MIT researchers have identified a molecular mechanism linking two common MECP2 mutations in Rett syndrome to leaky brain blood vessels. Using 3D microvascular networks built from patient-derived iPS cells, they found that both mutations lead to overexpression of miRNA-126-3p, which suppresses ZO-1 protein expression and disrupts tight junctions in endothelial cells, increasing blood-brain barrier permeability. Treating the cultures with an antisense molecule to reduce miRNA-126-3p levels partially restored barrier function. A drug called miRisten that inhibits miR-126, currently in clinical trials for leukemia, is planned for testing in Rett syndrome mouse models.
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