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PMID: 23494242 Published · ppublish English Journal Article Review

Silencing human genetic diseases with oligonucleotide-based therapies.

Human genetics ·Vol. 132 ·No. 5 ·2013-05-00 ·Pages 481-93

Martínez T, Wright N, López-Fraga M, Jiménez AI, Pañeda C

Abstract

RNA interference is an endogenous mechanism present in most eukaryotic cells that enables degradation of specific mRNAs. Pharmacological exploitation of this mechanism for therapeutic purposes attracted a whole amount of attention in its initial years, but was later hampered due to difficulties in delivery of the pharmacological agents to the appropriate organ or tissue. Advances in recent years have to a certain level started to address this specific issue. Genetic diseases are caused by aberrations in gene sequences or structure; these particular abnormalities are in theory easily addressable by RNAi therapeutics. Sequencing of the human genome has largely contributed to the identification of alterations responsible for genetic conditions, thus facilitating the design of compounds that can address these diseases. This review addresses the currently on-going programs with the aim of developing RNAi and other antisense compounds for the treatment of genetic conditions and the pros and cons that these products may encounter along the way. The authors have focused on those programs that have reached clinical trials or are very close to do so.

MeSH Terms
Antisense Elements (Genetics)/therapeutic use Genetic Diseases, Inborn/therapy Humans Oligonucleotides/therapeutic use RNA Interference RNA, Small Interfering/genetics,therapeutic use
Chemicals
Antisense Elements (Genetics) Oligonucleotides RNA, Small Interfering
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Martínez Tamara
Sylentis, PCM C/Santiago Grisolía no 2, Tres Cantos, 28760, Madrid, Spain.
Wright Natalia
López-Fraga Marta
Jiménez Ana Isabel
Pañeda Covadonga
References (86)
86 references, click to expand
  1. Molecular therapy in myotonic dystrophy: focus on RNA gain-of-function.
    Hum Mol Genet. 2010 Apr 15;19(R1):R90-7 PMID: 20406734
  2. First-in-human mutation-targeted siRNA phase Ib trial of an inherited skin disorder.
    Mol Ther. 2010 Feb;18(2):442-6 PMID: 19935778
  3. Therapeutic antisense-induced exon skipping in cultured muscle cells from six different DMD patients.
    Hum Mol Genet. 2003 Apr 15;12(8):907-14 PMID: 12668614
  4. Genetics and molecular pathogenesis of the myotonic dystrophies.
    Curr Neurol Neurosci Rep. 2005 Feb;5(1):55-9 PMID: 15676109
  5. RNAi therapeutics: principles, prospects and challenges.
    Adv Drug Deliv Rev. 2007 Mar 30;59(2-3):75-86 PMID: 17449137
  6. A peculiar form of peripheral neuropathy; familiar atypical generalized amyloidosis with special involvement of the peripheral nerves.
    Brain. 1952 Sep;75(3):408-27 PMID: 12978172
  7. Antisense therapeutics.
    Nat Biotechnol. 1999 Apr;17(4):403-4 PMID: 10207893
  8. Lentiviral-mediated silencing of SOD1 through RNA interference retards disease onset and progression in a mouse model of ALS.
    Nat Med. 2005 Apr;11(4):423-8 PMID: 15768028
  9. RNA interference is mediated by 21- and 22-nucleotide RNAs.
    Genes Dev. 2001 Jan 15;15(2):188-200 PMID: 11157775
  10. Microsatellite repeat instability and neurological disease.
    Bioessays. 2009 Jan;31(1):71-83 PMID: 19154005
  11. RNA interference in the clinic: challenges and future directions.
    Nat Rev Cancer. 2011 Jan;11(1):59-67 PMID: 21160526
  12. Molecular characterization of loss-of-function mutations in PCSK9 and identification of a compound heterozygote.
    Am J Hum Genet. 2006 Sep;79(3):514-23 PMID: 16909389
  13. Liquid movement across the surface epithelium of large airways.
    Respir Physiol Neurobiol. 2007 Dec 15;159(3):256-70 PMID: 17692578
  14. Targeted mRNA degradation by double-stranded RNA in vitro.
    Genes Dev. 1999 Dec 15;13(24):3191-7 PMID: 10617568
  15. Antisense oligonucleotides for the treatment of dyslipidaemia.
    Eur Heart J. 2012 Jun;33(12):1451-8 PMID: 22634577
  16. Antisense therapeutics: a promise waiting to be fulfilled.
    Methods Mol Med. 2005;106:3-10 PMID: 15375309
  17. Pharmacological strategies for lowering LDL cholesterol: statins and beyond.
    Nat Rev Cardiol. 2011 May;8(5):253-65 PMID: 21321561
  18. Apolipoprotein B synthesis inhibition with mipomersen in heterozygous familial hypercholesterolemia: results of a randomized, double-blind, placebo-controlled trial to assess efficacy and safety as add-on therapy in patients with coronary artery disease.
