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Survival motor neuron 2 pre-messenger RNA (SMN2 pre-mRNA)

Target
SMN2 pre-mRNA
Molecular classification
Other (Pre-messenger RNA), RNA (non-coding sequence prior to splicing)
01

Overview

Survival motor neuron 2 pre-messenger RNA (SMN2 pre-mRNA) is the unspliced RNA transcript produced from the SMN2 gene, a paralog of the SMN1 gene. It is the molecular substrate for splicing events that determine the inclusion or exclusion of exon 7, which is critical for generating functional SMN protein. Due to a single nucleotide difference from SMN1, SMN2 pre-mRNA is prone to exon 7 skipping during alternative splicing, resulting in truncated, unstable SMN protein insufficient for normal motor neuron function. This deficient splicing is the molecular cause of spinal muscular atrophy (SMA). Therapeutic strategies, including small molecules (e.g., risdiplam, branaplam, SMN-C compounds) and antisense oligonucleotides (e.g., nusinersen), target the splicing machinery or directly bind to SMN2 pre-mRNA to enhance exon 7 inclusion. SMN2 pre-mRNA is thus a validated and clinically exploited therapeutic RNA target for treating SMA, notable both for its biological role in RNA processing and its direct capability to be targeted by small-molecule and nucleic acid therapies.

Other names
SMN2 (when context refers to the RNA, though strictly, SMN2 gene is the DNA locus)SMN2 transcriptSurvival motor neuron 2 pre-mRNA
02

Mechanism of action

Small molecule binding to specific RNA secondary structures to modulate exon 7 inclusion (e.g., risdiplam, SMN-C2/C3); Stabilization/alteration of RNA-protein complexes promoting exon 7 inclusion/skipping reversal; Antisense oligonucleotide-mediated splicing alteration (e.g., nusinersen, enhances exon 7 inclusion by blocking splicing repressors)

03

Biological functions

Precursor for SMN2 mRNA splicingRegulation of SMN protein expressionMediator of alternative splicingSubstrate for splicing factors and drug binding
04

Disease associations

Neurodegenerative disease (Spinal muscular atrophy)
05

Safety considerations

Off-target splicing changes in other pre-mRNAs (risk for broader transcriptome alteration by small molecules)Overcorrection or toxicity due to excessive SMN protein or off-target pharmacology (rare)Effects of long-term manipulation of RNA splicing still under study
06

Interacting drugs

Risdiplam (RG7916)

7 more in the full profile.

07

Biomarkers

SMN2 exon 7 inclusion rate in SMN2 mRNALevel of full-length SMN proteinSpinal muscular atrophy clinical severity

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