HTT
nucleic acid trans-splicing molecules are described, which include a coding domain containing one or more exons of HTT, a splice site, and a
binding domain that binds to a target
intron of HTT pre-mRNA. The HTT
nucleic acid trans-splicing molecules described herein can also be used in combination with, for example, an MSH3-
binding domain arranged in tandem with an HTT-
binding domain, an MSH3
nucleic acid trans-splicing molecule, an MSH3 splice modulator, an antisense
oligonucleotide or
antisense RNA against either MSH3 or HTT, and an MSH3 or HTT
microRNA (miRNA), as well as constructs encoding them. Compositions containing the nucleic acid trans-splicing molecules described herein also encompass compositions containing a combination of the nucleic acid trans-splicing molecule and an additional therapeutic agent (e.g., an MSH3 nucleic acid trans-splicing molecule, an MSH3 splice modulator, an antisense
oligonucleotide or
antisense RNA against either MSH3 or HTT).
Nucleic acid trans-splicing molecules and compositions containing them can be used alone or in combination with additional therapeutic agents in methods for treating Huntington's
disease (HD). Also described herein are nucleic acid trans-splicing molecules for use alone or in combination with additional therapeutic agents in the treatment of HD or in the preparation of a medicament for treating HD. Also included herein are MSH3 nucleic acid trans-splicing molecules, MSH3 splice modulators, and MSH3 miRNAs, and constructs encoding them, which may be used alone or in combination and / or in combination with additional therapeutic agents to treat a
nucleotide repeat disorder (e.g., HD) or in the preparation of a medicament for treating a
nucleotide repeat disorder (e.g., HD).