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Functional rescue of a disease-linked ERAD pathway mutation via alternative splicing - PubMed

4 hours ago
  • #Therapeutic Strategy
  • #ERAD
  • #Alternative Splicing
  • ER-associated degradation (ERAD) targets misfolded proteins in the endoplasmic reticulum (ER) for proteasomal degradation.
  • Mutations in the SEL1L-HRD1 complex cause ERAD-associated neurodevelopmental disorders (ENDI), with the most severe form being ENDI-A due to a SEL1L-Cys141Tyr mutation.
  • Knock-in mouse models with the C141Y mutation were rescued via alternative splicing, bypassing the mutant region and restoring ERAD activity.
  • Antisense oligonucleotide-mediated exon skipping in patient-derived fibroblasts generated a functional SEL1L protein, restoring ERAD function.
  • RNA splicing-modulation is proposed as a therapeutic strategy for ERAD deficiency, expanding the potential of exon-skipping therapy to protein misfolding diseases.