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Refinement of antisense oligonucleotide mediated exon skipping as therapy for Duchenne muscular dystrophy Heemskerk, J.A.

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Refinement of antisense oligonucleotide mediated exon skipping as therapy for Duchenne muscular dystrophy

Heemskerk, J.A.

Citation

Heemskerk, J. A. (2011, October 26). Refinement of antisense

oligonucleotide mediated exon skipping as therapy for Duchenne muscular dystrophy. Retrieved from https://hdl.handle.net/1887/17986

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/17986

Note: To cite this publication please use the final published version (if applicable).

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Refinement of antisense oligonucleotide mediated exon skipping as therapy for

Duchenne muscular dystrophy

Hans Heemskerk

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Cover: drawings by Satriyo Kurnia Printed by: Off Page

ISBN: 978-94-6182-030-3

© 2011 Hans Heemskerk. All rights reserved. Copyright of the individual chapters rests with the authors, except (parts of):

Chapter 2 and 3: John Wiley and sons Chapter 4 and 5: Nature Publishing Group Chapter 6: Humana Press

No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without prior permission of the author.

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Refinement of antisense oligonucleotide mediated exon skipping as therapy for

Duchenne muscular dystrophy

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden,

op gezag van Rector Magnificus prof.mr. P.F. van der Heijden, volgens besluit van het College voor Promoties

te verdedigen op woensdag 26 oktober 2011 klokke 11.15 uur

door

Johannes Antonius Heemskerk

geboren te Haarlem in 1979

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Promotiecommissie

Promotor: Prof. Dr. Gert-Jan B. van Ommen Co-promotor: Dr. Annemieke Aartsma-Rus Overige leden: Prof. Dr. Johan T den Dunnen

Prof. Dr. Jan Verschuuren Dr. Jennifer E Morgan

(UCL Institute of Child Health, Londen, GB)

The studies described in this thesis have been performed at the Leiden University Medical Center, department of human genetics. This work was financially supported by the Dutch Duchenne Parent Project, the Center for Biomedical Genetics, ZonMw, Senternovem, the TREAT-NMD network of excellence and Telethon Italy.

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Table of contents

Chapter 1 7

General introduction

1.1 Duchenne muscular dystrophy 9

1.2 Treatment of DMD 19

1.2.1 Current treatment 19

1.2.2 Potential therapies 21

1.3 Antisense oligonucleotide mediated exon skipping 29 1.3.1Refinement of antisense oligonucleotide mediated exon skipping 32

1.4 Concluding remarks 42

1.5 References 44

Chapter 2 65

In vivo comparison of 2’-O-methyl phosphorothioate and morpholino antisense oligonucleotides for Duchenne muscular dystrophy exon skipping

Chapter 3 77

Development of antisense-mediated exon skipping as a treatment for Duchenne muscular dystrophy

Chapter 4 89

Pre-clinical PK and PD studies on 2’O-methyl-phosphorothioate RNA antisense oligonucleotides in the mdx mouse model

Chapter 5 99

Accurate quantification of dystrophin mRNA and exon skipping levels in Duchenne muscular dystrophy

Chapter 6 109

Identification of peptides for tissue specific delivery

Summary 133

Nederlandse samenvatting 136

Abbreviations 139

Curriculum vitae 140

Publication list 141

Dankwoord 142

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To develop the exon-skipping approach for larger groups of patients, AONs targeting additional exons of the gene would have to be developed, for example, AONs to skip exon 51,

As such, the applicability of skipping in- frame exons to bypass these mutations by single exon skip- ping is low (0.02 –0.8% of all patients [ 12]) making the clinical development

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden Downloaded.

Using this ‘B-peptide’ to deliver a PMO targeting exon 23 in mdx mice showed high levels of exon skipping and dystrophin protein, even in heart, in which skipping levels are

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

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