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S6K1 siRNA is a preclinical-stage RNA interference (RNAi) therapeutic developed at the University of Massachusetts Chan Medical School. It is a fully chemically modified tetravalent small interfering RNA (siRNA) designed to target and silence the gene encoding ribosomal protein S6 kinase beta-1 (S6K1), a downstream effector of the mTORC1 signaling pathway. Administered via intravitreal injection, the therapeutic is engineered to enrich specifically in photoreceptor cells. In preclinical models of age-related macular degeneration (AMD), including mice, pigs, and non-human primates, S6K1 silencing has been shown to reverse AMD-associated phospholipid changes, restore lysosomal activity in retinal pigment epithelium (RPE) cells, reduce lipoprotein buildup at Bruch's membrane, and slow the growth of macular drusen. This long-lasting therapy is being developed as a potential treatment for both dry and wet AMD, including geographic atrophy, with the potential to reduce injection frequency to once or twice a year.
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