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hNNMT-897-LNA(18) is an investigational 2',4'-bridged nucleic acid (BNA)/locked nucleic acid (LNA)-modified gapmer phosphorothioate antisense oligonucleotide (ASO) developed by researchers at Osaka University. It is designed to specifically target and suppress the expression of nicotinamide N-methyltransferase (NNMT), an enzyme that is highly expressed in cancer-associated fibroblasts (CAFs) and various tumor tissues, where it correlates with poor prognosis. By inhibiting NNMT, the ASO aims to disrupt metabolic pathways that support tumor growth and the pro-tumorigenic environment created by CAFs. To enhance delivery and specificity to the tumor microenvironment, a version of this ASO has been conjugated with FAPI-04, a ligand that binds to fibroblast activation protein (FAP), allowing for targeted uptake by CAFs. Preclinical studies in xenograft models have demonstrated antitumor effects in pancreatic cancer and non-small-cell lung carcinoma.
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