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antiRNAbased

AntiRNA-based, or anti-RNA-based, therapies are approaches that target RNA molecules to modulate gene expression or RNA processing. By binding complementary RNA sequences or using RNA-targeting enzymes, these strategies aim to reduce or alter the production of disease-causing proteins without changing the DNA itself. The main modalities include antisense oligonucleotides (ASOs), small interfering RNAs (siRNAs), and RNA-targeting systems such as CRISPR-Cas13. ASOs bind target RNA to block translation, modify splicing, or recruit RNase H to degrade the transcript. siRNAs guide RNA-induced silencing complexes to degrade specific mRNAs, thereby lowering protein output. AntimiRs inhibit endogenous microRNAs, impacting post-transcriptional regulation. Some approaches employ chemical modifications and delivery systems to improve stability and cellular uptake.

Applications span basic research and medicine. In therapeutics, several anti-RNA–based drugs have been approved for rare

Delivery remains a central challenge, with lipid nanoparticles and tissue-targeting conjugates (such as GalNAc) improving pharmacokinetics

and
metabolic
diseases.
Nusinersen
is
an
ASO
that
modulates
SMN2
splicing
in
spinal
muscular
atrophy.
Eteplirsen
and
other
exon-skipping
ASOs
target
Duchenne
muscular
dystrophy.
Inotersen
is
an
ASO
for
hereditary
transthyretin-mediated
amyloidosis.
Patisiran
and
inclisiran
are
siRNA-based
therapies
for
hereditary
transthyretin-mediated
amyloidosis
and
hyperlipidemia,
respectively.
Beyond
approved
drugs,
the
field
supports
experimental
treatments
aimed
at
noncoding
RNAs,
regulatory
networks,
and
viral
RNAs.
and
tissue
uptake.
Safety
considerations
include
off-target
effects,
immune
activation,
and
long-term
outcomes.
The
field
continues
to
evolve,
expanding
target
repertoires
and
advancing
delivery
technologies
within
nucleic
acid
therapeutics.