Research on myotonic dystrophy type 1 (DM1) has led to the recognition of a new mechanism for genetic disease. Contrary to a central dogma of human genetics, in DM1 it is the transcription product of a mutant allele that interferes with cell function and triggers a disease state, independently of the protein it encodes. During the initial period of support under this K24 Award, the applicant, his mentees, and their collaborators had a leading role in establishing this RNA-mediated disease process, and elucidating the mechanism by which it occurs. Their findings indicate that expression of RNA with an expanded CUG repeat (CUGexp) leads to sequestration of muscleblind (MBNL) proteins in nuclear foci. This depletion of MBNL proteins from the nucleus results in misregulated alternative splicing, or spliceopathy, that underlies the symptoms of DM1. Having identified viable targets for therapy in DM1, the applicant is now proposing to redirect the main focus of his research group toward developing treatments. A period of protected time and intense effort will be required to acquire the skills and collaborative relationships that are necessary to make this transition. In so doing, the applicant will create a training environment that is ideal for new investigators who are interested in research translation as applied to neuromuscular diseases. The preliminary data indicate that oligonucleotides binding to CUGexp RNA can release sequestered proteins, restore normal patterns of alternative splicing, and improve the physiological derangements in a transgenic mouse model of DM1. These data provide proof-of-principle that protein sequestration is a pivotal event in DM1 pathogenesis and that phenotypes in DM1 are reversible if sequestered proteins are released.
The first Aim of this proposal is to develop and perform high throughput screens for small molecules having similar effects, or for compounds that reverse spliceopathy by other means.
The second Aim i s to develop the therapeutic potential of antisense oligonucleotides as a strategy for releasing the proteins that become sequestered in DM1. Anticipating that an era of rationale therapy.for DM1 is rapidly approaching, the third Aim is to develop and validate an assay for spliceopathy as a biomarker for evaluating therapeutic effects in clinical trials for DM1. ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
2K24AR048143-06
Application #
7386201
Study Section
Arthritis and Musculoskeletal and Skin Diseases Special Grants Review Committee (AMS)
Program Officer
Boyce, Amanda T
Project Start
2002-05-01
Project End
2013-03-31
Budget Start
2008-04-01
Budget End
2009-03-31
Support Year
6
Fiscal Year
2008
Total Cost
$125,253
Indirect Cost
Name
University of Rochester
Department
Neurology
Type
Schools of Dentistry
DUNS #
041294109
City
Rochester
State
NY
Country
United States
Zip Code
14627
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Tang, Zhen Zhi; Yarotskyy, Viktor; Wei, Lan et al. (2012) Muscle weakness in myotonic dystrophy associated with misregulated splicing and altered gating of Ca(V)1.1 calcium channel. Hum Mol Genet 21:1312-24
Wheeler, Thurman M; Leger, Andrew J; Pandey, Sanjay K et al. (2012) Targeting nuclear RNA for in vivo correction of myotonic dystrophy. Nature 488:111-5
Heatwole, Chad R; Eichinger, Katy J; Friedman, Deborah I et al. (2011) Open-label trial of recombinant human insulin-like growth factor 1/recombinant human insulin-like growth factor binding protein 3 in myotonic dystrophy type 1. Arch Neurol 68:37-44
Nakamori, Masayuki; Gourdon, Geneviève; Thornton, Charles A (2011) Stabilization of expanded (CTG)•(CAG) repeats by antisense oligonucleotides. Mol Ther 19:2222-7
López Castel, Arturo; Nakamori, Masayuki; Tomé, Stephanie et al. (2011) Expanded CTG repeat demarcates a boundary for abnormal CpG methylation in myotonic dystrophy patient tissues. Hum Mol Genet 20:1-15

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