“…In vitro , GGGGCC repeat RNA forms secondary structures, including hairpins45,66 and highly stable G-quadruplexes45,66,161–163. Other secondary structures, including DNA–RNA heteroduplexes, RNA duplexes and i-motifs164–167, might arise from the sense and antisense repeat RNA and DNA sequences. In vivo , such secondary structures are likely to mediate the sequestration — and, as a consequence, depletion — of RNA-binding proteins (RBPs)66,161 (Box 2), thus providing a clear potential route to RNA toxicity (reviewed extensively elsewhere164,168).…”