PMID- 38187635 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240210 DP - 2023 Dec 19 TI - Modulation of prion protein expression through cryptic splice site manipulation. LID - 2023.12.19.572439 [pii] LID - 10.1101/2023.12.19.572439 [doi] AB - Lowering expression of prion protein (PrP) is a well-validated therapeutic strategy in prion disease, but additional modalities are urgently needed. In other diseases, small molecules have proven capable of modulating pre-mRNA splicing, sometimes by forcing inclusion of cryptic exons that reduce gene expression. Here, we characterize a cryptic exon located in human PRNP's sole intron and evaluate its potential to reduce PrP expression through incorporation into the 5' untranslated region (5'UTR). This exon is homologous to exon 2 in non-primate species, but contains a start codon that would yield an upstream open reading frame (uORF) with a stop codon prior to a splice site if included in PRNP mRNA, potentially downregulating PrP expression through translational repression or nonsense-mediated decay. We establish a minigene transfection system and test a panel of splice site alterations, identifying mutants that reduce PrP expression by as much as 78%. Our findings nominate a new therapeutic target for lowering PrP. FAU - Gentile, Juliana E AU - Gentile JE AD - McCance Center for Brain Health and Department of Neurology, Massachusetts General Hospital, Boston, MA 02114. AD - Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142. FAU - Corridon, Taylor L AU - Corridon TL AD - McCance Center for Brain Health and Department of Neurology, Massachusetts General Hospital, Boston, MA 02114. AD - Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142. FAU - Mortberg, Meredith A AU - Mortberg MA AD - McCance Center for Brain Health and Department of Neurology, Massachusetts General Hospital, Boston, MA 02114. AD - Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142. FAU - D'Souza, Elston Neil AU - D'Souza EN AD - Big Data Institute and Centre for Human Genetics, University of Oxford, Oxford OX3 7LF, UK. FAU - Whiffin, Nicola AU - Whiffin N AUID- ORCID: 0000-0003-1554-6594 AD - Big Data Institute and Centre for Human Genetics, University of Oxford, Oxford OX3 7LF, UK. AD - Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA. FAU - Minikel, Eric Vallabh AU - Minikel EV AUID- ORCID: 0000-0003-2206-1608 AD - McCance Center for Brain Health and Department of Neurology, Massachusetts General Hospital, Boston, MA 02114. AD - Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142. FAU - Vallabh, Sonia M AU - Vallabh SM AUID- ORCID: 0000-0003-3824-2702 AD - McCance Center for Brain Health and Department of Neurology, Massachusetts General Hospital, Boston, MA 02114. AD - Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - R01 NS125255/NS/NINDS NIH HHS/United States PT - Preprint DEP - 20231219 PL - United States TA - bioRxiv JT - bioRxiv : the preprint server for biology JID - 101680187 PMC - PMC10769280 EDAT- 2024/01/08 06:42 MHDA- 2024/01/08 06:43 PMCR- 2024/01/05 CRDT- 2024/01/08 04:50 PHST- 2024/01/08 06:42 [pubmed] PHST- 2024/01/08 06:43 [medline] PHST- 2024/01/08 04:50 [entrez] PHST- 2024/01/05 00:00 [pmc-release] AID - 2023.12.19.572439 [pii] AID - 10.1101/2023.12.19.572439 [doi] PST - epublish SO - bioRxiv [Preprint]. 2023 Dec 19:2023.12.19.572439. doi: 10.1101/2023.12.19.572439.