Personalized gene silencing therapeutics for Huntington disease
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Personalized gene silencing therapeutics for Huntington disease. / Kay, C; Skotte, N H; Southwell, A L; Hayden, M R.
In: Clinical Genetics, Vol. 86, No. 1, 07.2014, p. 29-36.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Personalized gene silencing therapeutics for Huntington disease
AU - Kay, C
AU - Skotte, N H
AU - Southwell, A L
AU - Hayden, M R
N1 - © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2014/7
Y1 - 2014/7
N2 - Gene silencing offers a novel therapeutic strategy for dominant genetic disorders. In specific diseases, selective silencing of only one copy of a gene may be advantageous over non-selective silencing of both copies. Huntington disease (HD) is an autosomal dominant disorder caused by an expanded CAG trinucleotide repeat in the Huntingtin gene (HTT). Silencing both expanded and normal copies of HTT may be therapeutically beneficial, but preservation of normal HTT expression is preferred. Allele-specific methods can selectively silence the mutant HTT transcript by targeting either the expanded CAG repeat or single nucleotide polymorphisms (SNPs) in linkage disequilibrium with the expansion. Both approaches require personalized treatment strategies based on patient genotypes. We compare the prospect of safe treatment of HD by CAG- and SNP-specific silencing approaches and review HD population genetics used to guide target identification in the patient population. Clinical implementation of allele-specific HTT silencing faces challenges common to personalized genetic medicine, requiring novel solutions from clinical scientists and regulatory authorities.
AB - Gene silencing offers a novel therapeutic strategy for dominant genetic disorders. In specific diseases, selective silencing of only one copy of a gene may be advantageous over non-selective silencing of both copies. Huntington disease (HD) is an autosomal dominant disorder caused by an expanded CAG trinucleotide repeat in the Huntingtin gene (HTT). Silencing both expanded and normal copies of HTT may be therapeutically beneficial, but preservation of normal HTT expression is preferred. Allele-specific methods can selectively silence the mutant HTT transcript by targeting either the expanded CAG repeat or single nucleotide polymorphisms (SNPs) in linkage disequilibrium with the expansion. Both approaches require personalized treatment strategies based on patient genotypes. We compare the prospect of safe treatment of HD by CAG- and SNP-specific silencing approaches and review HD population genetics used to guide target identification in the patient population. Clinical implementation of allele-specific HTT silencing faces challenges common to personalized genetic medicine, requiring novel solutions from clinical scientists and regulatory authorities.
KW - Gene Silencing
KW - Genes, Dominant
KW - Genetic Therapy
KW - Genetics, Population
KW - Humans
KW - Huntington Disease
KW - Nerve Tissue Proteins
KW - Polymorphism, Single Nucleotide
KW - Precision Medicine
KW - Trinucleotide Repeat Expansion
U2 - 10.1111/cge.12385
DO - 10.1111/cge.12385
M3 - Journal article
C2 - 24646433
VL - 86
SP - 29
EP - 36
JO - Clinical Genetics
JF - Clinical Genetics
SN - 0009-9163
IS - 1
ER -
ID: 153451225