TY - JOUR A1 - Garcia-Lopez, Amparo A1 - Tessaro, Francesca A1 - Jonker, Hendrik R. A. A1 - Wacker, Anna A1 - Richter, Christian A1 - Comte, Arnaud A1 - Berntenis, Nikolaos A1 - Schmucki, Roland A1 - Hatje, Klas A1 - Petermann, Olivier A1 - Chiriano, Gianpaolo A1 - Perozzo, Remo A1 - Sciarra, Daniel A1 - Konieczny, Piotr A1 - Faustino, Ignacio A1 - Fournet, Guy A1 - Orozco, Modesto A1 - Artero, Ruben A1 - Metzger, Friedrich A1 - Ebeling, Martin A1 - Goekjian, Peter A1 - Joseph, Benoît A1 - Schwalbe, Harald A1 - Scapozza, Leonardo T1 - Targeting RNA structure in SMN2 reverses spinal muscular atrophy molecular phenotypes T2 - Nature Communications N2 - Modification of SMN2 exon 7 (E7) splicing is a validated therapeutic strategy against spinal muscular atrophy (SMA). However, a target-based approach to identify small-molecule E7 splicing modifiers has not been attempted, which could reveal novel therapies with improved mechanistic insight. Here, we chose as a target the stem-loop RNA structure TSL2, which overlaps with the 5′ splicing site of E7. A small-molecule TSL2-binding compound, homocarbonyltopsentin (PK4C9), was identified that increases E7 splicing to therapeutic levels and rescues downstream molecular alterations in SMA cells. High-resolution NMR combined with molecular modelling revealed that PK4C9 binds to pentaloop conformations of TSL2 and promotes a shift to triloop conformations that display enhanced E7 splicing. Collectively, our study validates TSL2 as a target for small-molecule drug discovery in SMA, identifies a novel mechanism of action for an E7 splicing modifier, and sets a precedent for other splicing-mediated diseases where RNA structure could be similarly targeted. KW - High-throughput screening KW - Molecular modelling KW - RNASolution-state NMR KW - Target validation Y1 - 2018 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/46574 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-465746 SN - 2041-1723 N1 - Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. VL - 9 IS - 1, Art. 2032 SP - 1 EP - 12 PB - Nature Publishing Group UK CY - [London] ER -