Myotonic dystrophy (DM) is caused by a CTG expansion in the 3' untrans
lated region of the DM gene. One model of DM pathogenesis suggests tha
t RNAs from the expanded allele create a gain-of-function mutation by
the inappropriate binding of proteins to the CUG repeats. Data present
ed here indicate that the conserved heterogeneous nuclear ribonucleopr
otein, CUG-binding protein (CUG-BP), may mediate the trans-dominant ef
fect of the RNA. CUG-BP was found to bind to the human cardiac troponi
n T (cTNT) pre-messenger RNA and regulate its alternative splicing. Sp
licing of cTNT was disrupted in DM striated muscle and in normal cells
expressing transcripts that contain CUG repeats. Altered expression o
f genes regulated posttranscriptionally by CUG-BP therefore may contri
bute to DM pathogenesis.