From the RNA world to the clinic
Bruce A Sullenger1, Smita Nair1
1Duke Translational Research Institute and Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Summary
RNA therapeutics show promise for various diseases. Clinical trials are investigating messenger RNAs for cancer, small interfering RNAs for kidney and liver issues, and aptamers for eye and heart conditions.
Area of Science:
- Biochemistry
- Molecular Biology
- Therapeutics
Background:
- RNA molecules possess remarkable structural and functional versatility.
- This versatility has driven research into RNA-based therapeutic agents for diverse medical applications.
Purpose of the Study:
- To highlight the growing role and potential of RNA therapeutics in clinical practice.
- To summarize the current landscape of RNA-based drug development.
Main Methods:
- Review of ongoing clinical trials for various RNA therapeutic modalities.
- Analysis of patient enrollment and therapeutic targets in late-stage and early-stage development.
Main Results:
- Multiple RNA therapeutics, including messenger RNAs, small interfering RNAs, and aptamers, are in late-stage clinical trials.
- Hundreds of patients are participating in trials for cancer, renal and hepatic disorders, and ocular and cardiovascular diseases.
Conclusions:
- RNA therapeutics represent a rapidly advancing class of agents with significant clinical potential.
- Positive trial outcomes are expected to drive future development and adoption of RNA-based medicines.
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