[HTML][HTML] G6PC mRNA therapy positively regulates fasting blood glucose and decreases liver abnormalities in a mouse model of glycogen storage disease 1a

DS Roseman, T Khan, F Rajas, LS Jun, KH Asrani… - Molecular Therapy, 2018 - cell.com
DS Roseman, T Khan, F Rajas, LS Jun, KH Asrani, C Isaacs, JD Farelli, RR Subramanian
Molecular Therapy, 2018cell.com
Glycogen storage disease type Ia (GSD1a) is an inherited metabolic disorder caused by the
deficiency of glucose-6-phosphatase (G6Pase). GSD1a is associated with life-threatening
hypoglycemia and long-term liver and renal complications. We examined the efficacy of
mRNA-encoding human G6Pase in a liver-specific G6Pase−/− mouse model (L-G6PC−/−)
that exhibits the same hepatic biomarkers associated with GSD1a patients, such as fasting
hypoglycemia, and elevated levels of hepatic glucose-6-phosphate (G6P), glycogen, and …
Glycogen storage disease type Ia (GSD1a) is an inherited metabolic disorder caused by the deficiency of glucose-6-phosphatase (G6Pase). GSD1a is associated with life-threatening hypoglycemia and long-term liver and renal complications. We examined the efficacy of mRNA-encoding human G6Pase in a liver-specific G6Pase−/− mouse model (L-G6PC−/−) that exhibits the same hepatic biomarkers associated with GSD1a patients, such as fasting hypoglycemia, and elevated levels of hepatic glucose-6-phosphate (G6P), glycogen, and triglycerides. We show that a single systemic injection of wild-type or native human G6PC mRNA results in significant improvements in fasting blood glucose levels for up to 7 days post-dose. These changes were associated with significant reductions in liver mass, hepatic G6P, glycogen, and triglycerides. In addition, an engineered protein variant of human G6Pase, designed for increased duration of expression, showed superior efficacy to the wild-type sequence by maintaining improved fasting blood glucose levels and reductions in liver mass for up to 12 days post-dose. Our results demonstrate for the first time the effectiveness of mRNA therapy as a potential treatment in reversing the hepatic abnormalities associated with GSD1a.
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