PMID- 33915178 OWN - NLM STAT- MEDLINE DCOM- 20220120 LR - 20220120 IS - 1879-016X (Electronic) IS - 0163-7258 (Linking) VI - 227 DP - 2021 Nov TI - Oligonucleotides as therapeutic tools for brain disorders: Focus on major depressive disorder and Parkinson's disease. PG - 107873 LID - S0163-7258(21)00075-9 [pii] LID - 10.1016/j.pharmthera.2021.107873 [doi] AB - Remarkable advances in understanding the role of RNA in health and disease have expanded considerably in the last decade. RNA is becoming an increasingly important target for therapeutic intervention; therefore, it is critical to develop strategies for therapeutic modulation of RNA function. Oligonucleotides, including antisense oligonucleotide (ASO), small interfering RNA (siRNA), microRNA mimic (miRNA), and anti-microRNA (antagomir) are perhaps the most direct therapeutic strategies for addressing RNA. Among other mechanisms, most oligonucleotide designs involve the formation of a hybrid with RNA that promotes its degradation by activation of endogenous enzymes such as RNase-H (e.g., ASO) or the RISC complex (e.g. RNA interference - RNAi for siRNA and miRNA). However, the use of oligonucleotides for the treatment of brain disorders is seriously compromised by two main limitations: i) how to deliver oligonucleotides to the brain compartment, avoiding the action of peripheral RNAses? and once there, ii) how to target specific neuronal populations? We review the main molecular pathways in major depressive disorder (MDD) and Parkinson's disease (PD), and discuss the challenges associated with the development of novel oligonucleotide therapeutics. We pay special attention to the use of conjugated ligand-oligonucleotide approach in which the oligonucleotide sequence is covalently bound to monoamine transporter inhibitors (e.g. sertraline, reboxetine, indatraline). This strategy allows their selective accumulation in the monoamine neurons of mice and monkeys after their intranasal or intracerebroventricular administration, evoking preclinical changes predictive of a clinical therapeutic action after knocking-down disease-related genes. In addition, recent advances in oligonucleotide therapeutic clinical trials are also reviewed. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Bortolozzi, Analia AU - Bortolozzi A AD - Institut d'Investigacions Biomediques de Barcelona (IIBB), Consejo Superior de Investigaciones Cientificas (CSIC), 08036 Barcelona, Spain; Institut d'Investigacions August Pi i Sunyer (IDIBAPS), 08036 Barcelona, Spain; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), ISCIII, Madrid, Spain. Electronic address: analia.bortolozzi@iibb.csic.es. FAU - Manashirov, Sharon AU - Manashirov S AD - Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), ISCIII, Madrid, Spain; miCure Therapeutics LTD., Tel-Aviv, Israel; Department of Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, 80804 Munich, Germany. FAU - Chen, Alon AU - Chen A AD - Department of Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, 80804 Munich, Germany; Department of Neurobiology, Weizmann Institute of Science, 76100 Rehovot, Israel. FAU - Artigas, Francesc AU - Artigas F AD - Institut d'Investigacions Biomediques de Barcelona (IIBB), Consejo Superior de Investigaciones Cientificas (CSIC), 08036 Barcelona, Spain; Institut d'Investigacions August Pi i Sunyer (IDIBAPS), 08036 Barcelona, Spain; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), ISCIII, Madrid, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210427 PL - England TA - Pharmacol Ther JT - Pharmacology & therapeutics JID - 7905840 RN - 0 (Oligonucleotides) SB - IM MH - *Depressive Disorder, Major/drug therapy MH - Humans MH - *Oligonucleotides/therapeutic use MH - *Parkinson Disease/drug therapy OTO - NOTNLM OT - ASO OT - Brain delivery OT - Depression OT - Oligonucleotide therapeutics OT - Parkinson's disease OT - miRNA EDAT- 2021/04/30 06:00 MHDA- 2022/01/21 06:00 CRDT- 2021/04/29 20:13 PHST- 2020/11/18 00:00 [received] PHST- 2021/04/05 00:00 [accepted] PHST- 2021/04/30 06:00 [pubmed] PHST- 2022/01/21 06:00 [medline] PHST- 2021/04/29 20:13 [entrez] AID - S0163-7258(21)00075-9 [pii] AID - 10.1016/j.pharmthera.2021.107873 [doi] PST - ppublish SO - Pharmacol Ther. 2021 Nov;227:107873. doi: 10.1016/j.pharmthera.2021.107873. Epub 2021 Apr 27.