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Updated: Nov 12, 2025

Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
Published on: February 27, 2018
Somatic CAG expansion in Huntington's disease is dependent on the MLH3 endonuclease domain, which can be excluded via
Jennie C L Roy1, Antonia Vitalo2,3, Marissa A Andrew2
1Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA.
Insights
Targeting the MLH3 endonuclease domain significantly reduced CAG repeat expansion in Huntington
Area of Science:
- Genetics
- Molecular Biology
- Neuroscience
Background:
- Somatic CAG repeat expansion is a key driver of Huntington's disease (HD) pathogenesis.
- The DNA mismatch repair pathway, particularly MLH3, influences somatic expansion in HD models.
- Targeting factors that influence repeat expansion presents a therapeutic strategy for HD.
Purpose of the Study:
- To investigate the role of the MLH3 endonuclease domain in somatic CAG expansion in HD.
- To evaluate the therapeutic potential of targeting the MLH3 endonuclease domain for HD treatment.
Main Methods:
- Utilized genetic approaches (point mutation) and pharmacological methods (splice switching oligonucleotides) in HD mouse models.
- Assessed CAG expansion in brain and peripheral tissues of mice.
- Examined CAG expansion in Huntington's disease patient-derived fibroblasts.
Main Results:
- A point mutation in the MLH3 endonuclease domain abolished CAG expansion in HD mice.
- Splice redirection to exclude the MLH3 endonuclease domain reduced somatic CAG expansion in mice.
- Reduced CAG expansion was observed in HD patient fibroblasts by redirecting MLH3 splicing.
Conclusions:
- The MLH3 endonuclease domain is a critical driver of somatic CAG expansion in Huntington's disease.
- Targeting the MLH3 endonuclease domain offers a promising therapeutic strategy to slow disease progression in HD.
- This therapeutic approach may also benefit other repeat expansion disorders.
Abstract:
Somatic expansion of the CAG repeat tract that causes Huntington's disease (HD) is thought to contribute to the rate of disease pathogenesis. Therefore, factors influencing repeat expansion are potential therapeutic targets. Genes in the DNA mismatch repair pathway are critical drivers of somatic expansion in HD mouse models. Here, we have tested, using genetic and pharmacological approaches, the role of the endonuclease domain of the mismatch repair protein MLH3 in somatic CAG expansion in HD mice and patient cells. A point mutation in the MLH3 endonuclease domain completely eliminated CAG expansion in the brain and peripheral tissues of a HD knock-in mouse model (HttQ111). To test whether the MLH3 endonuclease could be manipulated pharmacologically, we delivered splice switching oligonucleotides in mice to redirect Mlh3 splicing to exclude the endonuclease domain. Splice redirection to an isoform lacking the endonuclease domain was associated with reduced CAG expansion. Finally, CAG expansion in HD patient-derived primary fibroblasts was also significantly reduced by redirecting MLH3 splicing to the endogenous endonuclease domain-lacking isoform. These data indicate the potential of targeting the MLH3 endonuclease domain to slow somatic CAG repeat expansion in HD, a therapeutic strategy that may be applicable across multiple repeat expansion disorders.
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