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. Author manuscript; available in PMC: 2023 Dec 12.
Published in final edited form as: Nat Rev Genet. 2022 Nov 23;24(5):276–294. doi: 10.1038/s41576-022-00550-0

Table 2 |.

RBP–effector interactions in human disease

RBP–effector interaction Genetic disorder or developmental abnormality Causative or associated mutation Therapeutic approach

Disease-linked mutations that affect RBP–effector interactions

FUS–TNPO1 ALS, rare cases of FTLD143 Mutations in PY-NLS or NR
HNRNPA1–TNPO1 ALS175 cNLS of RBPs
HNRNPH2–TNPO1 Neurodevelopmental delay, autism148
TDP43–Kapβ1/Impα ALS176,177

MATR3–TREX complex ALS, vocal cord and pharyngeal weakness with distal myopathy149,178 Mutations in IDRs of MATR3 NR

RBP–SMN SMA48,179 Mutations in the Tudor domain of SMN NR

Therapeutically targeted RBP–effector interactions

SRSF6–U1 snRNP Familial dysautonomia (Riley–Day syndrome) Intronic mutation in ELP1 Small-molecule CLK1 agonist-enhanced SRSF6 phosphorylation to rescue abnormal skipping of the IKBKAP exon 20 (ref.156)

SRSFs–U1/U2 snRNPs Duchenne muscular dystrophy, cystic fibrosis, anhidrotic ectodermal dysplasia with immunodeficiency Exonic mutation in DMD, intronic mutations in CFTR and IKBKG Pharmacological CLK inhibition to suppress SRSF phosphorylation and pathogenic exon inclusion158,180,181

SRSFs–U1 snRNP Leukaemia, prostate cancer, colon cancer, breast cancer, lung cancer, neovascular eye disease Cancer-associated mutations in tumour suppressor genes and oncogenes Inhibition of SRPK activity to normalize isoform levels of genes linked to cancer progression, apoptosis and angiogenesis159162

FUS–TNPO1
EWSR1–TNPO1
TAF15–TNPO1
HNRNPA1–TNPO1
HNRNPA2–TNPO1
TDP43–Kapβ1/Impα
ALS, FTLD, Alzheimer disease, multisystem proteinopathy Aggregation-promoting mutations in RBPs or disrupted arginine methylation Delivery of NIRs to afflicted neurons or modulation of arginine methyltransferase activity5255,127,164

ATXN2–PABPC Spinocerebellar ataxia 2, ALS Expansion of the polyglutamine domain in ATXN2 Designer PABPC-like chaperones to counter pathogenic RNP condensate formation85

ZFP36–CCR4–NOT Rheumatoid arthritis, psoriasis, multiple sclerosis, juvenile idiopathic arthritis, inflammatory diseases Mutations in and/or reduced expression of ZFP36, aberrant signalling PP2A agonists to activate ZFP36 or forced expression of ZFP36
in peripheral tissues or immune cells165,166,182,183

RBM38–eIF4E Cancers NR SLiM-mimicking synthetic peptide Pep8 increases expression of p53 by blocking the inhibitory RBM38-eIF4E interaction169

ALS, amyotrophic Lateral sclerosis; ATXN2, ataxin 2; cNLS, lysine-rich NLS; FTLD, frontotemporal lobar degeneration; MATR3, matrin 3; NIR, nuclear import receptor; NLS, nuclear localization sequence; NR, not reported; PABPC, cytoplasmic poly(A)-binding protein; PP2A, protein phosphatase 2A; PY-NLS, proline-tyrosine-rich NLS; RBP, RNA-binding protein; SLiM, short linear motif; SMA, spinal muscular atrophy; SMN, survival motor neuron protein; snRNP, small nuclear ribonucleoprotein; TNPO1, transportin 1; TREX, transport and export.