Di-valent siRNA-mediated silencing of MSH3 blocks somatic repeat expansion in mouse models of Huntington's disease

Daniel O'Reilly1, Jillian Belgrad1, Chantal Ferguson1

  • 1RNA Therapeutics Institute, University of Massachusetts Chan Medical School, Worcester, MA 01605, USA.

Insights

Huntington's disease (HD) progression is slowed by targeting MSH3, a key factor in somatic repeat expansion. This study developed a novel siRNA therapy to silence MSH3, offering a potential treatment for HD.

Area of Science:

  • Neuroscience
  • Genetics
  • Molecular Biology

Background:

  • Huntington's disease (HD) is a neurodegenerative disorder caused by CAG repeat expansion in the huntingtin gene.
  • Somatic repeat expansion, mediated by the mismatch repair (MMR) pathway, accelerates HD onset, particularly in striatal neurons.
  • MSH3 is identified as a crucial MMR component influencing HD progression and a potential therapeutic target.

Purpose of the Study:

  • To develop and evaluate a short interfering RNA (siRNA) therapy targeting MSH3 for Huntington's disease.
  • To assess the efficacy of MSH3 silencing in preventing CAG repeat expansion in HD mouse models.
  • To determine the safety profile of the MSH3-targeting siRNA therapy regarding other MMR genes and microsatellite instability.

Main Methods:

  • Developed a chemically modified siRNA to silence MSH3 expression in vitro and in vivo.
  • Utilized a di-valent scaffold for siRNA synthesis to enhance stability and delivery.
  • Administered siRNA therapy to two mouse models of Huntington's disease and analyzed CAG repeat expansion in the striatum.

Main Results:

  • The developed siRNA effectively silenced Msh3 expression in vitro and in vivo.
  • siRNA-mediated MSH3 silencing significantly blocked CAG repeat expansion in the striatum of HD mouse models.
  • The treatment did not affect tumor-associated microsatellite instability or the expression of other MMR genes, indicating specificity.

Conclusions:

  • MSH3 is a critical driver of somatic CAG repeat expansion in Huntington's disease.
  • siRNA-mediated MSH3 silencing presents a promising and potentially safe therapeutic strategy for Huntington's disease.
  • This approach may also be applicable to other repeat expansion disorders.