RNA
contributes to disease pathobiology and is an important therapeutic
target. The downstream biology of disease-causing RNAs can be short-circuited
with small molecules that recognize structured regions. The discovery
and optimization of small molecules interacting with RNA is, however,
challenging. Herein, we demonstrate a massively parallel one-bead-one-compound
methodology, employed to optimize the linker region of a dimeric compound
that binds the toxic r(CUG) repeat expansion [r(CUG)exp] causative of myotonic dystrophy type 1 (DM1). Indeed, affinity
selection on a 331,776-member library allowed the discovery of a compound
with enhanced potency both in vitro (10-fold) and in DM1-patient-derived
myotubes (5-fold). Molecular dynamics simulations revealed additional
interactions between the optimized linker and the RNA, resulting in
ca. 10 kcal/mol lower binding free energy. The compound was conjugated
to a cleavage module, which directly cleaved the transcript harboring
the r(CUG)exp and alleviated disease-associated defects.