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Abstract
Myotonic dystrophy type 1 and type 2 (DM1, DM2) are caused by expansions of CTG and CCTG repeats, respectively. RNAs containing expanded CUG or CCUG repeats interfere with the metabolism of other RNAs through titration of the Muscleblind-like (MBNL) RNA binding proteins. DM2 follows a more favorable clinical course than DM1, suggesting that specific modifiers may modulate DM severity. Here, we report that the rbFOX1 RNA binding protein binds to expanded CCUG RNA repeats, but not to expanded CUG RNA repeats. Interestingly, rbFOX1 competes with MBNL1 for binding to CCUG expanded repeats and overexpression of rbFOX1 partly releases MBNL1 from sequestration within CCUG RNA foci in DM2 muscle cells. Furthermore, expression of rbFOX1 corrects alternative splicing alterations and rescues muscle atrophy, climbing and flying defects caused by expression of expanded CCUG repeats in a Drosophila model of DM2.
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1 IGBMC, INSERM U964, CNRS UMR7104, University of Strasbourg, Illkirch, France
2 Translational Genomics Group, Interdisciplinary Research Structure for Biotechnology and Biomedicine BIOTECMED, University of Valencia, Valencia, Spain; INCLIVA Health Research Institute, Valencia, Spain
3 Institute for Molecular Biology and Biophysics, Swiss Federal Institute of Technology (ETH) Zurich, Zurich, Switzerland
4 Department of Neurology, University of Texas Medical Branch, Galveston, TX, USA
5 Human Genetics Research Unit, Laval University, CHUQ, Ste-Foy, Quebec, Canada
6 Neuromuscular Research Center, Tampere University Hospital, Tampere, Finland; Department of Medical Genetics, Folkhälsan Institute of Genetics, Helsinki University, Helsinki, Finland; Department of Neurology, Vasa Central Hospital, Vaasa, Finland
7 Department of Neurology, Stanford University, San Francisco, CA, USA
8 Department of Biomedical Sciences for Health, University of Milan, Milan, Italy; Neurology Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
9 Sorbonne Université, Inserm, Association Institut de Myologie, Center of Research in Myology, Paris, France
10 Department of Neurology, Toneyama National Hospital, Toyonaka, Japan
11 Department of Neurology, Osaka University Graduate School of Medicine, Suita, Japan
12 Friedrich-Baur-Institute, Department of Neurology, Ludwig Maximilian University, Munich, Germany
13 IGBMC, INSERM U964, CNRS UMR7104, University of Strasbourg, Illkirch, France; UMR7104, Centre National de la Recherche Scientifique, Illkirch, France; Institut National de la Santé et de la Recherche Médicale, U964, Illkirch, France; Université de Strasbourg, Illkirch, France