An ICAM-1 antisense oligonucleotide prevents and reverses dextran sulfate sodium-induced colitis in mice

C F Bennett1, D Kornbrust, S Henry

  • 1ISIS Pharmaceuticals, Carlsbad, California 92008, USA.

Insights

An antisense oligonucleotide targeting intercellular adhesion molecule 1 (ICAM-1) effectively reduced colitis in mice. This ICAM-1 targeting therapy showed no toxicity at relevant doses, suggesting potential for treating inflammatory bowel disease.

Area of Science:

  • Immunology
  • Gastroenterology
  • Pharmacology

Background:

  • Dextran sodium sulfate (DSS) induces colitis in mice, characterized by inflammation and crypt abscesses.
  • Increased expression of intercellular adhesion molecule 1 (ICAM-1) and leukocyte infiltration are observed in DSS-induced colitis.
  • ICAM-1 plays a crucial role in the inflammatory processes associated with colitis.

Purpose of the Study:

  • To investigate the therapeutic potential of a murine-specific antisense oligonucleotide (ISIS 3082) targeting ICAM-1 in a mouse model of colitis.
  • To determine the role of ICAM-1 in the development and progression of DSS-induced colitis.
  • To assess the safety and toxicity of ISIS 3082 at pharmacologically relevant doses.

Main Methods:

  • Induction of colitis in mice using 5% dextran sodium sulfate (DSS).
  • Administration of ISIS 3082 (antisense oligonucleotide targeting ICAM-1) or scrambled control oligonucleotides.
  • Evaluation of clinical signs of colitis, including inflammation and crypt abscesses.
  • Immunohistological analysis to assess ICAM-1 expression and leukocyte infiltration.
  • Toxicological assessment of ISIS 3082 in normal mice.

Main Results:

  • Prophylactic and therapeutic treatment with ISIS 3082 dose-dependently reduced clinical signs of colitis.
  • ISIS 3082 treatment led to decreased ICAM-1 expression and reduced leukocyte infiltration in the colon.
  • Scrambled control oligonucleotides did not affect the course of colitis.
  • ISIS 3082 was found to be non-toxic in normal mice at pharmacologically relevant doses (1 and 10 mg/kg).
  • Higher doses of ISIS 3082 showed mild toxicity, including increased organ weights and inflammation.

Conclusions:

  • An antisense oligonucleotide targeting ICAM-1 (ISIS 3082) is effective in reducing experimental colitis in mice.
  • Reduced ICAM-1 expression is critical for mitigating colitis.
  • ISIS 3082 demonstrates a favorable safety profile at pharmacologically relevant doses.
  • These findings suggest that ICAM-1-targeting antisense oligonucleotides hold promise for treating human inflammatory bowel disease.

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