Neurological Therapeutics
Online ISSN : 2189-7824
Print ISSN : 0916-8443
ISSN-L : 2189-7824
 
Potential of antisense oligonucleotide therapies for amyotrophic lateral sclerosis
Akihiro Sugai
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2022 Volume 39 Issue 3 Pages 311-314

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Abstract

Using antisense oligonucleotide (ASO) for familial amyotrophic lateral sclerosis (ALS) therapy has shown promise. However, therapy for sporadic ALS is more challenging since its pathogenesis is not fully understood. We aimed to better understand the role of TAR DNA–binding protein 43 (TDP–43) in ALS pathogenesis by developing a in silico model that simulates intracellular TDP–43 dynamics. There was a trade–off between the robustness of TDP–43 regulation, which depends on the redundancy of TDP–43 transcription, and vulnerability to the disease state. The transcriptional redundancy of TDP–43 contributes to TDP–43 autoregulation, which functions by nonsense–mediated mRNA decay via alternative splicing. Alternative splicing is reduced by ALS–associated TDP–43 mutations, motor cortex aging, and nuclear TDP–43 reduction. Therefore, the alternative splicing of TDP–43 may be a promising ASO target for ALS therapy.

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© 2022 Japanese Society of Neurological Therapeutics
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