Treating Cystic Fibrosis with mRNA and CRISPR.

Abstract:

:Less than 20% of the protein coding genome is thought to be targetable using small molecules. mRNA therapies are not limited in the same way since in theory, they can silence or edit any gene by encoding CRISPR nucleases, or alternatively, produce any missing protein. Yet not all mRNA therapies are equally likely to succeed. Over the past several years, an increasing number of clinical trials with siRNA- and antisense oligonucleotide-based drugs have revealed three key concepts that will likely extend to mRNA therapies delivered by nonviral systems. First, scientists have come to understand that some genes make better targets for RNA therapies than others. Second, scientists have learned that the type and position of chemical modifications made to an RNA drug can alter its therapeutic window, toxicity, and bioavailability. Third, scientists have found that safe and targeted drug delivery vehicles are required to ferry mRNA therapies into diseased cells. In this study, we apply these learnings to cystic fibrosis (CF). We also describe lessons learned from a subset of CF gene therapies that have already been tested in patients. Finally, we highlight the scientific advances that are still required for nonviral mRNA- or CRISPR-based drugs to treat CF successfully in patients.

journal_name

Hum Gene Ther

journal_title

Human gene therapy

authors

Da Silva Sanchez A,Paunovska K,Cristian A,Dahlman JE

doi

10.1089/hum.2020.137

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

940-955

issue

17-18

eissn

1043-0342

issn

1557-7422

journal_volume

31

pub_type

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