Decoy gene therapy to reverse RNA toxicity in DM1
Résumé
"Introduction: Currently, a number of RNA-based therapeutic strategies for DM1 are being
developed, including small molecule and antisense oligonucleotide approches. Here we
assessed a gene therapy approach using a modified RNA-binding protein (RBP) with a high
affinity for expanded CUG repeats aimed to act as a decoy to displace sequestered
endogenous MBNL proteins from NA foci and reverse NA toxicity.
Methods: We engineered a truncated MBNL1 protein that keeps the ZnF domains required
for the binding to CUG repeats but lacks the C-terminal domain. This MBNL1A-decoy has
reduced splicing activity but can still compete with MBNL1 for binding to CUGexp. Effect of
the MBNL1A-decoy was assessed in both human DM1 muscle cells and HSA-LR mouse
model.
Results: The binding of the decoy to CUGexp in DM1 muscle cells allows the release
sequestered endogenous MBNL1 from nuclear RNA foci, restores MBNL1 activity and
corrects the transcriptomic signature of DM1. In addtion, MBNL14-decoy forms less stable
ribonucleoprotein complexes than MBNL1 resulting in reduce levels of CUGexp-transcripts.
In vivo, local or systemic delivery of the AAV-decoy into the skeletal muscle of HSA-LR mice
leads to lonq-lasting correction of splicing defects and improvement of muscle physiology.
Conclusions: This study supports the development of decov RBPs with high binding
affinities for CUGexp as a therapeutic strategy for DM1."