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Updated: Jun 23, 2026

Removal of an Internal Translational Start Site from mRNA While Retaining Expression of the Full-Length Protein
Published on: March 16, 2022
Somatic CRISPR editing of Msh3 mitigates Huntington's disease pathology in mice
Insights
Targeting mismatch repair protein MSH3 slows Huntington's disease (HD) progression by reducing somatic CAG expansion in neurons. Early intervention is key for greater therapeutic impact in this neurodegenerative disorder.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Huntington's disease (HD) is a fatal neurodegenerative disorder caused by CAG repeat expansion in the Huntingtin (HTT) gene.
- Somatic CAG repeat expansion in neurons drives disease progression and clinical onset.
- MSH3 is a key protein driving somatic CAG expansion and a potential therapeutic target.
Purpose of the Study:
- To investigate the therapeutic potential of targeting MSH3 in Huntington's disease.
- To evaluate the impact of MSH3 inhibition at different disease stages.
- To understand the mechanism by which MSH3 contributes to HD pathogenesis.
Main Methods:
- Somatic CRISPR-Cas9 gene editing was used to knock out MSH3 in HttQ111 mice at various ages (6, 16, 24 weeks).
- CAG expansion, huntingtin pathology, and transcriptional dysregulation were assessed.
- The production of the exon 1 HTT transcript was analyzed.
Main Results:
- MSH3 knockout significantly slowed striatal CAG expansion across all intervention ages.
- Earlier MSH3 targeting demonstrated a greater reduction in pathology and transcriptional dysregulation.
- MSH3 inhibition suppressed the production of the pathogenic exon 1 HTT transcript.
Conclusions:
- Targeting MSH3 is a promising disease-modifying strategy for Huntington's disease.
- The timing of MSH3 intervention significantly influences therapeutic effectiveness.
- Understanding MSH3's role provides critical preclinical data for developing MSH3-targeted therapies for HD.
Abstract:
Huntington's disease (HD) is a fatal, dominantly inherited neurodegenerative disorder caused by a CAG repeat expansion in Huntingtin ( HTT ) exon 1. Further progressive CAG repeat expansion occurs in somatic cells, particularly in neurons, and drives the timing of clinical onset. Therefore, therapeutic strategies to slow somatic expansion are predicted to be disease-modifying. Somatic CAG expansion is driven by mismatch repair protein MSH3, a leading therapeutic target supported by human genetic data. To gain insight into the impact of targeting MSH3 at different stages of the disease process we used somatic CRISPR-Cas9 editing to knock out Msh3 in Htt Q111 mice at ages of 6, 16, 24 weeks exhibiting progressively increasing somatic expansion. Intervention at all three ages slowed striatal CAG expansion, reduced nuclear huntingtin pathology and suppressed transcriptional dysregulation, with earlier intervention having greater impact. Msh3 knockout also suppressed the production of the exon 1 Htt1a transcript. The results of our study provide important preclinical information relevant to an MSH3 therapeutic in humans that would be expected to impact a subset of cells in the brain, provide insight into the influence of timing of intervention on therapeutic effectiveness and deepen our understanding of how targeting MSH3 could alter the trajectory of HD.
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