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Antisense oligonucleotide therapy for proline-23-histidine autosomal dominant retinitis pigmentosa

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Purpose of review To discuss antisense oligonucleotide (ASON) therapy for autosomal dominant retinitis pigmentosa (adRP) caused by the proline-23-histidine (P23H) mutation in the rhodopsin gene. Recent findings Viral and nonviral… Click to show full abstract

Purpose of review To discuss antisense oligonucleotide (ASON) therapy for autosomal dominant retinitis pigmentosa (adRP) caused by the proline-23-histidine (P23H) mutation in the rhodopsin gene. Recent findings Viral and nonviral therapies to treat adRP are currently under investigation. A promising therapeutic option is a nonviral approach using ASONs. This form of genetic therapy has demonstrated a dose-dependent and highly selective reduction of P23H mutant rhodopsin mRNA in animal models, and it is currently being investigated as a human phase 1/2 clinical trial. Summary There are promising new therapies to treat adRP. ASON has shown encouraging results in animal models and has undergone a phase 1 clinical trial. ASON does not use a viral vector, is delivered with standard intravitreal injection, and its effects are reversible.

Keywords: antisense oligonucleotide; retinitis pigmentosa; therapy; proline histidine; autosomal dominant; dominant retinitis

Journal Title: Current Opinion in Ophthalmology
Year Published: 2023

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