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ER2001 is an investigational gene therapy designed as a genetic circuit (plasmid) encoding both a neuron-targeting rabies virus glycoprotein (RVG) tag and an HTT siRNA. After intravenous administration, the plasmid reprograms liver cells to transcribe and self-assemble HTT siRNA into RVG-tagged exosomes. These exosomes circulate systemically and deliver the HTT siRNA specifically to neurons in the cortex and striatum, targeting mutant huntingtin protein expression via RNA interference. Preclinical studies have shown that ER2001 lowers mutant huntingtin levels, improves behavioral deficits, and ameliorates neuropathology in models of Huntington's disease. The drug is being developed by ExoRNA Bioscience Nanjing for early manifest Huntington's disease[5][7].
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