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Evaluation of Exon Inclusion Induced by Splice Switching Antisense Oligonucleotides in SMA Patient Fibroblasts
Published on: May 11, 2018
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.
Abstract:
Cystic fibrosis (CF), the most common life-threatening genetic disease in Caucasians, is caused by ∼2,000 different mutations in the CF transmembrane conductance regulator (CFTR) gene. A significant fraction of these (∼13%) affect pre-mRNA splicing for which novel therapies have been somewhat neglected. We have previously described the effect of the CFTR splicing mutation c.2657+5G>A in IVS16, showing that it originates transcripts lacking exon 16 as well as wild-type transcripts. Here, we tested an RNA-based antisense oligonucleotide (AON) strategy to correct the aberrant splicing caused by this mutation. Two AONs (AON1/2) complementary to the pre-mRNA IVS16 mutant region were designed and their effect on splicing was assessed at the RNA and protein levels, on intracellular protein localization and function. To this end, we used the 2657+5G>A mutant CFTR minigene stably expressed in HEK293 Flp-In cells that express a single copy of the transgene. RNA data from AON1-treated mutant cells show that exon 16 inclusion was almost completely restored (to 95%), also resulting in increased levels of correctly localized CFTR protein at the plasma membrane (PM) and with increased function. A novel two-color CFTR splicing reporter minigene developed here allowed the quantitative monitoring of splicing by automated microscopy localization of CFTR at the PM. The AON strategy is thus a promising therapeutic approach for the specific correction of alternative splicing.
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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