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The Prion protein gene regulatory region (PRNP regulatory region) is the genomic segment, including the promoter, exon 1, and intron 1, that controls the transcription of the PRNP gene [1.1.1, 1.4.1]. This gene encodes the cellular prion protein (PrPC), a membrane-anchored glycoprotein whose misfolding into the pathogenic PrPSc isoform is the central event in fatal neurodegenerative diseases such as Creutzfeldt-Jakob disease (CJD) and fatal familial insomnia [1.1.2, 1.3.2]. Because PrPC is essential for the replication and neurotoxicity of prions, the regulatory region is a primary target for "substrate reduction" therapies aimed at lowering PrPC levels at the source [1.2.2, 1.4.4]. Experimental approaches include the use of CRISPR interference (CRISPRi) for transcriptional silencing and CRISPR/Cas9 for permanent gene knockout [1.2.3, 1.2.5]. Additionally, the presence of G-quadruplex DNA structures within this region provides a potential site for small-molecule ligands to modulate gene expression [1.4.4]. While no therapies targeting this genomic region are currently approved, it remains a critical focus for developing durable genetic treatments for both sporadic and inherited prion disorders [1.2.2, 1.2.5].
Transcriptional silencing, genomic deletion, and G-quadruplex stabilization to reduce PrPC expression.
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