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University of Groningen Exon skipping therapy for dystrophic epidermolysis bullosa Bremer, Jeroen

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Exon skipping therapy for dystrophic epidermolysis bullosa

Bremer, Jeroen

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from

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Publication date:

2018

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Bremer, J. (2018). Exon skipping therapy for dystrophic epidermolysis bullosa. University of Groningen.

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Exon skipping therapy for

dystrophic epidermolysis bullosa

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GUIDE

Cover image: Successful treatment of RDEB patient skin grafts (Chapter 2)

Background: Patient cells expressing type VII collagen upon exon skipping treatment.

Cover and layout design: Jeroen Bremer

Printed by: Gildeprint

©Copyright: Jeroen Bremer, 2018

No part of this thesis may be reproduced in any form or by any means, without prior

written permission of the author. The copyrights of the publications remain with the

publisher, unless stated otherwise.

The research described in this thesis was supported by the ERA-Net for Research

Programmes on Rare Diseases (E-RARE) grant: Splice-EB, Stichting Vlinderkind (Dutch

Butterfly Child Foundation), and Zeldzame Ziekten Fonds (Rare Disease Fund). Their

support is gratefully acknowledged in this thesis.

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Exon skipping therapy for

dystrophic epidermolysis bullosa

PhD thesis

to obtain the degree of PhD at the University of Groningen

on the authority of the Rector Magnificus Prof. E. Sterken

and in accordance with the decision by the College of Deans. This thesis will be defended in public on Wednesday 25 April 2018 at 11:00 hours

by

Jeroen Bremer

born on 19 July 1988

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Dr. A.M.G. Pasmooij

Dr. P.C. van den Akker

Assessment committee

Prof. J.W. Bauer

Prof. R.M.W. Hofstra

Prof. R.A. Bank

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Paranimfen

Joost Meijer

Antoni Gostyński

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Contents

Ch. 1 Introduction... 9

Part one: Exon skipping as therapeutic approach Ch. 2 Antisense oligonucleotide-mediated exon skipping as therapeutic approach for recessive dystrophic epidermolysis bullosa... 31

Ch. 3 Analysis of the functional consequences of targeted exon deletion in COL7A1 reveals prospects for dystrophic epidermolysis bullosa therapy... 51

Ch. 4 Murine type VII collagen distorts outcome in human skin graft mouse models for dystrophic epidermolysis bullosa... 77

Ch. 5 RNA-based therapies for genodermatoses... 89

Part two: Natural exon skipping Ch. 6 Natural exon skipping sets the stage for antisense oligonucleotide- mediated exon skipping as a therapeutic approach for dystrophic epidermolysis bullosa... 117

Ch. 7 Amelioration of junctional epidermolysis bullosa due to exon skipping... 139

Ch. 8 In-frame exon skipping in KRT5 due to novel intronic deletion causes epidermolysis bullosa simplex, generalized severe... 149

Ch. 9 A PLEC isoform identified in skin, muscle, and heart... 157

Ch. 10 Discussion and future perspectives... 169

Apendices... 191

Summary... 205

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