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Updated: Jan 7, 2026

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Drug Development
Jack Stahl1, Aswathy Joji1, Elianny Perozo Rojas1
1University of Miami Miller School of Medicine, Center for Therapeutic Innovation, Miami, FL, USA.
Chemically optimized stringed modifiable oligonucleotides (COSMOs) offer a novel therapeutic approach for Alzheimer's Disease (AD), simultaneously reducing amyloid beta (A𝛣) and phosphorylated tau (p-Tau). This dual-action strategy shows promise for more effective AD treatment compared to single-target therapies.
Area of Science:
- Neuroscience
- Molecular Biology
- Pharmacology
Background:
- Alzheimer's Disease (AD) is characterized by amyloid beta (A𝛣) and phosphorylated tau (p-Tau) accumulation.
- Current A𝛣-targeting antibodies have limitations, including brain swelling and failure to reduce p-Tau.
- Oligonucleotide therapeutics show promise, with siRNAs reducing A𝛣 and ASOs reducing p-Tau.
Purpose of the Study:
- To develop a novel therapeutic approach for Alzheimer's Disease (AD).
- To create multi-targeting siRNAs, termed COSMOs, capable of simultaneously reducing both A𝛣 and p-Tau.
- To evaluate the efficacy and safety of COSMOs in vitro.
Main Methods:
- Design, synthesis, and screening of siRNAs targeting amyloid precursor protein (APP) and microtubule-associated protein tau (MAPT).
- Transfection of human SK-N-AS cells with COSMOs and individual siRNAs.
- Quantification of mRNA and protein levels of APP, Tau, A𝛣42, and p-Tau181 using qPCR and ELISA.
- Assessment of cellular viability and COSMO cleavability.
Main Results:
- Top siRNAs and COSMOs demonstrated activity at picomolar concentrations.
- Co-transfection and COSMO transfection simultaneously reduced A𝛣 and p-Tau levels.
- APP- and MAPT-targeting COSMOs exhibited lower toxicity than individual siRNAs.
- COSMOs can be engineered for tunable cleavability.
Conclusions:
- No current AD therapeutics effectively reduce both A𝛣 and p-Tau.
- COSMOs represent a promising new class of therapeutics for AD.
- COSMOs have the potential to simultaneously target key pathologies in Alzheimer's Disease.
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