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Published on: June 15, 2018
Engineered microRNA therapeutics
1NW Gibson, Regulus Therapeutics Inc, 3545 John Hopkins Court, San Diego, CA 92121-1121, USA. Email ngibson@regulusrx.com.
Abstract:
Targeting of microRNAs that are overexpressed or replacement of microRNAs whose expression is lost are two distinct and novel approaches to treat disease(s) driven by microRNA dysregulation. This can be achieved by chemical modification of either a single stranded oligonucleotide called an antimiR or a double stranded nucleic acid molecule termed a microRNA mimic.With hundreds of microRNAs identified and knowledge of their role in disease becoming clearer there is the prospect, over the coming years, to harness engineered microRNA therapeutics to revolutionise the way diseases are treated.Both types of engineered microRNA therapeutics have advanced into clinical development with human proof of concept achieved with an anti-miR targeting miR-122 (one of the most abundant microRNAs in human hepatocytes that is utilised by the hepatitis C virus to enable its function and replication). Rather than targeting individual proteins or enzymes involved in human disease, an opportunity now exists to modulate multiple different proteins/enzymes which act in concert in the progression of disease.
Insights
Engineered microRNA therapeutics offer novel disease treatment strategies by targeting microRNA dysregulation. These approaches, including antimiRs and microRNA mimics, are advancing into clinical trials for various conditions.
Area of Science:
- Biotechnology
- Molecular Biology
- Pharmacology
Background:
- MicroRNAs (miRNAs) play crucial roles in gene regulation and are implicated in various diseases.
- Dysregulation of miRNA expression, either overexpression or loss, drives disease progression.
- Current therapeutic strategies often target individual proteins, missing opportunities to modulate complex disease pathways.
Purpose of the Study:
- To explore novel therapeutic strategies targeting microRNA dysregulation.
- To introduce engineered microRNA therapeutics, including antimiRs and miRNA mimics, as potential treatments.
- To highlight the potential of modulating multiple disease-related proteins via miRNA therapeutics.
Main Methods:
- Development of chemically modified single-stranded oligonucleotides (antimiRs) to inhibit overexpressed miRNAs.
- Design of double-stranded nucleic acid molecules (miRNA mimics) to restore lost miRNA expression.
- Advancement of engineered miRNA therapeutics into clinical development.
Main Results:
- Engineered miRNA therapeutics demonstrate potential for treating diseases driven by miRNA dysregulation.
- Human proof-of-concept achieved with an antimiR targeting miR-122, crucial for Hepatitis C virus replication.
- The approach allows for the modulation of multiple proteins involved in disease pathogenesis.
Conclusions:
- Engineered microRNA therapeutics represent a paradigm shift in disease treatment.
- AntimiRs and miRNA mimics offer distinct yet complementary approaches to address miRNA dysregulation.
- These novel therapeutics hold promise for revolutionizing disease management by targeting complex molecular networks.
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