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10.1093/hmg/ddv476

http://scihub22266oqcxt.onion/10.1093/hmg/ddv476
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C4802373!4802373!26628634
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suck abstract from ncbi


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pmid26628634      Hum+Mol+Genet 2016 ; 25 (R1): R18-26
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  • Gene-targeting pharmaceuticals for single-gene disorders #MMPMID26628634
  • Beaudet AL; Meng L
  • Hum Mol Genet 2016[Apr]; 25 (R1): R18-26 PMID26628634show ga
  • The concept of orphan drugs for treatment of orphan genetic diseases is perceived enthusiastically at present, and this is leading to research investment on the part of governments, disease-specific foundations and industry. This review attempts to survey the potential to use traditional pharmaceuticals as opposed to biopharmaceuticals to treat single-gene disorders. The available strategies include the use of antisense oligonucleotides (ASOs) to alter splicing or knock-down expression of a transcript, siRNAs to knock-down gene expression and drugs for nonsense mutation read-through. There is an approved drug for biallelic knock-down of the APOB gene as treatment for familial hypercholesterolemia. Both ASOs and siRNAs are being explored to knock-down the transthyretin gene to prevent the related form of amyloidosis. The use of ASOs to alter gene-splicing to treat spinal muscular atrophy is in phase 3 clinical trials. Work is progressing on the use of ASOs to activate the normally silent paternal copy of the imprinted UBE3A gene in neurons as a treatment for Angelman syndrome. A gene-activation or gene-specific ramp-up strategy would be generally helpful if such could be developed. There is exciting theoretical potential for converting biopharmaceutical strategies such gene correction and CRISPR-Cas9 editing to a synthetic pharmaceutical approach.
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