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Nanoparticle delivery of antisense oligonucleotides and their application in the exon skipping strategy for Duchenne muscular dystrophy.

Abstract
Antisense therapy is a powerful tool for inducing post-transcriptional modifications and thereby regulating target genes associated with disease. There are several classes of antisense oligonucleotides (AONs) with therapeutic use, such as double-stranded RNAs (interfering RNAs, utilized for gene silencing, and single-stranded AONs with various chemistries, which are useful for antisense targeting of micro-RNAs and mRNAs. In particular, the use of AONs for exon skipping, by targeting pre-mRNA, is proving to be a highly promising therapy for some genetic disorders like Duchenne muscular dystrophy and spinal muscular atrophy. However, AONs are unable to cross the plasma membrane unaided, and several other obstacles still remain to be overcome, in particular their instability due to their nuclease sensitivity and their lack of tissue specificity. Various drug delivery systems have been explored to improve the bioavailability of nucleic acids, and nanoparticles (NPs) have been suggested as potential vectors for DNA/RNA. This review describes the recent progress in AON conjugation with natural and synthetic delivery systems, and provides an overview of the efficacy of NP-AON complexes as an exon-skipping treatment for Duchenne muscular dystrophy.
AuthorsMaria Sofia Falzarano, Chiara Passarelli, Alessandra Ferlini
JournalNucleic acid therapeutics (Nucleic Acid Ther) Vol. 24 Issue 1 Pg. 87-100 (Feb 2014) ISSN: 2159-3345 [Electronic] United States
PMID24506782 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • DMD protein, human
  • Dystrophin
  • Oligonucleotides, Antisense
Topics
  • Animals
  • Dogs
  • Drug Delivery Systems
  • Dystrophin (genetics)
  • Exons
  • Humans
  • Male
  • Mice
  • Mice, Inbred mdx
  • Muscular Dystrophy, Animal (genetics, therapy)
  • Muscular Dystrophy, Duchenne (genetics, therapy)
  • Nanomedicine
  • Nanoparticles (administration & dosage)
  • Oligonucleotides, Antisense (administration & dosage, genetics, therapeutic use)
  • Targeted Gene Repair (methods)

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