Antisense Oligonucleotides: Treating Neurodegeneration at the Level of RNA

Sarah L. DeVos, Timothy M. Miller

Research output: Contribution to journalReview articlepeer-review

84 Scopus citations

Abstract

Adequate therapies are lacking for Alzheimer's disease, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, and other neurodegenerative diseases. The ability to use antisense oligonucleotides (ASOs) to target disease-associated genes by means of RNA may offer a potent approach for the treatment of these, and other, neurodegenerative disorders. In modifying the basic backbone chemistry, chemical groups, and target sequence, ASOs can act through numerous mechanisms to decrease or increase total protein levels, preferentially shift splicing patterns, and inhibit microRNAs, all at the level of the RNA molecule. Here, we discuss many of the more commonly used ASO chemistries, as well as the different mechanisms of action that can result from these specific chemical modifications. When applied to multiple neurodegenerative mouse models, ASOs that specifically target the detrimental transgenes have been shown to rescue disease associated phenotypes in vivo. These supporting mouse model data have moved the ASOs from the bench to the clinic, with two neuro-focused human clinical trials now underway and several more being proposed. Although still early in development, translating ASOs into human patients for neurodegeneration appears promising.

Original languageEnglish
Pages (from-to)486-497
Number of pages12
JournalNeurotherapeutics
Volume10
Issue number3
DOIs
StatePublished - Jul 2013

Keywords

  • Alternative splicing
  • Antisense oligonucleotides
  • Knockdown
  • MicroRNA
  • Neurodegeneration
  • RNA

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