RT Journal Article SR Electronic T1 Potent and lasting seizure suppression by systemic delivery of antagomirs targeting miR-134 timed with blood-brain barrier disruption JF bioRxiv FD Cold Spring Harbor Laboratory SP 797621 DO 10.1101/797621 A1 C. R. Reschke A1 L. F. A. Silva A1 V. R. Vangoor A1 M. Rosso A1 B. David A1 B. L. Cavanagh A1 N. M. C. Connolly A1 G. P. Brennan A1 A. Sanz-Rodriguez A1 C. Mooney A1 A. Batool A1 C. Greene A1 M. Brennan A1 R. M. Conroy A1 T. RĂ¼ber A1 J. H. M. Prehn A1 M. Campbell A1 R. J. Pasterkamp A1 D. C. Henshall YR 2019 UL http://biorxiv.org/content/early/2019/10/08/797621.abstract AB RNA therapies such as oligonucleotides (OGNs) offer precision treatments for a variety of neurological diseases, including epilepsy but their deployment is hampered by the blood brain barrier (BBB). Here we used brain imaging and assays of serum proteins and tracer extravasation, to determine that BBB disruption occurring after status epilepticus in mice was sufficient to permit passage of systemically-injected antisense OGNs targeting microRNA-134 (Ant-134) into the brain parenchyma. A single intraperitoneal injection of Ant-134 two hours after status epilepticus in mice resulted in potent suppression of spontaneous recurrent seizures, reaching a 99.5% reduction during recordings at three months. The duration of spontaneous seizures, when they occurred, was also reduced in Ant-134-treated mice. These studies indicate that systemic delivery of Ant-134 reaches the brain and produces disease-modifying effects after systemic injection in mice when timed with BBB disruption and may be a clinically-viable approach for this and other disease-modifying microRNA therapies.