    Circulation. 2012 Nov 6;126(19):2283-92 PMID: 23060426
  19. Huntington's disease: from pathology and genetics to potential therapies.
    Biochem J. 2008 Jun 1;412(2):191-209 PMID: 18466116
  20. A short antisense oligonucleotide masking a unique intronic motif prevents skipping of a critical exon in spinal muscular atrophy.
    RNA Biol. 2009 Jul-Aug;6(3):341-50 PMID: 19430205
  21. Local dystrophin restoration with antisense oligonucleotide PRO051.
    N Engl J Med. 2007 Dec 27;357(26):2677-86 PMID: 18160687
  22. Progress in antisense technology.
    Annu Rev Med. 2004;55:61-95 PMID: 14746510
  23. Therapeutic approaches to muscular dystrophy.
    Hum Mol Genet. 2011 Apr 15;20(R1):R69-78 PMID: 21436158
  24. RNAi therapeutics: the teenage years.
    Biotechniques. 2012 Jun;52(6):355-7 PMID: 22668413
  25. Sequence variations in PCSK9, low LDL, and protection against coronary heart disease.
    N Engl J Med. 2006 Mar 23;354(12):1264-72 PMID: 16554528
  26. Apolipoprotein polymorphisms and familial hypercholesterolemia.
    Pharmacogenomics. 2007 Sep;8(9):1179-89 PMID: 17924833
  27. The molecular basis for Duchenne versus Becker muscular dystrophy: correlation of severity with type of deletion.
    Am J Hum Genet. 1989 Oct;45(4):498-506 PMID: 2491009
  28. The CFTR and ENaC debate: how important is ENaC in CF lung disease?
    Am J Physiol Lung Cell Mol Physiol. 2012 Jun 1;302(11):L1141-6 PMID: 22492740
  29. Therapeutic silencing of mutant huntingtin with siRNA attenuates striatal and cortical neuropathology and behavioral deficits.
    Proc Natl Acad Sci U S A. 2007 Oct 23;104(43):17204-9 PMID: 17940007
  30. Mutations and polymorphisms in the proprotein convertase subtilisin kexin 9 (PCSK9) gene in cholesterol metabolism and disease.
    Hum Mutat. 2009 Apr;30(4):520-9 PMID: 19191301
  31. Randomized, placebo-controlled trial of mipomersen in patients with severe hypercholesterolemia receiving maximally tolerated lipid-lowering therapy.
    PLoS One. 2012;7(11):e49006 PMID: 23152839
  32. Molecular biology of PCSK9: its role in LDL metabolism.
    Trends Biochem Sci. 2007 Feb;32(2):71-7 PMID: 17215125
  33. Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells.
    Nature. 2001 May 24;411(6836):494-8 PMID: 11373684
  34. Fomivirsen for the treatment of cytomegalovirus retinitis.
    Am J Ophthalmol. 2002 Apr;133(4):552-6 PMID: 11931791
  35. Human cholesterol metabolism and therapeutic molecules.
    Exp Physiol. 2008 Jan;93(1):27-42 PMID: 18165431
  36. RNA interference technologies and therapeutics: from basic research to products.
    BioDrugs. 2009;23(5):305-32 PMID: 19754220
  37. Therapeutics development for spinal muscular atrophy.
    NeuroRx. 2006 Apr;3(2):235-45 PMID: 16554261
  38. Biologically inspired synthetic enzymes made from DNA.
    Chem Biol. 2009 Mar 27;16(3):311-22 PMID: 19318212
  39. Amyotrophic lateral sclerosis.
    N Engl J Med. 2001 May 31;344(22):1688-700 PMID: 11386269
  40. Inhibition of CD44 gene expression in human skin models, using self-delivery short interfering RNA administered by dissolvable microneedle arrays.
