4.6 Review

Current and Emerging Therapies for Hereditary Transthyretin Amyloidosis: Strides Towards a Brighter Future

期刊

NEUROTHERAPEUTICS
卷 18, 期 4, 页码 2286-2302

出版社

SPRINGER
DOI: 10.1007/s13311-021-01154-y

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Transthyretin; Gene-silencing; Stabilizers; Amyloidosis; Peripheral neuropathy

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This review discusses the rapid development in the field of hereditary transthyretin amyloidosis treatment and the validation of therapeutic potential, highlighting how a deeper understanding of molecular mechanisms has contributed to the discovery of new treatment targets. It also emphasizes the importance of improving patient outcomes and paving the way for a brighter future.
The past few years have witnessed an unprecedented acceleration in the clinical development of novel therapeutic options for hereditary transthyretin amyloidosis. Recently approved agents and drugs currently under investigation not only represent a major breakthrough in this field but also provide validation of the therapeutic potential of innovative approaches, like RNA interference and CRISPR-Cas9-mediated gene editing, in rare inherited disorders. In this review, we describe the evolving therapeutic landscape for hereditary transthyretin amyloidosis and discuss how this highly disabling and fatal condition is turning into a treatable disease. We also provide an overview of the molecular mechanisms involved in transthyretin (TTR) amyloid formation and regression, to highlight how a deeper understanding of these processes has contributed to the identification of novel treatment targets. Finally, we focus on major areas of uncertainty and unmet needs that deserve further efforts to improve long-term patients' outcomes and allow for a brighter future.

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