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Intrathecal Delivery of Antisense Oligonucleotides in the Rat Central Nervous System
Published on: October 29, 2019
Advances in antisense oligonucleotide treatment for cancer
Lu Zhu1,2, Pariha Muhtar1,2,3, Susumu Goyama2,4
1Division of Cancer RNA Research, National Cancer Center Research Institute, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
Abstract:
RNA therapeutics, including antisense oligonucleotides (ASOs), have emerged as a promising class of drugs, with several already approved for clinical use. To date, most approved ASO-based RNA therapies target non-malignant disorders such as neurodegenerative diseases, and only a single therapy in this class has been approved for cancer. Notably, nearly half of existing RNA therapeutics act by modulating RNA splicing. Given the growing evidence implicating aberrant RNA splicing in cancer pathogenesis, the development of ASO-based therapeutics for oncologic indications is expected to accelerate. More than 250 clinical trials have evaluated oligonucleotide agents targeting diverse cancer-associated molecules, with several showing encouraging early results. In this review, we summarize recent advances in understanding cancer biology relevant to ASO-based therapies and highlight ongoing progress in the development of RNA-targeted approaches for cancer treatment.
Insights
Antisense oligonucleotides (ASOs) are a promising RNA therapeutic class. Research is accelerating ASO development for cancer by targeting aberrant RNA splicing, with many clinical trials underway.
Area of Science:
- Biomedical Sciences
- Molecular Biology
- Oncology
Background:
- RNA therapeutics, including antisense oligonucleotides (ASOs), represent a significant advancement in drug development, with several already approved for clinical use.
- While most approved ASO therapies target non-malignant conditions like neurodegenerative diseases, only one is currently approved for cancer treatment.
- Aberrant RNA splicing is increasingly recognized as a key factor in cancer development, highlighting a therapeutic opportunity.
Purpose of the Study:
- To review recent advancements in understanding cancer biology relevant to ASO-based therapies.
- To highlight the progress in developing RNA-targeted approaches for cancer treatment.
- To underscore the potential of ASO therapeutics in oncology.
Main Methods:
- Literature review of recent scientific publications and clinical trial data.
- Analysis of the role of aberrant RNA splicing in cancer pathogenesis.
- Synthesis of current research on ASO development for oncologic indications.
Main Results:
- Nearly half of current RNA therapeutics modulate RNA splicing.
- Over 250 clinical trials have investigated oligonucleotide agents for various cancer-associated molecules.
- Early clinical trial results for ASO-based cancer therapies show encouraging outcomes.
Conclusions:
- The development of ASO-based therapeutics for cancer is poised for acceleration due to the role of RNA splicing in oncogenesis.
- Ongoing research and clinical trials are paving the way for novel RNA-targeted cancer treatments.
- ASO technology offers a promising avenue for addressing unmet needs in cancer therapy.
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