Small molecules that target the toxic RNA in myotonic dystrophy type 2
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Updated: Apr 28, 2026

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Published on: August 10, 2018
Lien Nguyen1, JuYeon Lee, Chun-Ho Wong
1Department of Chemistry, University of Illinois at Urbana-Champaign, 600 S. Mathews Ave., Urbana, IL 61801 (USA).
Abstract:
Myotonic dystrophy type 2 (DM2) is caused by an expansion of CCTG repeats in the zinc-finger protein gene (ZNF9). Transcribed CCUG repeats sequester muscleblind-like protein 1 (MBNL1), an important alternative splicing regulator, preventing its normal function, leading to the disease phenotype. We describe a series of ligands that disrupt the MBNL1-r(CCUG)n interaction as potential lead agents for developing DM2 therapeutics. A previously reported triaminopyrimidine-acridine conjugate was a moderate inhibitor in vitro, however it proved to be poorly water-soluble and not cell-permeable. To improve its therapeutic potential, the new set of ligands maintained the key triaminopyrimidine recognition unit but replaced the acridine intercalator with a bisamidinium groove binder. The optimized ligands exhibit low micromolar inhibition potency to MBNL1-r(CCUG)8. Importantly, the ligands are the first to show the ability to disrupt the MBNL1-r(CCUG)n foci in DM2 model cell culture and exhibit low cytotoxicity.
Insights
Researchers developed new drug candidates targeting Myotonic Dystrophy type 2 (DM2). These compounds disrupt the interaction between a toxic RNA repeat and a key protein, showing promise for DM2 therapeutics.
Area of Science:
- Molecular Biology
- Genetics
- Drug Discovery
Background:
- Myotonic Dystrophy type 2 (DM2) is a genetic disorder caused by expanded CCTG repeats in the ZNF9 gene.
- These repeats sequester the muscleblind-like protein 1 (MBNL1), disrupting its function as an alternative splicing regulator and causing disease.
- Current therapeutic strategies are limited.
Purpose of the Study:
- To identify and develop novel small molecules that disrupt the toxic interaction between MBNL1 and expanded CCUG repeats.
- To improve upon previous lead compounds by enhancing water solubility and cell permeability.
- To evaluate the efficacy of new ligands in disrupting MBNL1-r(CCUG)n interactions and cellular foci.
Main Methods:
- Design and synthesis of novel ligands incorporating a triaminopyrimidine recognition unit and a bisamidinium groove binder.
- In vitro inhibition assays to determine the potency of ligands against MBNL1-r(CCUG)8.
- Cell-based assays using a DM2 model to assess the disruption of MBNL1-r(CCUG)n foci.
- Cytotoxicity assays to evaluate the safety profile of the developed ligands.
Main Results:
- Optimized ligands demonstrated low micromolar inhibition potency against the MBNL1-r(CCUG)8 interaction.
- These novel compounds were the first to successfully disrupt MBNL1-r(CCUG)n foci in a DM2 cell culture model.
- The developed ligands exhibited low cytotoxicity, suggesting a favorable safety profile.
Conclusions:
- The newly developed bisamidinium groove binders are effective disruptors of the MBNL1-r(CCUG)n interaction.
- These ligands represent promising lead agents for the development of novel therapeutics for Myotonic Dystrophy type 2.
- Further investigation into these compounds could lead to effective treatments for DM2 patients.
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