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AsiDNA is a first-in-class signal-interfering DNA (siDNA) molecule designed to disrupt the DNA damage response (DDR) in cancer cells. It consists of a short, cholesterol-conjugated, double-stranded DNA oligonucleotide that mimics genomic double-strand breaks. By acting as a decoy, AsiDNA binds to and hyperactivates key DNA repair proteins, including DNA-dependent protein kinase (DNA-PK) and poly(ADP-ribose) polymerase (PARP), effectively sequestering them away from actual sites of DNA damage caused by radiotherapy or chemotherapy. This mechanism prevents the repair of lethal DNA lesions, leading to selective tumor cell death while sparing healthy cells. Developed by Onxeo, AsiDNA is being evaluated in clinical trials for various solid tumors, including breast cancer and ovarian cancer, particularly in combination with DNA-damaging agents or PARP inhibitors to overcome resistance.
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