4.3 Article

Antisense Oligonucleotides As Potential Therapeutics for Type 2 Diabetes

Journal

NUCLEIC ACID THERAPEUTICS
Volume 31, Issue 1, Pages 39-57

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/nat.2020.0891

Keywords

type 2 diabetes; insulin resistance; hyperglycemia; antisense oligonucleotides; oligonucleotide therapeutics; gene silencing

Funding

  1. Perron Institute for Neurological and Translational Science and McCusker Charitable Foundation

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Type 2 diabetes is a chronic metabolic disorder characterized by persistent hyperglycemia. Antisense oligonucleotide has attracted attention for its ability to downregulate disease-causing genes. Several antisense agents have been approved for treating various human diseases, including genetic disorders.
Type 2 diabetes (T2D) is a chronic metabolic disorder characterized by persistent hyperglycemia resulting from inefficient signaling and insufficient production of insulin. Conventional management of T2D has largely relied on small molecule-based oral hypoglycemic medicines, which do not halt the progression of the disease due to limited efficacy and induce adverse effects as well. To this end, antisense oligonucleotide has attracted immense attention in developing antidiabetic agents because of their ability to downregulate the expression of disease-causing genes at the RNA and protein level. To date, seven antisense agents have been approved by the United States Food and Drug Administration for therapies of a variety of human maladies, including genetic disorders. Herein, we provide a comprehensive review of antisense molecules developed for suppressing the causative genes believed to be responsible for insulin resistance and hyperglycemia toward preventing and treating T2D.

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