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anti-miR-21-SNA is an antisense oligonucleotide (ASO) synthesized from serinol nucleic acid (SNA) that targets microRNA-21 (miR-21). Developed by researchers at Nagoya University, this acyclic artificial nucleic acid therapeutic is designed to inhibit miR-21, which is aberrantly upregulated in cystic kidney diseases such as autosomal dominant polycystic kidney disease (ADPKD) and nephronophthisis. The SNA backbone provides high nuclease resistance and stable hybridization with target RNA without the need for toxic phosphorothioate modifications. In preclinical models, systemically administered anti-miR-21-SNA accumulates preferentially in the kidneys, where it suppresses renal cyst growth, improves renal function, and modulates pathways associated with mitochondrial metabolism, apoptosis, and tissue fibrosis.
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