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Modulating alternative splicing of MECP2 is a potential therapeutic strategy for Rett syndrome - PubMed

4 hours ago
  • #MECP2
  • #alternative splicing
  • #Rett syndrome
  • Modulating alternative splicing of MECP2 is a potential therapeutic strategy for Rett syndrome (RTT).
  • RTT is caused by loss-of-function mutations in MECP2, a gene essential for neuronal function.
  • Current FDA-approved treatment (trofinetide) only mildly alleviates symptoms, while increasing MeCP2 improves neurological phenotypes in mice.
  • The study focused on switching the less efficiently translated e2 isoform to the more efficient e1 isoform of MECP2.
  • Deleting Mecp2 exon 2 (unique to e2) increased MeCP2 protein by 50-60% in mice.
  • Isoform switching in RTT patient-derived neurons improved morphology, electrophysiology, and transcriptome dysregulation.
  • An exon 2-skipping morpholino successfully up-regulated MeCP2-E1 in mice, suggesting a potential antisense oligonucleotide therapy for RTT.