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Updated: Jun 24, 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, USA.
TDP-43 overexpression causes species-specific exon skipping. Aberrant skipping in human brains isn't disease-linked, unlike cryptic exon incorporation after TDP-43 loss, highlighting caution in TDP-43 models.
Area of Science:
- Neuroscience
- Molecular Biology
- Genetics
Background:
- Cytoplasmic inclusions and nuclear TDP-43 loss are hallmarks of neurodegenerative diseases.
- Gain- and loss-of-function mechanisms are implicated in TDP-43 proteinopathies.
- TDP-43 overexpression models are used to study gain-of-function disease mechanisms.
Purpose of the Study:
- To investigate TDP-43-mediated changes in RNA splicing.
- To explore species-specific splicing patterns in TDP-43 overexpression models.
- To correlate splicing alterations with neurodegenerative disease pathology.
Main Methods:
- Analyzed RNA-seq data from mouse and human neurons overexpressing TDP-43.
- Investigated the relationship between TDP-43 levels and exon repression in vitro.
- Examined human brain samples and public RNA datasets for splicing changes and disease correlation.
Main Results:
- Excessive nuclear TDP-43 induces constitutive, largely species-specific exon skipping.
- Aberrant exon skipping in human brains shows no correlation with disease.
- Cryptic exon incorporation, linked to TDP-43 loss, is a distinct disease-associated event.
Conclusions:
- Caution is needed when interpreting TDP-43 overexpression data.
- Controlling for TDP-43-induced exon skipping is crucial for accurate disease modeling.
- Findings differentiate effects of TDP-43 gain-of-function versus loss-of-function.
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