Application of antisense oligonucleotide drugs in amyotrophic lateral sclerosis and Huntington's disease

Kaili Ou1, Qingqing Jia1, Dandan Li1

  • 1State Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Key Laboratory of Non-Human Primate Research, Key Laboratory of CNS Regeneration (Ministry of Education), Guangdong-Hongkong-Macau Institute of CNS Regeneration, Jinan University, Guangzhou, 510632, China.

PubMed

Insights

Antisense oligonucleotide (ASO) drugs show promise for treating neurodegenerative diseases like amyotrophic lateral sclerosis (ALS) and Huntington's disease (HD). While current treatments manage symptoms, ASO therapies offer a targeted gene-based approach for potential disease modification.

Area of Science:

  • Neuroscience
  • Genetics
  • Pharmacology

Background:

  • Amyotrophic lateral sclerosis (ALS) and Huntington's disease (HD) are complex neurodegenerative disorders with diverse causes, including genetic and environmental factors.
  • Current treatments for ALS and HD offer symptomatic relief but lack definitive cures, highlighting the need for novel therapeutic strategies.
  • Gene therapy presents a promising avenue for neuroprotection and disease correction in neurodegenerative conditions.

Purpose of the Study:

  • To provide a comprehensive review of antisense oligonucleotide (ASO) drug development for neurodegenerative diseases.
  • To focus on the therapeutic strategies utilizing ASO drugs for amyotrophic lateral sclerosis (ALS) and Huntington's disease (HD).
  • To explore the mechanisms of action, limitations, and clinical applications of ASO-based therapies.

Main Methods:

  • Literature review of preclinical and clinical studies on ASO drugs for ALS and HD.
  • Analysis of the genetic targets and molecular mechanisms of ASO interventions.
  • Evaluation of the efficacy and safety data from animal models and human clinical trials.

Main Results:

  • ASO drugs targeting pathological genes in ALS and HD have demonstrated significant promise in numerous animal studies.
  • Several clinical trials involving ASO therapies for these conditions have yielded encouraging results.
  • ASO drugs represent a viable gene-based therapeutic approach for managing neurodegenerative diseases.

Conclusions:

  • Antisense oligonucleotide (ASO) drugs are emerging as a powerful therapeutic tool for neurodegenerative diseases like ALS and HD.
  • These gene-targeting therapies offer a potential pathway to modify disease progression beyond symptomatic management.
  • Further clinical development and application of ASO drugs are crucial for advancing treatment options for patients with ALS and HD.

Related Concept Videos

siRNA - Small Interfering RNAs02:30

siRNA - Small Interfering RNAs

Small interfering RNAs, or siRNAs, are short regulatory RNA molecules that can silence genes post-transcriptionally, as well as the transcriptional level in some cases. siRNAs are important for protecting cells against viral infections and silencing transposable genetic elements.
In the cytoplasm, siRNA is processed from a double-stranded RNA, which comes from either endogenous DNA transcription or exogenous sources like a virus. This double-stranded RNA is then cleaved by the...
16.5K
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
160
Experimental RNAi02:15

Experimental RNAi

RNA interference (RNAi) is a cellular mechanism that inhibits gene expression by suppressing its transcription or activating the RNA degradation process. The mechanism was discovered by Andrew Fire and Craig Mello in 1998 in plants. Today, it is observed in almost all eukaryotes, including protozoa, flies, nematodes, insects, parasites, and mammals. This precise cellular mechanism of gene silencing has been developed into a technique that provides an efficient way to identify and determine the...
6.0K
Parkinson's Disease: Treatment01:24

Parkinson's Disease: Treatment

Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
198
Parkinson's Disease: Overview01:15

Parkinson's Disease: Overview

Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
452
RNA Interference01:23

RNA Interference

RNA interference (RNAi) is a process in which a small non-coding RNA molecule blocks the post-transcriptional expression of a gene by binding to its messenger RNA (mRNA) and preventing the protein from being translated.
This process occurs naturally in cells, often through the activity of genomically-encoded microRNAs. Researchers can take advantage of this mechanism by introducing synthetic RNAs to deactivate specific genes for research or therapeutic purposes. For example, RNAi could be used...
25.9K