The term 'trans-splicing' encompasses several platform technologies that combine two RNA or protein molecules to generate a new, chimeric product. RNA trans-splicing reprograms the sequences of endogenous messenger mRNA or pre-mRNA, converting them to a new, desired gene product. Trans-splicing has broad applications, depending on the nature of the sequences that are inserted or trans-spliced to the defined target. Trans-splicing RNA therapy offers significant advantages over conventional gene therapy: expression of the trans-spliced sequence is controlled by the endogenous regulation of the target pre-mRNA; reduction or elimination of undesirable ectopic expression; the ability to use smaller constructs that transsplice only a portion of the gene to be replaced; and the conversion of dominant-negative mutations to wild-type gene products. Gene Therapy (2005)
RNA therapy by trans-splicingMost 'traditional' gene therapy strategies add the function of a full-length gene to a population of target cells while endogenous gene expression continues on in parallel. Delivery and regulated expression of the transgene are important considerations in many therapeutic applications to minimize undesirable ectopic gene expression in the wrong place, time, or quantity. In trans-splicing-based RNA therapeutics, a well-defined endogenously expressed target pre-mRNA is cut and a new sequence from a trans-splicing molecule is inserted or trans-spliced into the 3 0 , 5 0 , or internal sequence of the target to generate a new gene product (Figure 1). Expression of the trans-spliced gene is regulated by the control elements of the target gene. Undesired gene expression due to unintended delivery or misregulation is minimized as trans-splicing should only occur in those cells expressing the target pre-mRNA. In addition, transsplicing RNA therapy offers several other advantages over conventional gene therapy including the ability to use small constructs that trans-splice just a portion of the gene and the conversion of dominant-negative mutations to wild-type gene products. The two most commonly studied trans-splicing methodologies are spliceosomemediated RNA trans-splicing (SMaRTt) and ribozymemediated trans-splicing.
Published online 25 August 2005Correspondence: Dr LG Mitchell, Intronn Inc., 910 Clopper Road, South Building, Suite 210, Gaithersburg, MD 20878, USA Gene Therapy (2005) 12, 1477-1485 & 2005 Nature Publishing Group All rights reserved 0969-7128/05 $30.00 www.nature.com/gt
In brief ProgressSpliceosome-mediated RNA trans-splicing (SMaRTt) can reprogram the 5 0 , 3 0 or internal coding sequences of a targeted transcript. The therapeutic potential of SMaRTt has been demonstrated in vivo in different systems. Trans-splicing confers the endogenous regulation of the targeted transcript on the sequence that is transspliced. Trans-splicing is a tool for molecular imaging. Improvements in ribozyme mediated trans-splicing have been demonstrated in vitro. New technologies for trans-splicing RNA and protein are being developed. High-...