Correction of aberrant pre-mRNA splicing by antisense oligonucleotides in beta-thalassemia Egyptian patients with IVSI-110 mutation

J Pediatr Hematol Oncol. 2008 Apr;30(4):281-4. doi: 10.1097/MPH.0b013e3181639afe.

Abstract

The splicing mutation in intron 1 of beta-globin gene (IVS1-110) is the most common mutation in Egyptian thalassemics that causes aberrant splicing of pre-mRNA and deficient beta-globin chain synthesis. Antisense oligonucleotides (ASONs) are compounds that redirect pre-mRNA splicing and modify gene expression. Our aim was ex vivo correction of the aberrant splicing of beta-globin110 pre-mRNA by ASON against the 3' aberrant splice site. Peripheral blood mononuclear cells of 10 thalassemic patients with IVS1-110 mutation were duplicated and 1 was treated with 20 micromoL/mL morpholino ASON targeted against the 3' aberrant splice site. The level of total hemoglobin (Hb), fetal Hb, and mRNA were estimated in the duplicate samples. Five cases (50%) showed correction with ASON treatment, of which 2 cases showed the appearance of corrected mRNA band with absence of the aberrant band and 3 cases showed an increased ratio of the corrected to the aberrant mRNA band from 2:1 to 3:1, and 4:1. The total Hb showed significant increase in the 5 corrected cases. In conclusion, ASON can restore correct splicing of beta-globin pre-mRNA leading to correct gene product in cultured erythropoietic cells. These results suggest the applicability of ASON for the treatment of thalassemia.

MeSH terms

  • Adolescent
  • Adult
  • Alternative Splicing
  • Child
  • Child, Preschool
  • Egypt
  • Female
  • Globins / genetics*
  • Homozygote
  • Humans
  • Introns*
  • Male
  • Mutation*
  • Oligonucleotides, Antisense / pharmacology*
  • RNA Precursors / genetics*
  • RNA Splicing* / drug effects
  • Reverse Transcriptase Polymerase Chain Reaction
  • beta-Thalassemia / genetics*

Substances

  • Oligonucleotides, Antisense
  • RNA Precursors
  • Globins