Cancer Sci. 2022 Jun 14.
Oligonucleotide therapeutics, drugs consisting of 10-50 nucleotide-long single- or double-stranded DNA or RNA molecules that can bind to specific DNA or RNA sequences or proteins, include antisense oligonucleotides (ASOs), small interfering RNAs (siRNAs), microRNAs (miRNAs), aptamers, and decoys. These can potentially become the third pillar of drug development. In particular, ASOs and siRNAs are widely used advanced tools to silence gene expression and are used in clinical trials, as they have high specificity for target mRNAs or non-coding RNAs and limited toxicity. However, their clinical application is still challenging. Although chemotherapy has benefits, it causes severe adverse effects in many patients. Therefore, new modalities for targeted molecular therapy against tumors, including oligonucleotide therapeutics, are required, and they should be compatible with diagnosis using next-generation sequencing. This review provides an overview of the therapeutic uses of ASOs, siRNAs, and miRNAs in clinical studies on malignant tumors. Understanding previous research and development will help develop novel oligonucleotide therapeutics against malignant tumors.
Keywords: antisense oligonucleotide; drug delivery; microRNA; oligonucleotide therapeutics; small interfering RNA