Identification of CTG.CAG contraction factors in Myotonic Dystrophy type 1
Résumé
Objectifs
Myotonic dystrophy type 1 (DM1) is a neuromuscular disease caused by an unstable
CTG repeat expansion in the DMPK gene. Larger expansions are associated with
more severe symptoms and a decreasing age of onset.
We hypothesize that the development of innovative therapeutic strategies, aimed at
decreasing the CTG repeat length, and thus to stop or reverse the progression of the
disease, may improve the quality of life of patients. The specific objective of our work
is to uncover bioactive molecules able to induce repeat contractions in trinucleotide
repeat (TNR) models and to decipher the mechanisms promoting these contractions
using efficient tools.
Contenu
We performed a large-scale screen for pharmacologically relevant chemical
modulators of instability using the Prestwick Library taking advantage of a
chromosomal GFP reporter that can accurately measure CTG repeat changes in a
HEK293 cell population. The effect of selected molecules directly on the dynamics of
CTG repeat instability is studied in HEK293 cells as well as DM1 fibroblasts using
targeted long-read sequencing.
During the chemical screen, we identified candidate molecules notably involved in
epigenetic regulation pathways, that may modulate the size of CTG repeats. Some of
these molecules induced stabilization or even contractions of CTG repeats in the
HEK cell model and in DM1 fibroblasts. The direct perspective of our work is to
identify new small molecules and new druggable targets promoting CAG.CTG repeat
contractions, thus offering new therapeutic perspectives for DM1 and TNR diseases.