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Evaluation of Exon Inclusion Induced by Splice Switching Antisense Oligonucleotides in SMA Patient Fibroblasts
Published on: May 11, 2018
Antisense-Mediated Splice Modulation to Reframe Transcripts
Matthias Titeux1,2,3, Sandrina Turczynski1,2,3, Nathalie Pironon1,2,3
1INSERM UMR 1163, Paris, France.
Abstract:
Numerous genetic disorders are caused by loss-of-function mutations that disrupt the open reading frame of the gene either by nonsense or by frameshift (insertion, deletion, indel, or splicing) mutations. Most of the time, the result is the absence of functional protein synthesis due to mRNA degradation by nonsense-mediated mRNA decay, or rapid degradation of a truncated protein. Antisense-based splicing modulation is a powerful tool that has the potential to treat genetic disorders by restoring the open reading frame through selective removal of the mutated exon, or by restoring correct splicing.We have developed this approach for a severe skin genetic disorder, recessive dystrophic epidermolysis bullosa, caused by mutations in the COL7A1 gene encoding type VII collagen. This gene is particularly suited for exon skipping approaches due to its unique genomic structure. It is composed of 118 exons, 83 of which are in frame. Moreover, these exons encode a single repetitive collagenous domain.Using this gene as an example, we describe general methods that demonstrate the feasibility and efficacy of the antisense-mediated exon skipping strategy to reframe transcripts.
Insights
Antisense-based splicing modulation can correct genetic disorders by restoring gene reading frames. This study demonstrates its efficacy in treating recessive dystrophic epidermolysis bullosa by targeting COL7A1 gene mutations.
Area of Science:
- Genetics
- Molecular Biology
- Biochemistry
Background:
- Genetic disorders often result from loss-of-function mutations (nonsense, frameshift) disrupting gene open reading frames.
- These mutations lead to absent functional proteins via mRNA degradation (nonsense-mediated mRNA decay) or truncated protein degradation.
Purpose of the Study:
- To develop and demonstrate the feasibility of antisense-based splicing modulation for treating genetic disorders.
- To restore the open reading frame (ORF) and enable functional protein synthesis.
Main Methods:
- Developed antisense-mediated exon skipping strategy.
- Applied the approach to the COL7A1 gene, encoding type VII collagen, for recessive dystrophic epidermolysis bullosa.
- Utilized the gene's structure (118 exons, 83 in-frame) for selective exon removal.
Main Results:
- Demonstrated the feasibility and efficacy of antisense-mediated exon skipping.
- Showcased the strategy's potential to reframe transcripts by selectively removing mutated exons.
- Successfully applied the method to the COL7A1 gene as a model.
Conclusions:
- Antisense-based splicing modulation is a viable therapeutic strategy for genetic disorders caused by ORF disruptions.
- Exon skipping offers a promising approach to restore protein function in diseases like recessive dystrophic epidermolysis bullosa.
- The COL7A1 gene's structure makes it particularly amenable to this exon skipping strategy.
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