Integrating Machine Learning-Based Approaches into the Design of ASO Therapies
Genes,
Год журнала:
2025,
Номер
16(2), С. 185 - 185
Опубликована: Фев. 2, 2025
Rare
diseases
impose
a
significant
burden
on
affected
individuals,
caregivers,
and
healthcare
systems
worldwide.
Developing
effective
therapeutics
for
these
small
patient
populations
presents
substantial
challenges.
Antisense
oligonucleotides
(ASOs)
have
emerged
as
promising
therapeutic
approach
that
targets
the
underlying
genetic
cause
of
disease
at
RNA
level.
Several
ASOs
gained
FDA
approval
treatment
conditions,
including
use
in
personalized
N-of-1
trials.
However,
despite
their
potential,
often
exhibit
limited
clinical
efficacy,
optimizing
design
is
complex
process
influenced
by
numerous
factors.
Machine
learning-based
platforms,
eSkip-Finder
ASOptimizer,
been
developed
to
address
challenges
predicting
optimal
ASO
sequences
chemical
modifications
enhance
efficacy.
focuses
exon-skipping
applications,
while
ASOptimizer
aims
optimize
degradation.
Preliminary
vitro
results
demonstrated
predictive
power
platforms.
limitations
remain,
generalizability
alternative
gaps
consideration
all
factors
influencing
efficacy
safety.
Continued
advancements
machine
learning
models,
alongside
efforts
incorporate
additional
features
affecting
safety,
hold
promise
field.
These
platforms
potential
streamline
development,
reduce
associated
costs,
improve
outcomes,
positioning
key
tool
future
therapeutics.
Язык: Английский
Preparing for patient-customized N-of-1 Antisense Oligonucleotide Therapy to Treat Rare Diseases
Опубликована: Май 29, 2024
The
process
of
developing
therapies
to
treat
rare
diseases
is
fraught
with
financial,
regulatory,
and
logistical
challenges
that
have
limited
our
ability
build
effective
treatments.
Recently,
a
novel
type
therapy
called
antisense
has
shown
immense
potential
for
the
treatment
diseases,
particularly
through
single-patient
N-of-1
trials.
Several
been
developed
recently
including
landmark
study
milasen.
In
response
success
therapy,
Food
Drug
Administration
(FDA)
unique
guidelines
specifically
development
diseases.
This
policy
change
establishes
strong
foundation
future
development,
addresses
some
major
limitations
previously
hindered
Язык: Английский
Antisense oligonucleotides in rare neurogenetic disorders
Journal of Genetic Medicine,
Год журнала:
2024,
Номер
21(2), С. 41 - 50
Опубликована: Дек. 31, 2024
Rapid
advancements
in
genetic
testing
have
significantly
improved
the
diagnosis
of
rare
diseases.However,
development
targeted
therapies
has
progressed
more
slowly,
leaving
most
conditions
without
effective
treatment.Because
80%
disorders
involve
nervous
system,
early
intervention
is
crucial,
particularly
pediatric
patients
with
progressive
conditions.Antisense
oligonucleotides
(ASOs)
emerged
as
promising
therapeutics
that
offer
precise
modulation
gene
expression
through
RNA
targeting,
requiring
viral
delivery
systems.These
been
successful
modulating
disease
trajectories,
thereby
demonstrating
potential
precision
medicine.Recent
innovations
ASO
chemical
modifications
and
strategies
enhanced
their
safety,
stability,
tissue
specificity,
broadening
applicability
complex
neurogenetic
disorders.This
review
explores
mechanisms,
clinical
applications,
future
ASOs,
emphasizes
growing
role
medicine.As
diagnostics
evolve
alongside
therapeutics,
ASOs
are
expected
to
become
key
pillars
for
addressing
unmet
medical
needs
transforming
management
previously
untreatable
disorders.
Язык: Английский