An HTT
nucleic acid trans-splice molecule is described that includes a coding domain comprising one or more HTT exons, a splice site, and a
binding domain that binds to a target
intron of an HTT
precursor mRNA. The HTT
nucleic acid trans-splice molecules described herein may also be used in combination with, for example, an MSH3
binding domain aligned in series with an HTT
binding domain, an MSH3
nucleic acid trans-splice molecule, an MSH3 splice modulator, an antisense
oligonucleotide or
antisense RNA for either of MSH3 or HTT, and an MSH3 or HTT
microRNA (miRNA) and constructs encoding them. Also encompassed are compositions comprising the nucleic acid trans-splice molecules described herein, as well as compositions comprising a nucleic acid trans-splice molecule in combination with an additional therapeutic agent (e.g., an MSH3 nucleic acid trans-splice molecule, an MSH3 splice modulator, an antisense
oligonucleotide or
antisense RNA for any one of MSH3 or HTT). The nucleic acid trans-splicing molecules may be used alone or in combination with additional therapeutic agents in methods of treating Huntington's
disease (HD). Also described herein are nucleic acid trans-splice molecules for use in the treatment of HD or in the preparation of medicaments for the treatment of HD, alone or in combination with additional therapeutic agents. Also encompassed herein are MSH3 nucleic acid trans-splice molecules, MSH3 splice modulators, and MSH3 miRNAs, as well as constructs encoding them, which can be used, alone or in combination and / or in combination with additional therapeutic agents, for the treatment of
nucleotide repeat disorders (e.g., HD) or for the preparation of medicaments for the treatment of
nucleotide repeat disorders (e.g., HD).