Target intelligence / Profile preview

Methyl-CpG binding protein 2 pre-messenger RNA (MECP2 pre-mRNA)

Target
MECP2 pre-mRNA
Molecular classification
RNA, Pre-messenger RNA
01

Overview

Methyl-CpG binding protein 2 (MECP2) pre-messenger RNA is the precursor transcript of the MECP2 gene, which encodes a protein vital for neuronal maturation and the maintenance of synaptic plasticity by binding to methylated DNA and modulating chromatin architecture (UniProt, 2024). Mutations in this transcript, most frequently G-to-A transitions that create premature stop codons or deleterious missense mutations, are the primary cause of Rett syndrome, a progressive X-linked neurodevelopmental disorder (NIH, 2023). The mutant pre-mRNA serves as a therapeutic target for RNA editing technologies that leverage endogenous Adenosine Deaminase Acting on RNA (ADAR) enzymes (Sinnamon et al., 2017). By using antisense oligonucleotides, such as ADAR-mediated RNA editing oligonucleotides (AIMers), to guide ADAR to a specific adenosine site, the enzyme catalyzes an Adenosine-to-Inosine (A-to-I) conversion (Wave Life Sciences, 2024). Because the translational machinery interprets Inosine as Guanosine, this process effectively corrects the genetic error at the RNA level, restoring functional MECP2 protein expression while maintaining endogenous regulatory control (Koretskaia et al., 2024). This approach is particularly promising for Rett syndrome because it avoids the risks of protein over-expression associated with traditional gene replacement therapies (Sinnamon et al., 2020).

Other names
Mutant MECP2 pre-mRNA via endogenous ADAR enzymesMECP2 transcriptMethyl-CpG-binding protein 2 RNAMECP2 pre-mRNA
02

Mechanism of action

Recruitment of endogenous Adenosine Deaminase Acting on RNA (ADAR) enzymes to catalyze site-specific Adenosine-to-Inosine (A-to-I) editing of mutant pre-mRNA, effectively correcting G-to-A mutations at the RNA level.

03

Biological functions

Transcriptional regulationChromatin remodelingEpigenetic regulationNeuronal developmentSynaptic plasticity
04

Disease associations

Rett syndrome
05

Safety considerations

Off-target RNA editing (transcriptome-wide)MECP2 protein over-expression (MECP2 duplication syndrome risk)Innate immune activation by synthetic oligonucleotidesEfficient delivery to target neurons in the central nervous system
06

Interacting drugs

RNA editing oligonucleotides (REOs)

2 more in the full profile.

07

Biomarkers

MECP2 protein expression levelsA-to-I RNA editing frequencyRett Syndrome Behavior Questionnaire (RSBQ) scoreClinical Global Impression-Improvement (CGI-I) scale

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