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Publication : A slipped-CAG DNA-binding small molecule induces trinucleotide-repeat contractions in vivo.

First Author  Nakamori M Year  2020
Journal  Nat Genet Volume  52
Issue  2 Pages  146-159
PubMed ID  32060489 Mgi Jnum  J:316242
Mgi Id  MGI:6707563 Doi  10.1038/s41588-019-0575-8
Citation  Nakamori M, et al. (2020) A slipped-CAG DNA-binding small molecule induces trinucleotide-repeat contractions in vivo. Nat Genet 52(2):146-159
abstractText  In many repeat diseases, such as Huntington's disease (HD), ongoing repeat expansions in affected tissues contribute to disease onset, progression and severity. Inducing contractions of expanded repeats by exogenous agents is not yet possible. Traditional approaches would target proteins driving repeat mutations. Here we report a compound, naphthyridine-azaquinolone (NA), that specifically binds slipped-CAG DNA intermediates of expansion mutations, a previously unsuspected target. NA efficiently induces repeat contractions in HD patient cells as well as en masse contractions in medium spiny neurons of HD mouse striatum. Contractions are specific for the expanded allele, independently of DNA replication, require transcription across the coding CTG strand and arise by blocking repair of CAG slip-outs. NA-induced contractions depend on active expansions driven by MutSbeta. NA injections in HD mouse striatum reduce mutant HTT protein aggregates, a biomarker of HD pathogenesis and severity. Repeat-structure-specific DNA ligands are a novel avenue to contract expanded repeats.
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