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Use of antisense oligonucleotides to target Notch3 in skeletal cells
Use of antisense oligonucleotides to target Notch3 in skeletal cells
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Use of antisense oligonucleotides to target Notch3 in skeletal cells
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Use of antisense oligonucleotides to target Notch3 in skeletal cells
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Use of antisense oligonucleotides to target Notch3 in skeletal cells
Use of antisense oligonucleotides to target Notch3 in skeletal cells
Journal Article

Use of antisense oligonucleotides to target Notch3 in skeletal cells

2022
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Overview
Notch receptors are determinants of cell fate and function, and play an important role in the regulation of bone development and skeletal remodeling. Lateral Meningocele Syndrome (LMS) is a monogenic disorder associated with NOTCH3 pathogenic variants that result in the stabilization of NOTCH3 and a gain-of-function. LMS presents with neurological developmental abnormalities and bone loss. We created a mouse model ( Notch3 em1Ecan ) harboring a 6691TAATGA mutation in the Notch3 locus, and heterozygous Notch3 em1Ecan mice exhibit cancellous and cortical bone osteopenia. In the present work, we explored whether Notch3 antisense oligonucleotides (ASO) downregulate Notch3 and have the potential to ameliorate the osteopenia of Notch3 em1Ecan mice. Notch3 ASOs decreased the expression of Notch3 wild type and Notch3 6691-TAATGA mutant mRNA expressed by Notch3 em1Ecan mice in osteoblast cultures without evidence of cellular toxicity. The effect was specific since ASOs did not downregulate Notch1 , Notch2 or Notch4 . The expression of Notch3 wild type and Notch3 6691-TAATGA mutant transcripts also was decreased in bone marrow stromal cells and osteocytes following exposure to Notch3 ASOs. In vivo , the subcutaneous administration of Notch3 ASOs at 25 to 50 mg/Kg decreased Notch3 mRNA in the liver, heart and bone. Microcomputed tomography demonstrated that the administration of Notch3 ASOs ameliorates the cortical osteopenia of Notch3 em1Ecan mice, and ASOs decreased femoral cortical porosity and increased cortical thickness and bone volume. However, the administration of Notch3 ASOs did not ameliorate the cancellous bone osteopenia of Notch em1Ecan mice. In conclusion, Notch3 ASOs downregulate Notch3 expression in skeletal cells and their systemic administration ameliorates cortical osteopenia in Notch3 em1Ecan mice; as such ASOs may become useful strategies in the management of skeletal diseases affected by Notch gain-of-function.

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