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Targeting a pathogenic cryptic exon that drives HLRCC to induce exon skipping.

作者信息

Maligireddy Siddhardha S, Mandler Mariana D, Lunger Judith C, Yuen Madeline, Kulkarni Sneha, Perez Alexendar R, Fitzsimmons Christina M, Crooks Daniel R, Chari Raj, Linehan W Marston, Batista Pedro J

机构信息

Laboratory of Cell Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.

Laboratory of Biochemistry and Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.

出版信息

Mol Ther Nucleic Acids. 2025 Aug 5;36(3):102668. doi: 10.1016/j.omtn.2025.102668. eCollection 2025 Sep 9.


DOI:10.1016/j.omtn.2025.102668
PMID:40896590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12396411/
Abstract

Hereditary leiomyomatosis and renal cell carcinoma (HLRCC) is an autosomal dominant cancer predisposition syndrome driven by the loss of fumarate hydratase (FH) activity. Recently, we identified a pathogenic variant in intron 9 of the gene that disrupts splicing by creating a novel splice acceptor site, resulting in the aberrant inclusion of a cryptic exon. Inclusion of the cryptic exon introduces a premature termination codon, leading to loss of FH activity. To restore FH expression, we sought to identify strategies to drive exclusion of the cryptic exon from the mature mRNA. To this end, we generated a minigene GFP reporter system that recapitulates the splicing defect observed in patients. We employed CRISPR-Cas9-mediated genome editing and antisense oligonucleotides (ASOs) to modulate splicing and demonstrated that both strategies can successfully promote skipping of the cryptic exon in a reporter cell line. Furthermore, we were able to show that ASOs can be used to shift the balance between the mRNA isoforms originated from the reference and the variant allele in patient-derived fibroblasts using ASOs. These findings support the potential for splicing modulation as a therapeutic approach for HLRCC-associated non-coding loss-of-function mutations in .

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/0f966e18ec32/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/9b49c67882ac/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/5f01628f5ae6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/e007cfb35fd2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/4141da7d5cc6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/0f966e18ec32/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/9b49c67882ac/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/5f01628f5ae6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/e007cfb35fd2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/4141da7d5cc6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea0/12396411/0f966e18ec32/gr4.jpg

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Targeting a pathogenic cryptic exon that drives HLRCC to induce exon skipping.

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本文引用的文献

[1]
efficacy and safety of systemically administered serinol nucleic acid-modified antisense oligonucleotides in mouse kidney.

Mol Ther Nucleic Acids. 2024-12-18

[2]
Functional implications of fumarate-induced cysteine succination.

Trends Biochem Sci. 2024-9

[3]
Genome editing and kidney health.

Clin Kidney J. 2024-4-17

[4]
Rewiring of RNA methylation by the oncometabolite fumarate in renal cell carcinoma.

NAR Cancer. 2024-2-7

[5]
Fumarate hydratase (FH) and cancer: a paradigm of oncometabolism.

Br J Cancer. 2023-11

[6]
Cryptic splice mutation in the fumarate hydratase gene in patients with clinical manifestations of Hereditary Leiomyomatosis and Renal Cell Cancer.

Hum Mol Genet. 2023-11-3

[7]
Adeno-associated virus gene therapy prevents progression of kidney disease in genetic models of nephrotic syndrome.

Sci Transl Med. 2023-8-9

[8]
Hallmarks of Cancer: New Dimensions.

Cancer Discov. 2022-1

[9]
Oligonucleotide-Based Therapies for Renal Diseases.

Biomedicines. 2021-3-16

[10]
Comprehensive characterisation of intronic mis-splicing mutations in human cancers.

Oncogene. 2021-2

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