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ELF4 antisense oligonucleotide is an antisense oligonucleotide (ASO) designed to target and knock down the expression of E74-like ETS transcription factor 4 (ELF4), an ETS-domain transcription factor. Developed by researchers at the University of Pennsylvania, this therapeutic candidate is being investigated for the treatment of chronic kidney disease (CKD) and kidney fibrosis. ELF4 is upregulated in kidney fibrosis models and human CKD samples, primarily expressed by natural killer (NK) cells where it directly regulates interferon-gamma (IFNG) expression and indirectly alters macrophage polarization. In preclinical mouse models of folic acid- and cisplatin-induced kidney injury, administration of the ELF4 antisense oligonucleotide has been shown to reduce collagen accumulation, suppress pro-fibrotic gene expression, and protect against kidney fibrosis and dysfunction.
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