Cited by 110RNA Interference and Gene DeliveryAmyotrophic Lateral Sclerosis ResearchNeurogenetic and Muscular Disorders Research

Antisense drugs make sense for neurological diseases

Open access
Bennett, C. Frank, Kordasiewicz, Holly B., Cleveland, Don W.·2021·Annual Review of Pharmacology and Toxicology

Abstract

The genetic basis for most inherited neurodegenerative diseases has been identified, yet there are limited disease-modifying therapies for these patients. A new class of drugs—antisense oligonucleotides (ASOs)—show promise as a therapeutic platform for treating neurological diseases. ASOs are designed to bind to the RNAs either by promoting degradation of the targeted RNA or by elevating expression by RNA splicing. Intrathecal injection into the cerebral spinal fluid results in broad distribution of antisense drugs and long-term effects. Approval of nusinersen in 2016 demonstrated that effective treatments for neurodegenerative diseases can be identified and that treatments not only slow disease progression but also improve some symptoms. Antisense drugs are currently in development for amyotrophic lateral sclerosis, Huntington's disease, Alzheimer's disease, Parkinson's disease, and Angelman syndrome, and several drugs are in late-stage research for additional neurological diseases. This review highlights the advances in antisense technology as potential treatments for neurological diseases.

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Crossref · 10.1146/annurev-pharmtox-010919-023738

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  • The FDA has approved eight ASO drugs since 2016, and the approval of nusinersen provides a strong basis for using ASO technology to develop novel therapies for neurodegenerative diseases.

    “The FDA has approved eight ASO drugs since 2016, and the approval of the ASO-based drug nusinersen provides a strong basis for using this technology to develop novel and effective therapies for neurodegenerative diseases”

    From ApoE4 reduction: An emerging and promising therapeutic strategy for Alzheimer's disease (2022) · cites this paper as Bennett et al 2021

    Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

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  • ASO targeting MAPT (Tau) for AD treatment is under Phase 1/2 clinical trial.

    “Currently, ASO targeting MAPT (Tau) for AD treatment is under Phase 1/2 clinical trial”

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Research works printed but not linked: 2

  1. [29]Liang X- H, Shen W, Sun H, Migawa MT, Vickers TA, Crooker ST. 2016. Specific increase in translation of proteins by antisense oligonucleotides targeting uORFs. Nat Biotechnol. In Press 27398791
  2. [140]Yu D, Pendergraff H, Liu J, Kordasiewicz H, Cleveland DW, 2012. Single-Stranded RNAs Act Through RNAi, Allele-Selectively Target Expanded CAG Repeats, and Potently Inhibit Huntingtin Expression. Cell In press PMC3444165 22939619

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Authors
Bennett, C. F., Kordasiewicz, H. B., & Cleveland, D. W.
Affiliations
  • Ionis Pharmaceuticals (United States) (US)
  • Ludwig Cancer Research (BE)
Venue
Annual Review of Pharmacology and Toxicology
Published
2021-01-06
Volume
61
Issue
1
Pages
831-852
ISSN
  • 0362-1642 (ISSN-L)
  • 1545-4304
OpenAlex
W3091999396
Cited by
108
References
161
Citations by year
2026: 15 · 2025: 11 · 2024: 29 · 2023: 24 · 2022: 19 · 2021: 10
FWCI
1.26
Type
journal article
Language
en
Open access
Locations
  • The Annual Review of Pharmacology and Toxicology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Neurological Disorders and Stroke (R01NS112503, R01NS027036)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
  • Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
  • Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
Keywords
antisense oligonucleotides, neurodegenerative diseases, RNA degradation, intrathecal drug delivery, nusinersen, amyotrophic lateral sclerosis, Huntington's disease, Alzheimer's disease, Parkinson's disease, Angelman syndrome, disease-modifying therapy
MeSH terms
Pharmaceutical Preparations, Humans, Parkinson Disease, RNA, Oligonucleotides, Antisense, Neurodegenerative Diseases

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