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miR-324-5p antagomir is a synthetic, locked-nucleic acid-modified antisense oligonucleotide designed to inhibit the microRNA miR-324-5p. In preclinical models of epilepsy, miR-324-5p antagomir has been shown to provide neuroprotection, reduce seizure susceptibility, and decrease seizure frequency, particularly in male mice. It acts by blocking miR-324-5p, which post-transcriptionally suppresses the voltage-gated A-type potassium channel Kv4.2 (KCND2). By inhibiting miR-324-5p, the antagomir prevents the downregulation of Kv4.2, thereby restoring potassium channel expression and reducing neuronal excitability. It has been investigated primarily in academic research settings, such as Cincinnati Children's Hospital Medical Center, for its therapeutic potential in temporal lobe epilepsy and genetic models of epilepsy (e.g., Cntnap2 knockout mice).
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