Promoting readthrough of nonsense mutations in CF mouse model: Biodistribution and efficacy of NV848 in rescuing CFTR

Ignazio Fiduccia1, Federica Corrao1, Maria Grazia Zizzo1

  • 1Department of Biological, Chemical and Pharmaceutical Sciences and Technologies, University of Palermo, Palermo, Italy.

Insights

Nonsense mutations cause genetic diseases like cystic fibrosis (CF) by creating premature stop codons. NV848, a readthrough drug, showed promise in restoring CF transmembrane conductance regulator (CFTR) protein in a CF mouse model.

Area of Science:

  • Biochemistry
  • Genetics
  • Pharmacology

Background:

  • Nonsense mutations lead to premature termination codons (PTC), resulting in truncated, non-functional proteins and genetic diseases such as cystic fibrosis (CF).
  • Restoring functional protein expression is a key therapeutic strategy for genetic disorders caused by nonsense mutations.

Purpose of the Study:

  • To evaluate NV848, a translational readthrough-inducing drug (TRID), for its efficacy in restoring CF transmembrane conductance regulator (CFTR) protein expression in a G542X nonsense mutation CF mouse model.
  • To assess the pharmacokinetic and biodistribution properties of NV848.

Main Methods:

  • In vitro stability assays in human hepatic metabolism.
  • In vivo biodistribution studies in wild-type mice.
  • Chronic treatment efficacy assessment in G542X homozygous CF mice to measure CFTR protein recovery.

Main Results:

  • NV848 demonstrated stability in human hepatic metabolism.
  • The drug successfully distributed to target organs in vivo.
  • Chronic NV848 treatment led to the recovery of CFTR protein in G542X homozygous mice.

Conclusions:

  • NV848 exhibits favorable biodistribution and therapeutic potential.
  • This TRID represents a promising therapeutic candidate for treating CF caused by nonsense mutations.
  • Further clinical investigation of NV848 for CF patients with nonsense mutations is warranted.