| CPC C12N 15/86 (2013.01) [A61K 48/005 (2013.01); A61K 48/0075 (2013.01); A61P 1/16 (2018.01); A61P 3/00 (2018.01); A61P 3/08 (2018.01); A61P 7/04 (2018.01); A61P 11/12 (2018.01); A61P 27/02 (2018.01); C07K 14/005 (2013.01); C12N 15/09 (2013.01); C12N 15/63 (2013.01); C12N 15/64 (2013.01); C12N 15/66 (2013.01); A61K 48/00 (2013.01); C12N 2710/14043 (2013.01); C12N 2750/14122 (2013.01); C12N 2750/14143 (2013.01); C12N 2750/14151 (2013.01)] | 20 Claims |
|
1. A method of preventing or treating a condition, disease, or disorder associated with the blood in a mammalian subject having the condition, disease, or disorder associated with the blood, comprising administering a closed-ended linear duplex DNA (ceDNA) to the subject, wherein the ceDNA comprises a nucleic acid insert comprising a transgene encoding a Factor VIII (FVIII), Factor IX (FIX), or von Willebrand factor (VWF) protein or RNA;
wherein the insert is flanked by at least two adeno-associated virus (AAV) inverted terminal repeat (ITR) sequences;
wherein the at least two ITR sequences are asymmetric and covalently linked with respect to one another, each sequence having an operative terminal resolution site and a rolling circle replication protein binding element (RBE);
wherein a first ITR sequence is interrupted by a cross-arm sequence forming two opposing, lengthwise-symmetric stem-loops formed by interrupted palindromic sequences B-B′ and C-C′, each of the opposing lengthwise-symmetric stem-loops having a stem portion in the range of 5 to 15 base pairs in length and a loop portion having 2 to 5 unpaired deoxyribonucleotides;
wherein a second ITR sequence is interrupted by a truncated cross-arm sequence having one or more deletions of between 11 and 20 nucleotides in a palindromic sequence loop region B-B′ and/or a palindromic sequence loop region C-C′; and
wherein the ceDNA is administered to the subject in an amount sufficient to treat or prevent the condition, disease, or disorder associated with the blood in the subject.
|