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LNA-224 is a chemically modified antisense oligonucleotide (specifically a locked nucleic acid, or LNA) designed to target and inhibit microRNA-224-5p (miR-224). It was initially developed by the Icahn School of Medicine at Mount Sinai and is being investigated for the treatment of pulmonary arterial hypertension (PAH). In preclinical models of PAH (such as Sugen/Hypoxia and monocrotaline rodent models), intratracheal delivery of aerosolized LNA-224 has been shown to significantly attenuate disease severity, reduce pulmonary artery and right ventricular pressure, and improve right ventricular function. Mechanistically, miR-224 targets multiple components of the bone morphogenetic protein (BMP) and transforming growth factor-beta (TGF-β) signaling pathways; inhibiting miR-224 with LNA-224 restores the balance between growth-inhibitory BMP signaling and growth-promoting TGF-β signaling in pulmonary arterial smooth muscle cells (PASMCs).
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