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Antisense Drugs Make Sense for Neurological Diseases
Open accessAbstract
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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“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
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“Currently, ASO targeting MAPT (Tau) for AD treatment is under Phase 1/2 clinical trial”
From ApoE4 reduction: An emerging and promising therapeutic strategy for Alzheimer's disease (2022) · cites this paper as Bennett et al 2021
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Self-citationAntisense Reduction of Tau in Adult Mice Protects against Seizures
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Increased 4R-Tau Induces Pathological Changes in a Human-Tau Mouse Model
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Huntingtin suppression restores cognitive function in a mouse model of Huntington’s disease
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2′-Fluoro-modified phosphorothioate oligonucleotide can cause rapid degradation of P54nrb and PSF
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Antisense oligonucleotide–directed inhibition of nonsense-mediated mRNA decay
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Targeting Several CAG Expansion Diseases by a Single Antisense Oligonucleotide
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Antisense suppression of glial fibrillary acidic protein as a treatment for Alexander disease
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Nonsense-mediated decay as a terminating mechanism for antisense oligonucleotides
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TSUNAMI: an antisense method to phenocopy splicing-associated diseases in animalsPreprint
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Metadata
- 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
- Publisher
- Annual Reviews
- Published
- 2021-01-06
- Volume
- 61
- Issue
- 1
- Pages
- 831-852
- ISSN
- 0362-1642 (ISSN-L)
- 1545-4304
- PMC
- PMC8682074
- 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
- green
- www.ncbi.nlm.nih.gov
- 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 › Clinical Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Genetics (clinical) › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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