Antisense-induced exon skipping for duplications in Duchenne muscular dystrophy

<p>Abstract</p> <p>Background</p> <p>Antisense-mediated exon skipping is currently one of the most promising therapeutic approaches for Duchenne muscular dystrophy (DMD). Using antisense oligonucleotides (AONs) targeting specific exons the DMD reading frame is restored...

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Main Authors: van Ommen Gert-Jan B, Janson Anneke AM, Aartsma-Rus Annemieke, van Deutekom Judith CT
Format: Article
Language:English
Published: BMC 2007-07-01
Series:BMC Medical Genetics
Online Access:http://www.biomedcentral.com/1471-2350/8/43
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author van Ommen Gert-Jan B
Janson Anneke AM
Aartsma-Rus Annemieke
van Deutekom Judith CT
author_facet van Ommen Gert-Jan B
Janson Anneke AM
Aartsma-Rus Annemieke
van Deutekom Judith CT
author_sort van Ommen Gert-Jan B
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Antisense-mediated exon skipping is currently one of the most promising therapeutic approaches for Duchenne muscular dystrophy (DMD). Using antisense oligonucleotides (AONs) targeting specific exons the DMD reading frame is restored and partially functional dystrophins are produced. Following proof of concept in cultured muscle cells from patients with various deletions and point mutations, we now focus on single and multiple exon duplications. These mutations are in principle ideal targets for this approach since the specific skipping of duplicated exons would generate original, full-length transcripts.</p> <p>Methods</p> <p>Cultured muscle cells from DMD patients carrying duplications were transfected with AONs targeting the duplicated exons, and the dystrophin RNA and protein were analyzed.</p> <p>Results</p> <p>For two brothers with an exon 44 duplication, skipping was, even at suboptimal transfection conditions, so efficient that both exons 44 were skipped, thus generating, once more, an out-of-frame transcript. In such cases, one may resort to multi-exon skipping to restore the reading frame, as is shown here by inducing skipping of exon 43 and both exons 44. By contrast, in cells from a patient with an exon 45 duplication we were able to induce single exon 45 skipping, which allowed restoration of wild type dystrophin. The correction of a larger duplication (involving exons 52 to 62), by combinations of AONs targeting the outer exons, appeared problematic due to inefficient skipping and mistargeting of original instead of duplicated exons.</p> <p>Conclusion</p> <p>The correction of DMD duplications by exon skipping depends on the specific exons targeted. Its options vary from the ideal one, restoring for the first time the true, wild type dystrophin, to requiring more 'classical' skipping strategies, while the correction of multi-exon deletions may need the design of tailored approaches.</p>
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spelling doaj.art-0b9d8287a04a4b24b13ac23e081d3dc12022-12-21T20:25:30ZengBMCBMC Medical Genetics1471-23502007-07-01814310.1186/1471-2350-8-43Antisense-induced exon skipping for duplications in Duchenne muscular dystrophyvan Ommen Gert-Jan BJanson Anneke AMAartsma-Rus Annemiekevan Deutekom Judith CT<p>Abstract</p> <p>Background</p> <p>Antisense-mediated exon skipping is currently one of the most promising therapeutic approaches for Duchenne muscular dystrophy (DMD). Using antisense oligonucleotides (AONs) targeting specific exons the DMD reading frame is restored and partially functional dystrophins are produced. Following proof of concept in cultured muscle cells from patients with various deletions and point mutations, we now focus on single and multiple exon duplications. These mutations are in principle ideal targets for this approach since the specific skipping of duplicated exons would generate original, full-length transcripts.</p> <p>Methods</p> <p>Cultured muscle cells from DMD patients carrying duplications were transfected with AONs targeting the duplicated exons, and the dystrophin RNA and protein were analyzed.</p> <p>Results</p> <p>For two brothers with an exon 44 duplication, skipping was, even at suboptimal transfection conditions, so efficient that both exons 44 were skipped, thus generating, once more, an out-of-frame transcript. In such cases, one may resort to multi-exon skipping to restore the reading frame, as is shown here by inducing skipping of exon 43 and both exons 44. By contrast, in cells from a patient with an exon 45 duplication we were able to induce single exon 45 skipping, which allowed restoration of wild type dystrophin. The correction of a larger duplication (involving exons 52 to 62), by combinations of AONs targeting the outer exons, appeared problematic due to inefficient skipping and mistargeting of original instead of duplicated exons.</p> <p>Conclusion</p> <p>The correction of DMD duplications by exon skipping depends on the specific exons targeted. Its options vary from the ideal one, restoring for the first time the true, wild type dystrophin, to requiring more 'classical' skipping strategies, while the correction of multi-exon deletions may need the design of tailored approaches.</p>http://www.biomedcentral.com/1471-2350/8/43
spellingShingle van Ommen Gert-Jan B
Janson Anneke AM
Aartsma-Rus Annemieke
van Deutekom Judith CT
Antisense-induced exon skipping for duplications in Duchenne muscular dystrophy
BMC Medical Genetics
title Antisense-induced exon skipping for duplications in Duchenne muscular dystrophy
title_full Antisense-induced exon skipping for duplications in Duchenne muscular dystrophy
title_fullStr Antisense-induced exon skipping for duplications in Duchenne muscular dystrophy
title_full_unstemmed Antisense-induced exon skipping for duplications in Duchenne muscular dystrophy
title_short Antisense-induced exon skipping for duplications in Duchenne muscular dystrophy
title_sort antisense induced exon skipping for duplications in duchenne muscular dystrophy
url http://www.biomedcentral.com/1471-2350/8/43
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AT vandeutekomjudithct antisenseinducedexonskippingforduplicationsinduchennemusculardystrophy