponding author. Email: carina.ammala@ 123456astrazeneca.com (C.Ä.); pseth@ 123456ionisph.com (P.P.S.)
                Author information
                http://orcid.org/0000-0003-3180-7563
                http://orcid.org/0000-0002-4810-8526
                http://orcid.org/0000-0002-0070-7845
                http://orcid.org/0000-0001-8270-9432
                http://orcid.org/0000-0002-9526-8696
                http://orcid.org/0000-0002-0585-4756
                http://orcid.org/0000-0003-1738-1746
                http://orcid.org/0000-0002-7466-3312
                http://orcid.org/0000-0002-1783-7806
                http://orcid.org/0000-0002-7051-2189
                Article
                aat3386
                10.1126/sciadv.aat3386
                6192685
                30345352
                c4ff036d-d716-4ecd-9647-92d9b29e86e7
                Copyright © 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC).

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial license, which permits use, distribution, and reproduction in any medium, so long as the resultant use is not for commercial advantage and provided the original work is properly cited.

                History
                : 15 February 2018
                : 12 September 2018
                Categories
                Research Article
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                Health and Medicine
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