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e-Article

Antisense Oligonucleotide Therapies for Neurodegenerative Diseases
Document Type
article
Source
Annual Review of Neuroscience. 42(1)
Subject
Pharmacology and Pharmaceutical Sciences
Biomedical and Clinical Sciences
Neurosciences
Neurodegenerative
Huntington's Disease
Biotechnology
Orphan Drug
Rare Diseases
Brain Disorders
Development of treatments and therapeutic interventions
5.1 Pharmaceuticals
Neurological
Good Health and Well Being
Animals
Brain
Humans
Muscular Atrophy
Spinal
Neurodegenerative Diseases
Oligonucleotides
Oligonucleotides
Antisense
Tissue Distribution
amyotrophic lateral sclerosis
antisense oligonucleotides
Huntington's disease
RNA
spinal muscular atrophy
Psychology
Cognitive Sciences
Neurology & Neurosurgery
Biological psychology
Language
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.