Antisense Oligonucleotide Therapies for Neurodegenerative Diseases.

IF 12.1 1区 医学 Q1 NEUROSCIENCES Annual review of neuroscience Pub Date : 2019-07-08 DOI:10.1146/annurev-neuro-070918-050501
C Frank Bennett, Adrian R Krainer, Don W Cleveland
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引用次数: 184

Abstract

Antisense oligonucleotides represent a novel therapeutic platform for the discovery of medicines that have the potential to treat most neurodegenerative diseases. Antisense drugs are currently in development for the treatment of amyotrophic lateral sclerosis, Huntington's disease, and Alzheimer's disease, and multiple research programs are underway for additional neurodegenerative diseases. One antisense drug, nusinersen, has been approved for the treatment of spinal muscular atrophy. Importantly, nusinersen improves disease symptoms when administered to symptomatic patients rather than just slowing the progression of the disease. In addition to the benefit to spinal muscular atrophy patients, there are discoveries from nusinersen that can be applied to other neurological diseases, including method of delivery, doses, tolerability of intrathecally delivered antisense drugs, and the biodistribution of intrathecal dosed antisense drugs. Based in part on the early success of nusinersen, antisense drugs hold great promise as a therapeutic platform for the treatment of neurological diseases.

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反义寡核苷酸治疗神经退行性疾病。
反义寡核苷酸代表了一种新的治疗平台,用于发现有可能治疗大多数神经退行性疾病的药物。目前,用于治疗肌萎缩性侧索硬化症、亨廷顿氏病和阿尔茨海默病的反义药物正在研发中,此外,针对其他神经退行性疾病的多个研究项目也在进行中。一种名为nusinersen的反义药物已被批准用于治疗脊髓性肌萎缩症。重要的是,nusinersen可以改善有症状的患者的疾病症状,而不仅仅是减缓疾病的进展。除了对脊髓性肌萎缩症患者的益处外,nusinersen的一些发现也可以应用于其他神经系统疾病,包括鞘内给药反义药物的给药方法、剂量、耐受性以及鞘内给药反义药物的生物分布。部分基于nusinersen的早期成功,反义药物作为治疗神经系统疾病的治疗平台具有很大的希望。
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来源期刊
Annual review of neuroscience
Annual review of neuroscience 医学-神经科学
CiteScore
25.30
自引率
0.70%
发文量
29
期刊介绍: The Annual Review of Neuroscience is a well-established and comprehensive journal in the field of neuroscience, with a rich history and a commitment to open access and scholarly communication. The journal has been in publication since 1978, providing a long-standing source of authoritative reviews in neuroscience. The Annual Review of Neuroscience encompasses a wide range of topics within neuroscience, including but not limited to: Molecular and cellular neuroscience, Neurogenetics, Developmental neuroscience, Neural plasticity and repair, Systems neuroscience, Cognitive neuroscience, Behavioral neuroscience, Neurobiology of disease. Occasionally, the journal also features reviews on the history of neuroscience and ethical considerations within the field.
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