[HTML][HTML] An intranasal ASO therapeutic targeting SARS-CoV-2

C Zhu, JY Lee, JZ Woo, L Xu, X Nguyenla… - Nature …, 2022 - nature.com
C Zhu, JY Lee, JZ Woo, L Xu, X Nguyenla, LH Yamashiro, F Ji, SB Biering, E Van Dis
Nature communications, 2022nature.com
The COVID-19 pandemic is exacting an increasing toll worldwide, with new SARS-CoV-2
variants emerging that exhibit higher infectivity rates and that may partially evade vaccine
and antibody immunity. Rapid deployment of non-invasive therapeutic avenues capable of
preventing infection by all SARS-CoV-2 variants could complement current vaccination
efforts and help turn the tide on the COVID-19 pandemic. Here, we describe a novel
therapeutic strategy targeting the SARS-CoV-2 RNA using locked nucleic acid antisense …
Abstract
The COVID-19 pandemic is exacting an increasing toll worldwide, with new SARS-CoV-2 variants emerging that exhibit higher infectivity rates and that may partially evade vaccine and antibody immunity. Rapid deployment of non-invasive therapeutic avenues capable of preventing infection by all SARS-CoV-2 variants could complement current vaccination efforts and help turn the tide on the COVID-19 pandemic. Here, we describe a novel therapeutic strategy targeting the SARS-CoV-2 RNA using locked nucleic acid antisense oligonucleotides (LNA ASOs). We identify an LNA ASO binding to the 5′ leader sequence of SARS-CoV-2 that disrupts a highly conserved stem-loop structure with nanomolar efficacy in preventing viral replication in human cells. Daily intranasal administration of this LNA ASO in the COVID-19 mouse model potently suppresses viral replication (>80-fold) in the lungs of infected mice. We find that the LNA ASO is efficacious in countering all SARS-CoV-2 “variants of concern” tested both in vitro and in vivo. Hence, inhaled LNA ASOs targeting SARS-CoV-2 represents a promising therapeutic approach to reduce or prevent transmission and decrease severity of COVID-19 in infected individuals. LNA ASOs are chemically stable and can be flexibly modified to target different viral RNA sequences and could be stockpiled for future coronavirus pandemics.
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