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**CPP-PMO antimiR-23b** is a research-stage family of peptide-conjugated phosphorodiamidate morpholino antisense oligonucleotides designed for **myotonic dystrophy type 1**. The designation is not one uniquely defined molecule: the published program includes three miR-23b-targeting PMOs conjugated to distinct cell-penetrating peptides, **6aKC-23b**, **9b2-23b**, and **9b2KC-23b**. These antimiRs inhibit miR-23b, and also reduce the closely related miR-23a in muscle, thereby derepressing endogenous **MBNL1** and **MBNL2** expression. Increased MBNL protein availability is intended to compensate for MBNL sequestration by toxic expanded DMPK RNA transcripts in DM1 and improve downstream spliceopathy and muscle dysfunction. In DM1 patient-derived cells and HSALR mice, intravenous CPP-PMO antimiR-23b candidates increased MBNL expression and improved molecular, histopathological, and functional disease features without treatment-attributable toxicity in the reported preclinical study.
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