[HTML][HTML] mRNA therapy restores euglycemia and prevents liver tumors in murine model of glycogen storage disease

J Cao, M Choi, E Guadagnin, M Soty, M Silva… - Nature …, 2021 - nature.com
J Cao, M Choi, E Guadagnin, M Soty, M Silva, V Verzieux, E Weisser, A Markel, J Zhuo…
Nature Communications, 2021nature.com
Abstract Glycogen Storage Disease 1a (GSD1a) is a rare, inherited metabolic disorder
caused by deficiency of glucose 6-phosphatase (G6Pase-α). G6Pase-α is critical for
maintaining interprandial euglycemia. GSD1a patients exhibit life-threatening hypoglycemia
and long-term liver complications including hepatocellular adenomas (HCAs) and
carcinomas (HCCs). There is no treatment for GSD1a and the current standard-of-care for
managing hypoglycemia (Glycosade®/modified cornstarch) fails to prevent HCA/HCC risk …
Abstract
Glycogen Storage Disease 1a (GSD1a) is a rare, inherited metabolic disorder caused by deficiency of glucose 6-phosphatase (G6Pase-α). G6Pase-α is critical for maintaining interprandial euglycemia. GSD1a patients exhibit life-threatening hypoglycemia and long-term liver complications including hepatocellular adenomas (HCAs) and carcinomas (HCCs). There is no treatment for GSD1a and the current standard-of-care for managing hypoglycemia (Glycosade®/modified cornstarch) fails to prevent HCA/HCC risk. Therapeutic modalities such as enzyme replacement therapy and gene therapy are not ideal options for patients due to challenges in drug-delivery, efficacy, and safety. To develop a new treatment for GSD1a capable of addressing both the life-threatening hypoglycemia and HCA/HCC risk, we encapsulated engineered mRNAs encoding human G6Pase-α in lipid nanoparticles. We demonstrate the efficacy and safety of our approach in a preclinical murine model that phenotypically resembles the human condition, thus presenting a potential therapy that could have a significant therapeutic impact on the treatment of GSD1a.
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