Correction of a Cystic Fibrosis Splicing Mutation by Antisense Oligonucleotides

Susana Igreja1, Luka A Clarke1, Hugo M Botelho1

  • 1University of Lisboa, Faculty of Sciences, BioISI - Biosystems & Integrative Sciences Institute, Lisboa, Portugal.

Human Mutation
|November 11, 2015
PubMed

Insights

Antisense oligonucleotides (AONs) show promise for treating cystic fibrosis (CF) by correcting faulty CF transmembrane conductance regulator (CFTR) gene splicing. This RNA-based therapy restored normal exon 16 inclusion, improving CFTR protein function.

Area of Science:

  • Genetics
  • Molecular Biology
  • RNA Therapeutics

Background:

  • Cystic Fibrosis (CF) is a life-threatening genetic disorder caused by mutations in the CF transmembrane conductance regulator (CFTR) gene.
  • Approximately 13% of CFTR mutations impact pre-mRNA splicing, a therapeutic area that has been relatively neglected.
  • A specific CFTR splicing mutation, c.2657+5G>A in IVS16, leads to aberrant splicing, producing transcripts lacking exon 16 alongside wild-type transcripts.

Purpose of the Study:

  • To investigate the efficacy of an RNA-based antisense oligonucleotide (AON) strategy for correcting the aberrant pre-mRNA splicing caused by the CFTR c.2657+5G>A mutation.
  • To assess the impact of AON treatment on RNA splicing, CFTR protein levels, localization, and function.

Main Methods:

  • Design and synthesis of two AONs (AON1/2) targeting the mutant pre-mRNA IVS16 region.
  • Utilizing a stable HEK293 Flp-In cell line expressing a single copy of the c.2657+5G>A mutant CFTR minigene.
  • Assessing splicing correction at the RNA level, CFTR protein expression, plasma membrane localization, and protein function.
  • Development of a novel two-color CFTR splicing reporter minigene for quantitative monitoring via automated microscopy.

Main Results:

  • Treatment with AON1 significantly restored exon 16 inclusion in the CFTR pre-mRNA to 95% in mutant cells.
  • This splicing correction led to increased levels of correctly localized CFTR protein at the plasma membrane.
  • Enhanced CFTR protein function was observed in AON1-treated cells.
  • The novel reporter minigene enabled quantitative assessment of splicing efficiency.

Conclusions:

  • The tested antisense oligonucleotide (AON) strategy is a promising therapeutic approach for correcting alternative splicing defects in the CFTR gene.
  • This RNA-based therapy effectively restores normal splicing, leading to improved CFTR protein function and localization.
  • The developed splicing reporter system provides a valuable tool for quantitative assessment of splicing-modulating therapies.

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