Related Experiment Video
Updated: Jul 29, 2025

Characterizing Exon Skipping Efficiency in DMD Patient Samples in Clinical Trials of Antisense Oligonucleotides
Published on: May 7, 2020
Elevated nuclear TDP-43 induces constitutive exon skipping
Rogger P Carmen-Orozco1,2, William Tsao1,2, Yingzhi Ye3
1Department of Pathology Johns Hopkins School of Medicine, Baltimore, MD 21205.
Abstract:
Cytoplasmic inclusions and loss of nuclear TDP-43 are key pathological features found in several neurodegenerative disorders, suggesting both gain- and loss-of-function mechanisms of disease. To study gain-of-function, TDP-43 overexpression has been used to generate in vitro and in vivo model systems. Our study shows that excessive levels of nuclear TDP-43 protein lead to constitutive exon skipping that is largely species-specific. Furthermore, while aberrant exon skipping is detected in some human brains, it is not correlated with disease, unlike the incorporation of cryptic exons that occurs after loss of TDP-43. Our findings emphasize the need for caution in interpreting TDP-43 overexpression data, and stress the importance of controlling for exon skipping when generating models of TDP-43 proteinopathy. Understanding the subtle aspects of TDP-43 toxicity within different subcellular locations is essential for the development of therapies targeting neurodegenerative disease.
Insights
Excessive nuclear TDP-43 protein causes species-specific exon skipping, not directly linked to neurodegenerative disease progression. This highlights caution needed when using TDP-43 overexpression models for disease research.
Area of Science:
- Molecular Biology
- Neuroscience
- Genetics
Background:
- TDP-43 proteinopathies are linked to cytoplasmic inclusions and nuclear loss of TDP-43.
- Gain- and loss-of-function mechanisms are implicated in neurodegenerative diseases involving TDP-43.
Approach:
- Investigated TDP-43 gain-of-function using overexpression models.
- Analyzed species-specific effects of excessive nuclear TDP-43 on RNA splicing.
- Examined correlation between aberrant exon skipping and human neurodegenerative disease.
Key Points:
- TDP-43 overexpression induces constitutive exon skipping, with significant species-specific differences.
- Aberrant exon skipping in human brains was not correlated with disease state.
- Loss of TDP-43, not overexpression, correlated with cryptic exon incorporation.
Conclusions:
- Caution is required when interpreting TDP-43 overexpression data in disease models.
- Controlling for TDP-43-induced exon skipping is crucial for accurate modeling of TDP-43 proteinopathies.
- Understanding TDP-43's subcellular toxicity is key for developing neurodegenerative disease therapies.
Related Concept Videos
Alternative RNA Splicing
There are five types of alternative RNA splicing that vary in the ways the pre-mRNA segments are removed or retained in the mature mRNA. The first...
Nonsense-mediated mRNA Decay
Usually, Upf3 binds to an Exon Junction Complex (EJC) at mRNA splice sites. If a ribosome fully translates the mRNA,...
RNA Splicing
Nuclear Export of mRNA
Exon Recombination
Exon shuffling follows “splice frame rules.” Each exon...
Long-patch Base Excision Repair

