Kumar Dhiraj, Hasan Gulam Mustafa, Islam Asimul, Hassan Md Imtaiyaz
Centre for Interdisciplinary Research in Basic Sciences, Jamia Millia Islamia, Jamia Nagar, New Delhi, 110025, India.
Department of Biochemistry, College of Medicine, Prince Sattam Bin Abdulaziz University, P.O. Box 173, Al-Kharj, 11942, Saudi Arabia.
Biochem Biophys Res Commun. 2023 May 7;655:18-24. doi: 10.1016/j.bbrc.2023.02.075. Epub 2023 Mar 7.
Huntington's disease (HD) is an autosomal dominant ailment that affects a larger population. Due to its complex pathology operating at DNA, RNA, and protein levels, it is regarded as a protein-misfolding disease and an expansion repeat disorder. Despite the availability of early genetic diagnostics, disease-modifying treatments are still missing. Importantly, potential therapies are starting to make their way through clinical trials. Still, clinical trials are ongoing to discover potential drugs to relieve HD symptoms. However, now being aware of the root cause, the clinical studies are focused on molecular therapies to target it. The road to success has not been without bumps since a big phase III trial of tominersen was unexpectedly discontinued due to exceeding risks than drug's benefit to the patients. Although the trial's conclusion was disappointing, there is still cause to be optimistic about what this technique may achieve. We have reviewed the present disease-modifying therapies in clinical development for HD and examined the current landscape of developing clinical therapies. We further investigated the pharmaceutical development of Huntington's medicine in the pharma industries and addressed the existing challenges in their therapeutic success.
亨廷顿舞蹈症(HD)是一种常染色体显性疾病,影响着大量人群。由于其在DNA、RNA和蛋白质水平上存在复杂的病理过程,它被视为一种蛋白质错误折叠疾病和扩展重复紊乱疾病。尽管有早期基因诊断方法,但仍缺乏疾病修饰疗法。重要的是,潜在疗法已开始进入临床试验阶段。目前仍有临床试验正在进行,以寻找缓解HD症状的潜在药物。然而,鉴于已了解其根本病因,临床研究聚焦于针对该病因的分子疗法。自托莫森的一项大型III期试验因风险超过药物对患者的益处而意外中止以来,通往成功的道路并非一帆风顺。尽管该试验结果令人失望,但对于这项技术可能取得的成果仍有理由保持乐观。我们回顾了目前正在临床开发中的针对HD的疾病修饰疗法,并审视了当前临床治疗开发的现状。我们进一步研究了制药行业中亨廷顿病药物的研发情况,并探讨了其治疗成功面临的现有挑战。