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Research article 2023 Reviewed

Amlexanox: Readthrough Induction and Nonsense-Mediated mRNA Decay Inhibition in a Charcot–Marie–Tooth Model of hiPSCs-Derived Neuronal Cells Harboring a Nonsense Mutation in GDAP1 Gene

Nesrine Benslimane, Federica Miressi, Camille Loret, Laurence Richard, Angélique Nizou, Ioanna Pyromali, Pierre-Antoine Faye, Frédéric Favreau, Fabrice Lejeune, Anne-Sophie Lia

PharmaceuticalsMDPI AG

Abstract via Crossref

Nonsense mutations are involved in multiple peripheral neuropathies. These mutations induce the presence of a premature termination codon (PTC) at the mRNA level. As a result, a dysfunctional or truncated protein is synthesized, or even absent linked to nonsense-mediated mRNA degradation (NMD) system activation. Readthrough molecules or NMD inhibitors could be innovative therapies in these hereditary neuropathies, particularly molecules harboring the dual activity as amlexanox. Charcot–Marie–Tooth (CMT) is the most common inherited pathology of the peripheral nervous system, affecting 1 in 2500 people worldwide. Nonsense mutations in the GDAP1 gene have been associated with a severe form of CMT, prompting us to investigate the effect of readthrough and NMD inhibitor molecules. Although not clearly defined, GDAP1 could be involved in mitochondrial functions, such as mitophagy. We focused on the homozygous c.581C>G (p.Ser194*) mutation inducing CMT2H using patient human induced pluripotent stem cell (hiPSC)-derived neuronal cells. Treatment during 20 h with 100 µM of amlexanox on this cell model stabilized GDAP1 mRNAs carrying UGA-PTC and induced a restoration of the mitochondrial morphology. These results highlight the potential of readthrough molecules associated to NMD inhibitors for the treatment of genetic alterations in CMT, opening the way for future investigations and a potential therapy.

Evidence snapshot note

This reference is cited by the validated MVA · BUB1B evidence snapshot (data as of 2026-10-17) as Amlexanox in GDAP1 neuronal progenitors.

Model in the source
Human iPSC-derived neuronal progenitors with GDAP1 p.Ser194* (UGA)
Where in the publication
Figures 2-4
Cited by evidence records
MVA-AMLEXANOX-010

The note describes how the snapshot used the source; it is not a summary of the publication's conclusions.

Identifiers and provenance

DOI
10.3390/ph16071034
PMID
37513945
PMCID
PMC10385573
Metadata from
Crossref, Europe PMC, OpenAlex, fetched
License (as declared by the source)
https://creativecommons.org/licenses/by/4.0/
Open access
Yes
Added
from the MVA evidence snapshot

In the library

Tags
None yet
Keywords from the source
Cmt Disease, Nonsense Mutation, Premature Termination Codon (Ptc), Nonsense-mediated Decay (Nmd), Gdap1, Readthrough Molecules

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