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A patient-based model of RNA mis-splicing uncovers treatment targets in Parkinson's disease

  • Ibrahim Boussaad
  • , Carolin D. Obermaier
  • , Zoè Hanss
  • , Dheeraj R. Bobbili
  • , Silvia Bolognin
  • , Enrico Glaab
  • , Katarzyna Wolynska
  • , Nicole Weisschuh
  • , Laura De Conti
  • , Caroline May
  • , Florian Giesert
  • , Dajana Grossmann
  • , Annika Lambert
  • , Susanne Kirchen
  • , Maria Biryukov
  • , Lena F. Burbulla
  • , Francois Massart
  • , Jill Bohler
  • , Gèrald Cruciani
  • , Benjamin Schmid
  • Annerose Kurz-Drexler, Patrick May, Stefano Duga, Christine Klein, Jens C. Schwamborn, Katrin Marcus, Dirk Woitalla, Daniela M.Vogt Weisenhorn, Wolfgang Wurst, Marco Baralle, Dimitri Krainc, Thomas Gasser, Bernd Wissinger, Rejko Krüger*
*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

37 Citations (Scopus)

Abstract

Parkinson's disease (PD) is a heterogeneous neurodegenerative disorder with monogenic forms representing prototypes of the underlying molecular pathology and reproducing to variable degrees the sporadic forms of the disease. Using a patient-based in vitro model of PARK7-linked PD, we identified a U1-dependent splicing defect causing a drastic reduction in DJ-1 protein and, consequently, mitochondrial dysfunction. Targeting defective exon skipping with genetically engineered U1-snRNA recovered DJ-1 protein expression in neuronal precursor cells and differentiated neurons. After prioritization of candidate drugs, we identified and validated a combinatorial treatment with the small-molecule compounds rectifier of aberrant splicing (RECTAS) and phenylbutyric acid, which restored DJ-1 protein and mitochondrial dysfunction in patient-derived fibroblasts as well as dopaminergic neuronal cell loss in mutant midbrain organoids. Our analysis of a large number of exomes revealed that U1 splice-site mutations were enriched in sporadic PD patients. Therefore, our study suggests an alternative strategy to restore cellular abnormalities in in vitro models of PD and provides a proof of concept for neuroprotection based on precision medicine strategies in PD.

Original languageEnglish
Article numbereaau3960
JournalScience Translational Medicine
Volume12
Issue number560
DOIs
Publication statusPublished - Sept 2020

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