In situ production of analgesic peptides for the treatment of joint pain

Lead Research Organisation: University of Cambridge
Department Name: Pharmacology

Abstract

Osteoarthritis is the most common, debilitating form of arthritis. Current treatments for osteoarthritis provide inadequate pain control, and there is a need for new therapies for chronic joint pain. Experimental and clinical evidence suggests that osteoarthritic pain is driven and maintained through ongoing peripheral nociceptive input. This project aims to block the ongoing nociceptive input by utilizing gene therapy to locally produce recombinant analgesic peptides within the joint. The researcher, Dr. Tony Lim, will carry out a preclinical proof-of-concept study in the Department of Pharmacology at the University of Cambridge under the supervision of Dr. Ewan Smith and will: 1) Generate an AAV-based vector that drives secretion of functional recombinant ProToxin-II (a spider venom peptide that blocks voltage-gated sodium channel 1.7 and possesses analgesic properties) in synoviocytes, 2) determine whether ProToxin-II secreting synoviocytes inhibit sensory neuron activity in an in vitro arthritic pain model, and 3) evaluate the effectiveness and safety of ProToxin-II gene therapy in preclinical models of arthritic pain. As part of this research, the researcher will also visit the Scuola Internazionale Superiore di Studi Avanzati under the supervision of Prof. Paul Heppenstall to assist in the generation of viral tools. This work has the potential to kickstart a novel gene therapy for the treatment of joint pain.

Publications

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Description Preliminary in vitro results demonstrate that self-amplifying RNA can be used for long-term expression of therapeutic transgenes in synovial fibroblasts. Future work will utilize animal models to determine whether self-amplifying RNA can be used to locally express therapeutic transgenes, such as analgesic spider venom peptides, to alleviate joint pain. This work has been presented at the PEGS Protein Engineering & Cell Therapy Summit, Boston, MA (May 2023).
Exploitation Route The ability to express transgenes over the long-term using self-amplifying RNA could provide an alternative to gene therapy that is potentially safer, as it does not require the editing of one's genome. It is expected that this technology will be particularly useful for generating novel cell therapies and protein replacement therapies.
Sectors Pharmaceuticals and Medical Biotechnology