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Aberrant splicing exonizes C9orf72 repeat expansion in ALS/FTD
Suzhou Yang1,2, Denethi Wijegunawardana1,2, Udit Sheth3,4
1Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA.
Nature Neuroscience
|August 12, 2025
Summary
A common genetic mutation in the C9orf72 gene causes ALS and FTD by producing toxic proteins. Aberrant splicing retains the repeat in RNA, enabling toxic protein production, offering new therapeutic targets.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- A GGGGCC nucleotide repeat expansion (NRE) in the C9orf72 gene is a leading cause of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD).
- The mechanism by which intronic NREs lead to toxic dipeptide repeat (DPR) protein production in the cytoplasm is not fully understood.
Purpose of the Study:
- To elucidate the mechanism of C9 NRE RNA localization and DPR protein production.
- To identify potential therapeutic targets for C9-ALS/FTD.
Main Methods:
- NRE-capture-seq was employed to profile NRE-containing RNAs in patient-derived fibroblasts and neurons.
- Investigated the role of alternative splicing and splicing factors in C9 NRE RNA biogenesis.
- Evaluated the efficacy of antisense oligonucleotides (ASOs) in reducing DPR levels.
Main Results:
- C9 NRE is retained within an extended exon 1 through the use of alternative 5' splice sites, contrary to previous models.
- Aberrant splice isoforms accumulate in C9-ALS/FTD brains and are promoted by SRSF1.
- Targeting SRSF1 or aberrant C9 splice isoforms with ASOs effectively reduced DPR protein levels.
Conclusions:
- Aberrant splicing plays a critical role in the biogenesis of pathogenic C9 NRE-containing RNAs.
- Targeting aberrant splicing and SRSF1 presents a promising therapeutic strategy for C9-ALS/FTD.
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