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Approaches to Gene Modulation Therapy for ALS
Katharina E Meijboom1, Robert H Brown2
1Department of Neurology, University of Massachusetts Medical School, Worcester, MA, 01605, USA.
Abstract:
Amyotrophic lateral sclerosis (ALS) is a devastating motor neuron disease for which there is currently no robust therapy. Recent progress in understanding ALS disease mechanisms and genetics in combination with innovations in gene modulation strategies creates promising new options for the development of ALS therapies. In recent years, six gene modulation therapies have been tested in ALS patients. These target gain-of-function pathology of the most common ALS genes, SOD1, C9ORF72, FUS, and ATXN2, using adeno-associated virus (AAV)-mediated microRNAs and antisense oligonucleotides (ASOs). Here, we review the latest clinical and preclinical advances in gene modulation approaches for ALS, including gene silencing, gene correction, and gene augmentation. These techniques have the potential to positively impact the direction of future research trials and transform ALS treatments for this grave disease.
Insights
Gene modulation therapies offer new hope for amyotrophic lateral sclerosis (ALS) treatment by targeting key genes. Advances in gene silencing, correction, and augmentation are paving the way for future clinical trials and improved patient outcomes.
Area of Science:
- Neuroscience
- Genetics
- Biotechnology
Background:
- Amyotrophic lateral sclerosis (ALS) is a progressive motor neuron disease with limited therapeutic options.
- Understanding ALS genetics and disease mechanisms is crucial for developing effective treatments.
Purpose of the Study:
- To review recent clinical and preclinical advances in gene modulation therapies for ALS.
- To highlight the potential of gene silencing, correction, and augmentation strategies for ALS treatment.
Main Methods:
- Review of clinical trials and preclinical studies involving gene modulation for ALS.
- Focus on adeno-associated virus (AAV)-mediated microRNAs and antisense oligonucleotides (ASOs).
- Targeting common ALS genes such as SOD1, C9ORF72, FUS, and ATXN2.
Main Results:
- Six gene modulation therapies have been tested in ALS patients.
- These therapies target the gain-of-function pathology of specific ALS-associated genes.
- Gene modulation approaches show promise in preclinical and early clinical settings.
Conclusions:
- Gene modulation strategies represent a promising frontier for ALS therapy development.
- These approaches have the potential to significantly impact future research and clinical practice for ALS.
- Innovations in gene therapy could transform treatment outcomes for this devastating disease.
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