bioRxiv. 2023 Dec 19. pii: 2023.12.19.572404. [Epub ahead of print]
Jillian Belgrad,
Qi Tang,
Sam Hildebrand,
Ashley Summers,
Ellen Sapp,
Dimas Echeverria,
Dan O'Reilly,
Eric Luu,
Brianna Bramato,
Sarah Allen,
David Cooper,
Julia Alterman,
Ken Yamada,
Neil Aronin,
Marian DiFiglia,
Anastasia Khvorova.
Di-valent short interfering RNA (siRNA) is a promising therapeutic modality that enables sequence-specific modulation of a single target gene in the central nervous system (CNS). To treat complex neurodegenerative disorders, where pathogenesis is driven by multiple genes or pathways, di-valent siRNA must be able to silence multiple target genes simultaneously. Here we present a framework for designing unimolecular "dual-targeting" di-valent siRNAs capable of co-silencing two genes in the CNS. We reconfigured di-valent siRNA - in which two identical, linked siRNAs are made concurrently - to create linear di-valent siRNA - where two siRNAs are made sequentially attached by a covalent linker. This linear configuration, synthesized using commercially available reagents, enables incorporation of two different siRNAs to silence two different targets. We demonstrate that this dual-targeting di-valent siRNA is fully functional in the CNS of mice, supporting at least two months of maximal target silencing. Dual-targeting di-valent siRNA is highly programmable, enabling simultaneous modulation of two different disease-relevant gene pairs (e.g., Huntington's disease: MSH3 and HTT ; Alzheimer's disease: APOE and JAK1 ) with similar potency to a mixture of single-targeting di-valent siRNAs against each gene. This work potentiates CNS modulation of virtually any pair of disease-related targets using a simple unimolecular siRNA.