Schoch Kathleen M, Miller Timothy M
Department of Neurology, Hope Center for Neurological Disorders, Washington University in St. Louis, St. Louis, MO 63110, USA.
Department of Neurology, Hope Center for Neurological Disorders, Washington University in St. Louis, St. Louis, MO 63110, USA.
Neuron. 2017 Jun 21;94(6):1056-1070. doi: 10.1016/j.neuron.2017.04.010.
Multiple neurodegenerative diseases are characterized by single-protein dysfunction and aggregation. Treatment strategies for these diseases have often targeted downstream pathways to ameliorate consequences of protein dysfunction; however, targeting the source of that dysfunction, the affected protein itself, seems most judicious to achieve a highly effective therapeutic outcome. Antisense oligonucleotides (ASOs) are small sequences of DNA able to target RNA transcripts, resulting in reduced or modified protein expression. ASOs are ideal candidates for the treatment of neurodegenerative diseases, given numerous advancements made to their chemical modifications and delivery methods. Successes achieved in both animal models and human clinical trials have proven ASOs both safe and effective. With proper considerations in mind regarding the human applicability of ASOs, we anticipate ongoing in vivo research and clinical trial development of ASOs for the treatment of neurodegenerative diseases.
多种神经退行性疾病的特征是单一蛋白质功能障碍和聚集。这些疾病的治疗策略通常针对下游途径以改善蛋白质功能障碍的后果;然而,针对功能障碍的源头,即受影响的蛋白质本身,似乎是实现高效治疗效果的最明智方法。反义寡核苷酸(ASO)是能够靶向RNA转录本的小DNA序列,可导致蛋白质表达减少或修饰。鉴于在化学修饰和递送方法方面取得的众多进展,ASO是治疗神经退行性疾病的理想候选药物。在动物模型和人体临床试验中取得的成功已证明ASO既安全又有效。在充分考虑ASO在人体中的适用性后,我们预计ASO在治疗神经退行性疾病方面的体内研究和临床试验将持续开展。