Clinical applications of oligonucleotides for cancer therapy

Vittorio DeFranciscis1, Giovanni Amabile2, Marcin Kortylewski3

  • 1National Research Council, Institute of Genetic and Biomedical Research, Milan, Italy.

Insights

Oligonucleotide therapeutics (ONTs) are revolutionizing cancer treatment by precisely modulating gene expression. Despite delivery challenges, ONTs offer new hope for targeting difficult molecules and enhancing immunotherapy.

Area of Science:

  • Biotechnology
  • Molecular Biology
  • Oncology

Background:

  • Oligonucleotide therapeutics (ONTs) are a rapidly advancing class of drugs for cancer treatment.
  • Over 20 nucleic acid-based therapies are approved, showcasing significant progress in chemical modifications, sequence optimization, and delivery systems.
  • ONTs offer novel strategies for targeting previously undruggable molecules and enhancing cancer immunotherapy.

Purpose of the Study:

  • To provide a comprehensive review of oligonucleotide therapeutics in clinical trials for cancer.
  • To highlight emerging delivery strategies and innovative therapeutic approaches.
  • To emphasize the role of ONTs in cancer immunotherapy and address challenges to clinical translation.

Main Methods:

  • Review of current literature on oligonucleotide therapeutics in oncology.
  • Analysis of clinical trial data and regulatory approvals.
  • Examination of advancements in delivery systems and therapeutic strategies.

Main Results:

  • Oligonucleotide therapeutics have shown promise in targeting specific genes and enhancing cancer immunotherapy.
  • Recent FDA approval for a myeloproliferative disease highlights the clinical potential of ONTs.
  • Key challenges include tissue-specific delivery, off-target effects, cellular uptake, and endosomal release.

Conclusions:

  • Oligonucleotide therapeutics hold significant potential to revolutionize oncology and improve patient outcomes.
  • Addressing current challenges in delivery and efficacy is crucial for broader clinical translation.
  • ONTs represent a powerful tool for personalized cancer medicine and overcoming treatment resistance.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.4K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.5K
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
457
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.8K
Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
4.6K
Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
321