Precise progerin targeting using RfxCas13d: A therapeutic avenue for Hutchinson-Gilford progeria syndrome

利用 RfxCas13d 精准靶向早衰蛋白:治疗哈钦森-吉尔福德早衰综合征的新途径

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作者:Unbin Chae ,Hae-Jun Yang ,Hanseop Kim ,Seung Hwan Lee ,Dong Gil Lee ,Jeong Young Koo ,Seung-Min Ha ,Seo-Jong Bak ,Mina Joo ,Hyun Hee Nam ,Kyung-Seob Lim ,Philyong Kang ,Hee-Chang Son ,You Jeong An ,Young-Hyun Kim ,In-Sung Song ,Sang-Hee Lee ,Hae Rim Kim ,Sang-Mi Cho ,Eun-Kyoung Kim ,Ki-Hoan Nam ,Kyung-Sook Chung ,Jae-Yoon Kim ,Seon-Yeop Kim ,Seon-Kyu Kim ,Seon-Young Kim ,Dong-Seok Lee ,Jin-Man Kim ,Young-Ho Park ,Sun-Uk Kim

Abstract

Hutchinson-Gilford progeria syndrome (HGPS), an extremely rare progressive genetic disorder, is caused by a point mutation in LMNA that induces progerin production, which disrupts cellular function and triggers premature aging and mortality. Despite extensive efforts, HPGS remains incurable. We successfully implemented a strategy using RfxCas13d to selectively target progerin mRNA at specific junction regions, without unintended cleavage and reduce its expression. This technique discriminated between normal lamin A and progerin, thus providing a safe and targeted therapeutic avenue to treat HGPS. Our approach effectively restored aberrant gene expression and progerin-induced cellular phenotypes, including senescence, mitochondrial dysfunction, and DNA damage in cells with HGPS and LMNAG608G/G608G mice. Notably, LMNAG608G/G608G mice exhibited improved progeroid phenotypes, suggesting a potential therapeutic application of this approach for other diseases resulting from abnormal RNA splicing. Keywords: Hutchinson-Gilford progeria syndrome; RfxCas13d; lamin A; mis-splicing; progerin.

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