ISS-N1 makes the first FDA-approved drug for spinal muscular atrophy

Spinal muscular atrophy (SMA) is one of the leading genetic diseases of children and infants. SMA is caused by deletions or mutations of Survival Motor Neuron 1 (SMN1) gene. SMN2, a nearly identical copy of SMN1, cannot compensate for the loss of SMN1 due to predominant skipping of exon 7. While var...

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Main Author: Ottesen Eric W.
Format: Article
Language:English
Published: De Gruyter 2017-01-01
Series:Translational Neuroscience
Subjects:
Online Access:https://doi.org/10.1515/tnsci-2017-0001
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author Ottesen Eric W.
author_facet Ottesen Eric W.
author_sort Ottesen Eric W.
collection DOAJ
description Spinal muscular atrophy (SMA) is one of the leading genetic diseases of children and infants. SMA is caused by deletions or mutations of Survival Motor Neuron 1 (SMN1) gene. SMN2, a nearly identical copy of SMN1, cannot compensate for the loss of SMN1 due to predominant skipping of exon 7. While various regulatory elements that modulate SMN2 exon 7 splicing have been proposed, intronic splicing silencer N1 (ISS-N1) has emerged as the most promising target thus far for antisense oligonucleotide-mediated splicing correction in SMA. Upon procuring exclusive license from the University of Massachussets Medical School in 2010, Ionis Pharmaceuticals (formerly ISIS Pharamaceuticals) began clinical development of Spinraza™ (synonyms: Nusinersen, IONIS-SMNRX, ISIS-SMNRX), an antisense drug based on ISS-N1 target. Spinraza™ showed very promising results at all steps of the clinical development and was approved by US Food and Drug Administration (FDA) on December 23, 2016. Spinraza™ is the first FDA-approved treatment for SMA and the first antisense drug to restore expression of a fully functional protein via splicing correction. The success of Spinraza™ underscores the potential of intronic sequences as promising therapeutic targets and sets the stage for further improvement of antisense drugs based on advanced oligonucleotide chemistries and delivery protocols.
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spelling doaj.art-86e1c44319ce480f8dbc8a4d5359f32e2022-12-21T22:32:48ZengDe GruyterTranslational Neuroscience2081-69362017-01-01811610.1515/tnsci-2017-0001tnsci-2017-0001ISS-N1 makes the first FDA-approved drug for spinal muscular atrophyOttesen Eric W.0Department of Biomedical Sciences, Iowa State University, Ames, Iowa 50011, United States of AmericaSpinal muscular atrophy (SMA) is one of the leading genetic diseases of children and infants. SMA is caused by deletions or mutations of Survival Motor Neuron 1 (SMN1) gene. SMN2, a nearly identical copy of SMN1, cannot compensate for the loss of SMN1 due to predominant skipping of exon 7. While various regulatory elements that modulate SMN2 exon 7 splicing have been proposed, intronic splicing silencer N1 (ISS-N1) has emerged as the most promising target thus far for antisense oligonucleotide-mediated splicing correction in SMA. Upon procuring exclusive license from the University of Massachussets Medical School in 2010, Ionis Pharmaceuticals (formerly ISIS Pharamaceuticals) began clinical development of Spinraza™ (synonyms: Nusinersen, IONIS-SMNRX, ISIS-SMNRX), an antisense drug based on ISS-N1 target. Spinraza™ showed very promising results at all steps of the clinical development and was approved by US Food and Drug Administration (FDA) on December 23, 2016. Spinraza™ is the first FDA-approved treatment for SMA and the first antisense drug to restore expression of a fully functional protein via splicing correction. The success of Spinraza™ underscores the potential of intronic sequences as promising therapeutic targets and sets the stage for further improvement of antisense drugs based on advanced oligonucleotide chemistries and delivery protocols.https://doi.org/10.1515/tnsci-2017-0001spinal muscular atrophyantisense oligonucleotidessurvival motor neuron proteinsmnspinrazaisis-smnrxionis-smnrxnusinerseniss-n1splicing regulation
spellingShingle Ottesen Eric W.
ISS-N1 makes the first FDA-approved drug for spinal muscular atrophy
Translational Neuroscience
spinal muscular atrophy
antisense oligonucleotides
survival motor neuron protein
smn
spinraza
isis-smnrx
ionis-smnrx
nusinersen
iss-n1
splicing regulation
title ISS-N1 makes the first FDA-approved drug for spinal muscular atrophy
title_full ISS-N1 makes the first FDA-approved drug for spinal muscular atrophy
title_fullStr ISS-N1 makes the first FDA-approved drug for spinal muscular atrophy
title_full_unstemmed ISS-N1 makes the first FDA-approved drug for spinal muscular atrophy
title_short ISS-N1 makes the first FDA-approved drug for spinal muscular atrophy
title_sort iss n1 makes the first fda approved drug for spinal muscular atrophy
topic spinal muscular atrophy
antisense oligonucleotides
survival motor neuron protein
smn
spinraza
isis-smnrx
ionis-smnrx
nusinersen
iss-n1
splicing regulation
url https://doi.org/10.1515/tnsci-2017-0001
work_keys_str_mv AT ottesenericw issn1makesthefirstfdaapproveddrugforspinalmuscularatrophy