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Published on: October 11, 2024
Viral Vector-Mediated Antisense Therapy for Genetic Diseases
Marine Imbert1, Gabriella Dias-Florencio2, Aurélie Goyenvalle3
1INSERM U1179, Université de Versailles St-Quentin en Yvelines and Université Paris Saclay, 2 Avenue de la Source de la Bièvre, 78180 Montigny-le-Bretonneux, France. marine.imbert2@uvsq.fr.
Abstract:
RNA plays complex roles in normal health and disease and is becoming an important target for therapeutic intervention; accordingly, therapeutic strategies that modulate RNA function have gained great interest over the past decade. Antisense oligonucleotides (AOs) are perhaps the most promising strategy to modulate RNA expression through a variety of post binding events such as gene silencing through degradative or non-degradative mechanisms, or splicing modulation which has recently demonstrated promising results. However, AO technology still faces issues like poor cellular-uptake, low efficacy in target tissues and relatively rapid clearance from the circulation which means repeated injections are essential to complete therapeutic efficacy. To overcome these limitations, viral vectors encoding small nuclear RNAs have been engineered to shuttle antisense sequences into cells, allowing appropriate subcellular localization with pre-mRNAs and permanent correction. In this review, we outline the different strategies for antisense therapy mediated by viral vectors and provide examples of each approach. We also address the advantages and limitations of viral vector use, with an emphasis on their clinical application.
Insights
Viral vectors offer a promising solution for enhancing antisense oligonucleotide (AO) therapy by improving cellular uptake and efficacy. This approach enables permanent genetic correction, overcoming limitations of traditional AO delivery methods.
Area of Science:
- Molecular Biology
- Gene Therapy
- Pharmacology
Background:
- RNA's critical roles in health and disease make it a key therapeutic target.
- Antisense oligonucleotides (AOs) are a promising strategy for modulating RNA function, including gene silencing and splicing modulation.
- Current AO technology faces challenges such as poor cellular uptake, low tissue efficacy, and rapid clearance, necessitating repeated administrations.
Purpose of the Study:
- To review strategies for antisense therapy mediated by viral vectors.
- To highlight the advantages and limitations of using viral vectors for AO delivery.
- To discuss the clinical applications of viral vector-mediated antisense therapy.
Main Methods:
- Engineering viral vectors to encode small nuclear RNAs for antisense sequence delivery.
- Achieving appropriate subcellular localization of antisense sequences with pre-mRNAs.
- Evaluating strategies for permanent genetic correction via viral vector delivery.
Main Results:
- Viral vectors enable enhanced cellular uptake and target tissue efficacy for antisense sequences.
- This approach facilitates appropriate subcellular localization, leading to improved therapeutic outcomes.
- Viral vector-mediated delivery offers potential for permanent correction, overcoming limitations of conventional AO therapy.
Conclusions:
- Viral vectors represent a significant advancement in antisense therapy, addressing key limitations of traditional AO delivery.
- Engineered viral vectors provide a robust platform for targeted and sustained modulation of RNA expression.
- Further research into viral vector applications holds promise for effective clinical translation of antisense therapies.
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