RAN proteins in neurodegenerative disease: Repeating themes and unifying therapeutic strategies

Shu Guo1, Lien Nguyen1, Laura P W Ranum2

  • 1Center for NeuroGenetics, College of Medicine, University of Florida, USA; Department of Molecular Genetics and Microbiology, College of Medicine, University of Florida, USA.

Insights

Microsatellite-expansion mutations cause neurological diseases. Toxic repeat-associated non-AUG (RAN) translation produces mutant proteins, offering new therapeutic targets for these neurodegenerative disorders.

Area of Science:

  • Neuroscience
  • Genetics
  • Molecular Biology

Background:

  • Microsatellite-expansion mutations are linked to over 50 neurological diseases.
  • Current treatments are ineffective, with research historically focusing on protein loss-of-function and RNA gain-of-function.
  • Emerging evidence highlights toxic repeat-associated non-AUG (RAN) translation as a key pathogenic mechanism.

Purpose of the Study:

  • To review the role of RAN proteins in neurodegenerative diseases.
  • To explore mechanistic insights into the production of RAN proteins.
  • To identify novel therapeutic strategies for these disorders.

Main Methods:

  • Review of recent scientific literature on microsatellite-expansion mutations and RAN translation.
  • Analysis of studies on the toxicity and neuropathological effects of RAN proteins.
  • Examination of research on factors influencing RAN protein production (RNA structure, flanking sequences, stress pathways).

Main Results:

  • Bidirectional transcription of expansion mutations produces toxic RNAs.
  • RAN translation can generate up to six different mutant proteins.
  • RAN proteins are toxic in cellular and animal models, causing neuropathological changes and pathway dysregulation.

Conclusions:

  • RAN proteins play a significant role in the pathogenesis of microsatellite-expansion neurological disorders.
  • Understanding the mechanisms of RAN protein production is crucial for therapeutic development.
  • Targeting RAN translation presents a promising therapeutic avenue for a range of neurodegenerative diseases.

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