A novel Werner Syndrome mutation: pharmacological treatment by read-through of nonsense mutations and epigenetic therapies

Epigenetics. 2015;10(4):329-41. doi: 10.1080/15592294.2015.1027853.

Abstract

Werner Syndrome (WS) is a rare inherited disease characterized by premature aging and increased propensity for cancer. Mutations in the WRN gene can be of several types, including nonsense mutations, leading to a truncated protein form. WRN is a RecQ family member with both helicase and exonuclease activities, and it participates in several cell metabolic pathways, including DNA replication, DNA repair, and telomere maintenance. Here, we reported a novel homozygous WS mutation (c.3767 C > G) in 2 Argentinian brothers, which resulted in a stop codon and a truncated protein (p.S1256X). We also observed increased WRN promoter methylation in the cells of patients and decreased messenger WRN RNA (WRN mRNA) expression. Finally, we showed that the read-through of nonsense mutation pharmacologic treatment with both aminoglycosides (AGs) and ataluren (PTC-124) in these cells restores full-length protein expression and WRN functionality.

Keywords: Epigenetics; PTC read-through therapy; Werner Syndrome; methylation; mutation.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aging, Premature / genetics
  • Aminoglycosides / pharmacology
  • Apoptosis / drug effects
  • Cells, Cultured
  • Chromosomes, Human / drug effects
  • Codon, Nonsense
  • DNA Damage / drug effects
  • DNA Methylation / drug effects*
  • DNA Replication / drug effects
  • Epigenesis, Genetic*
  • Female
  • Humans
  • Male
  • Mutation*
  • Oxadiazoles / pharmacology
  • Promoter Regions, Genetic / drug effects
  • Protein Synthesis Inhibitors / pharmacology
  • Werner Syndrome / drug therapy
  • Werner Syndrome / genetics*

Substances

  • Aminoglycosides
  • Codon, Nonsense
  • Oxadiazoles
  • Protein Synthesis Inhibitors
  • ataluren