    Hum Gene Ther. 2012 Aug;23(8):816-23 PMID: 22480249
  41. Progress toward in vivo use of siRNAs-II.
    Mol Ther. 2012 Mar;20(3):483-512 PMID: 22186795
  42. Progress and challenges in RNA interference therapy for Huntington disease.
    Arch Neurol. 2009 Aug;66(8):933-8 PMID: 19667213
  43. Revertant fibres and dystrophin traces in Duchenne muscular dystrophy: implication for clinical trials.
    Neuromuscul Disord. 2010 May;20(5):295-301 PMID: 20395141
  44. RNA interference improves motor and neuropathological abnormalities in a Huntington's disease mouse model.
    Proc Natl Acad Sci U S A. 2005 Apr 19;102(16):5820-5 PMID: 15811941
  45. Mipomersen sodium: a new option for the treatment of familial hypercholesterolemia.
    Drugs Today (Barc). 2011 Dec;47(12):891-901 PMID: 22348914
  46. Nucleic acid delivery: the missing pieces of the puzzle?
    Acc Chem Res. 2012 Jul 17;45(7):1153-62 PMID: 22428908
  47. The next generation of hemophilia treatment specialists.
    Semin Thromb Hemost. 2006 Jun;32 Suppl 2:39-42 PMID: 16804835
  48. Familial defective apolipoprotein B-100: a mutation of apolipoprotein B that causes hypercholesterolemia.
    J Lipid Res. 1990 Aug;31(8):1337-49 PMID: 2280177
  49. SiRNA-mediated selective inhibition of mutant keratin mRNAs responsible for the skin disorder pachyonychia congenita.
    Ann N Y Acad Sci. 2006 Oct;1082:56-61 PMID: 17145926
  50. RNA interference-mediated silencing of mutant superoxide dismutase rescues cyclosporin A-induced death in cultured neuroblastoma cells.
    Proc Natl Acad Sci U S A. 2004 Mar 2;101(9):3178-83 PMID: 14981234
  51. Htra2-beta 1 stimulates an exonic splicing enhancer and can restore full-length SMN expression to survival motor neuron 2 (SMN2).
