Therapeutic silencing of microRNA-122 in primates with chronic hepatitis C virus infection

Science. 2010 Jan 8;327(5962):198-201. doi: 10.1126/science.1178178. Epub 2009 Dec 3.

Abstract

The liver-expressed microRNA-122 (miR-122) is essential for hepatitis C virus (HCV) RNA accumulation in cultured liver cells, but its potential as a target for antiviral intervention has not been assessed. We found that treatment of chronically infected chimpanzees with a locked nucleic acid (LNA)-modified oligonucleotide (SPC3649) complementary to miR-122 leads to long-lasting suppression of HCV viremia, with no evidence of viral resistance or side effects in the treated animals. Furthermore, transcriptome and histological analyses of liver biopsies demonstrated derepression of target mRNAs with miR-122 seed sites, down-regulation of interferon-regulated genes, and improvement of HCV-induced liver pathology. The prolonged virological response to SPC3649 treatment without HCV rebound holds promise of a new antiviral therapy with a high barrier to resistance.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antiviral Agents / adverse effects
  • Antiviral Agents / blood
  • Antiviral Agents / therapeutic use*
  • Chemokine CXCL10 / blood
  • Cholesterol / blood
  • Disease Models, Animal
  • Drug Evaluation, Preclinical
  • Drug Resistance, Viral
  • Female
  • Gene Expression Profiling
  • Gene Expression Regulation
  • Hepacivirus / drug effects
  • Hepacivirus / genetics
  • Hepacivirus / isolation & purification
  • Hepacivirus / physiology
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / genetics
  • Hepatitis C, Chronic / virology
  • Interferons / metabolism
  • Liver / metabolism
  • Liver / virology
  • Male
  • MicroRNAs / antagonists & inhibitors*
  • MicroRNAs / genetics
  • MicroRNAs / metabolism
  • Oligonucleotides
  • Pan troglodytes*
  • Phosphorothioate Oligonucleotides / adverse effects
  • Phosphorothioate Oligonucleotides / blood
  • Phosphorothioate Oligonucleotides / therapeutic use*
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • RNA, Viral / metabolism
  • Viral Load
  • Viremia / drug therapy

Substances

  • Antiviral Agents
  • Chemokine CXCL10
  • MicroRNAs
  • Oligonucleotides
  • Phosphorothioate Oligonucleotides
  • RNA, Messenger
  • RNA, Viral
  • Interferons
  • Cholesterol
  • miravirsen

Associated data

  • GEO/GSE18919