Cited by 788RNA Interference and Gene DeliveryNeurogenetic and Muscular Disorders ResearchAmyotrophic Lateral Sclerosis Research

Antisense oligonucleotides: the next frontier for treatment of neurological disorders

Rinaldi, Carlo, Wood, Matthew J. A.·2018·Nature Reviews Neurology

Abstract

Antisense oligonucleotides (ASOs) were first discovered to influence RNA processing and modulate protein expression over two decades ago; however, progress translating these agents into the clinic has been hampered by inadequate target engagement, insufficient biological activity, and off-target toxic effects. Over the years, novel chemical modifications of ASOs have been employed to address these issues. These modifications, in combination with elucidation of the mechanism of action of ASOs and improved clinical trial design, have provided momentum for the translation of ASO-based strategies into therapies. Many neurological conditions lack an effective treatment; however, as research progressively disentangles the pathogenic mechanisms of these diseases, they provide an ideal platform to test ASO-based strategies. This steady progress reached a pinnacle in the past few years with approvals of ASOs for the treatment of spinal muscular atrophy and Duchenne muscular dystrophy, which represent landmarks in a field in which disease-modifying therapies were virtually non-existent. With the rapid development of improved next-generation ASOs toward clinical application, this technology now holds the potential to have a dramatic effect on the treatment of many neurological conditions in the near future.

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Crossref · 10.1038/nrneurol.2017.148

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Authors
Rinaldi, C., & Wood, M. J. A.
Affiliations
University of Oxford (GB)
Corresponding author
Wood, Matthew J. A.
Venue
Nature Reviews Neurology
Published
2017-12-01
Volume
14
Issue
1
Pages
9-21
ISSN
  • 1759-4758 (ISSN-L)
  • 1759-4766
OpenAlex
W2771247031
Cited by
788
References
17
Citations by year
2026: 65 · 2025: 100 · 2024: 124 · 2023: 114 · 2022: 106 · 2021: 101 · 2020: 94 · 2019: 59 · 2018: 24 · 2017: 1
FWCI
4.55
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Reviews Neurology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Wellcome Trust (205162/Z/16/Z)
  • Parkinson's UK (J-1403)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
  • Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
  • Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
Keywords
antisense oligonucleotides, neurological disorders, RNA processing, target engagement, off-target toxicity, spinal muscular atrophy, Duchenne muscular dystrophy, disease-modifying therapy, clinical translation
MeSH terms
Humans, Nervous System Diseases, Thionucleotides, Oligonucleotides, Antisense

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