    Proc Natl Acad Sci U S A. 2000 Aug 15;97(17):9618-23 PMID: 10931943
  52. Dystrophin: the protein product of the Duchenne muscular dystrophy locus.
    Cell. 1987 Dec 24;51(6):919-28 PMID: 3319190
  53. A review of α1-antitrypsin deficiency.
    Am J Respir Crit Care Med. 2012 Feb 1;185(3):246-59 PMID: 21960536
  54. Antisense-based therapy for the treatment of spinal muscular atrophy.
    J Cell Biol. 2012 Oct 1;199(1):21-5 PMID: 23027901
  55. Challenges in developing therapies for rare diseases including pachyonychia congenita.
    J Investig Dermatol Symp Proc. 2005 Oct;10(1):62-6 PMID: 16250210
  56. Antisense masking of an hnRNP A1/A2 intronic splicing silencer corrects SMN2 splicing in transgenic mice.
    Am J Hum Genet. 2008 Apr;82(4):834-48 PMID: 18371932
  57. RNA and disease.
    Cell. 2009 Feb 20;136(4):777-93 PMID: 19239895
  58. Therapeutic siRNAs for dominant genetic skin disorders including pachyonychia congenita.
    J Dermatol Sci. 2008 Sep;51(3):151-7 PMID: 18495438
  59. Splicing fidelity, enhancers, and disease.
    Front Biosci. 2008 Jan 01;13:1926-42 PMID: 17981680
  60. Familial hypercholesterolemia: present and future management.
    Curr Cardiol Rep. 2011 Dec;13(6):527-36 PMID: 21938413
  61. Diagnosis and therapeutic approaches to transthyretin amyloidosis.
    Curr Med Chem. 2012;19(15):2312-23 PMID: 22471980
  62. In vivo application of an RNAi strategy for the selective suppression of a mutant allele.
    Hum Gene Ther. 2011 Jan;22(1):27-34 PMID: 20649474
  63. Repeated siRNA application is a precondition for successful mRNA gammaENaC knockdown in the murine airways.
    Eur J Pharm Biopharm. 2010 Aug;75(3):305-10 PMID: 20403432
  64. RNAi: double-stranded RNA directs the ATP-dependent cleavage of mRNA at 21 to 23 nucleotide intervals.
    Cell. 2000 Mar 31;101(1):25-33 PMID: 10778853
  65. Mechanisms of miRNA-mediated post-transcriptional regulation in animal cells.
    Curr Opin Cell Biol. 2009 Jun;21(3):452-60 PMID: 19450959
  66. Potent and specific genetic interference by double-stranded RNA in Caenorhabditis elegans.
    Nature. 1998 Feb 19;391(6669):806-11 PMID: 9486653
  67. RNA-based therapeutics: current progress and future prospects.
    Chem Biol. 2012 Jan 27;19(1):60-71 PMID: 22284355
  68. Modification of globin gene expression by RNA targeting strategies.
    Exp Hematol. 2007 Aug;35(8):1209-18 PMID: 17662889
  69. Modification of splicing in the dystrophin gene in cultured Mdx muscle cells by antisense oligoribonucleotides.
    Hum Mol Genet. 1998 Jul;7(7):1083-90 PMID: 9618164
  70. The genetic basis of pachyonychia congenita.
    J Investig Dermatol Symp Proc. 2005 Oct;10(1):21-30 PMID: 16250206
  71. The sequence of the human genome.
    Science. 2001 Feb 16;291(5507):1304-51 PMID: 11181995
  72. Apolipoprotein B synthesis inhibition: results from clinical trials.
    Curr Opin Lipidol. 2010 Aug;21(4):319-23 PMID: 20508521
  73. Allele-specific RNAi selectively silences mutant SOD1 and achieves significant therapeutic benefit in vivo.
    Neurobiol Dis. 2006 Sep;23(3):578-86 PMID: 16857362
  74. A genetic strategy to treat sickle cell anemia by coregulating globin transgene expression and RNA interference.
    Nat Biotechnol. 2006 Jan;24(1):89-94 PMID: 16378095
  75. Local restoration of dystrophin expression with the morpholino oligomer AVI-4658 in Duchenne muscular dystrophy: a single-blind, placebo-controlled, dose-escalation, proof-of-concept study.
    Lancet Neurol. 2009 Oct;8(10):918-28 PMID: 19713152
  76. HD Therapeutics - CHDI Fifth Annual Conference.
    IDrugs. 2010 Apr;13(4):219-23 PMID: 20373247
  77. Use of self-delivery siRNAs to inhibit gene expression in an organotypic pachyonychia congenita model.
    J Invest Dermatol. 2011 May;131(5):1037-44 PMID: 21248764
  78. Ribozyme- and deoxyribozyme-strategies for medical applications.
    Curr Drug Targets. 2004 Nov;5(8):667-81 PMID: 15578948
  79. Clinical development of an antisense therapy for the treatment of transthyretin-associated polyneuropathy.
    Amyloid. 2012 Jun;19 Suppl 1:43-4 PMID: 22494066
  80. Potential therapeutic applications of decoy oligonucleotides.
    Curr Opin Mol Ther. 2002 Apr;4(2):166-70 PMID: 12044038
  81. Determinants of specific RNA interference-mediated silencing of human beta-globin alleles differing by a single nucleotide polymorphism.
    Proc Natl Acad Sci U S A. 2006 Apr 11;103(15):5953-8 PMID: 16585504
  82. Gene therapy for Duchenne muscular dystrophy.
    Curr Opin Neurol. 2012 Oct;25(5):588-96 PMID: 22892952
  83. The current clinical management of Huntington's disease.
    Mov Disord. 2008 Aug 15;23(11):1491-504 PMID: 18581443
  84. The activation and physiological functions of the proprotein convertases.
    Int J Biochem Cell Biol. 2008;40(6-7):1111-25 PMID: 18343183
  85. Current prospects for RNA interference-based therapies.
    Nat Rev Genet. 2011 May;12(5):329-40 PMID: 21499294
  86. Adult cystic fibrosis.
    JAMA. 2007 Oct 17;298(15):1787-93 PMID: 17940235
Article Info
Journal
Human genetics
Abbr.
Hum Genet
ISSN
1432-1203
Published
2013-05-00
Epub
2013-00-14
Pages
481-93
Language
English
Region
Germany
NLM ID
7613873
Subset
IM
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