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Published on: May 12, 2013
Targeting several CAG expansion diseases by a single antisense oligonucleotide
Melvin M Evers1, Barry A Pepers, Judith C T van Deutekom
1Center for Human and Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Insights
Researchers developed a novel antisense oligonucleotide therapy to reduce toxic protein aggregates in Huntington's disease. This treatment also shows promise for other polyglutamine expansion disorders.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Huntington's disease is a fatal neurodegenerative disorder caused by expanded CAG repeats in the HTT gene.
- The expanded polyglutamine tract leads to toxic protein aggregation, driving disease pathology.
- Currently, no effective therapies exist for Huntington's disease.
Purpose of the Study:
- To investigate the therapeutic potential of modified antisense oligonucleotides (ASOs) targeting expanded polyglutamine repeats.
- To assess the efficacy of ASOs in reducing mutant huntingtin transcript and protein levels.
- To explore the applicability of this ASO approach to other polyglutamine expansion disorders.
Main Methods:
- Utilized modified 2'-O-methyl phosphorothioate (CUG)n triplet-repeat antisense oligonucleotides.
- Tested ASO efficacy in patient-derived fibroblasts and lymphoblasts for Huntington's disease.
- Evaluated ASO impact on mutant ataxin-1, ataxin-3, and atrophin-1 mRNA levels in related disorders.
Main Results:
- A specific ASO, (CUG)(7), effectively reduced mutant huntingtin transcript and protein in Huntington's disease cells.
- The (CUG)(7) ASO also decreased mutant ataxin-1 and ataxin-3 mRNA levels.
- This ASO demonstrated efficacy in reducing atrophin-1 in dentatorubral-pallidoluysian atrophy cells.
Conclusions:
- Modified antisense oligonucleotides represent a promising therapeutic strategy for Huntington's disease.
- The developed ASO therapy shows potential for treating a range of polyglutamine expansion disorders.
- This research opens new avenues for tackling neurodegenerative diseases caused by repeat expansions.
Abstract:
To date there are 9 known diseases caused by an expanded polyglutamine repeat, with the most prevalent being Huntington's disease. Huntington's disease is a progressive autosomal dominant neurodegenerative disorder for which currently no therapy is available. It is caused by a CAG repeat expansion in the HTT gene, which results in an expansion of a glutamine stretch at the N-terminal end of the huntingtin protein. This polyglutamine expansion plays a central role in the disease and results in the accumulation of cytoplasmic and nuclear aggregates. Here, we make use of modified 2'-O-methyl phosphorothioate (CUG)n triplet-repeat antisense oligonucleotides to effectively reduce mutant huntingtin transcript and protein levels in patient-derived Huntington's disease fibroblasts and lymphoblasts. The most effective antisense oligonucleotide, (CUG)(7), also reduced mutant ataxin-1 and ataxin-3 mRNA levels in spinocerebellar ataxia 1 and 3, respectively, and atrophin-1 in dentatorubral-pallidoluysian atrophy patient derived fibroblasts. This antisense oligonucleotide is not only a promising therapeutic tool to reduce mutant huntingtin levels in Huntington's disease but our results in spinocerebellar ataxia and dentatorubral-pallidoluysian atrophy cells suggest that this could also be applicable to other polyglutamine expansion disorders as well.
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