Oligonucleotide-based strategies to combat polyglutamine diseases

Agnieszka Fiszer1, Wlodzimierz J Krzyzosiak2

  • 1Department of Molecular Biomedicine, Institute of Bioorganic Chemistry, Polish Academy of Sciences, Noskowskiego 12/14, 61-704 Poznan, Poland.

Insights

Oligonucleotide-based therapies show promise for treating polyglutamine (polyQ) diseases by silencing mutant gene expression. This review examines antisense oligonucleotides and RNA interference strategies in preclinical models.

Area of Science:

  • Neuroscience
  • Genetics
  • Molecular Biology

Background:

  • Polyglutamine (polyQ) diseases share common molecular pathogenic mechanisms involving mutant protein and RNA toxicity.
  • Therapeutic strategies are advancing, with a focus on targeting gene expression early in disease pathogenesis.

Purpose of the Study:

  • To review the use of oligonucleotide (ON)-based tools, including antisense oligonucleotides (ASOs) and RNA interference (RNAi) triggers, for treating polyQ diseases.
  • To compare different gene silencing strategies (non-allele-selective and allele-selective) in cellular and animal models.

Main Methods:

  • Review of studies utilizing ASOs and RNAi triggers for experimental treatment of polyQ diseases.
  • Analysis of allele-selective strategies targeting SNPs or expanded CAG repeats.
  • Comparison of gene silencing effectors based on design, efficiency in cell culture, and preclinical testing.

Main Results:

  • Oligonucleotide-based tools are effective in reducing mutant gene expression in preclinical models of polyQ diseases.
  • Both non-allele-selective and allele-selective silencing strategies have been explored.
  • Allele-selective approaches offer potential for greater specificity by targeting specific mutations or repeat expansions.

Conclusions:

  • ON-based gene silencing represents a promising therapeutic avenue for polyQ diseases.
  • Further research is needed to optimize ON design, delivery, and efficacy, and to address current limitations for clinical translation.