Target intelligence / Profile preview

Endogenous precursor messenger RNA in cardiomyocytes and smooth muscle cells (pre-mRNA (CMC/SMC))

Target
pre-mRNA (CMC/SMC)
Molecular classification
Nucleic acid, RNA, Pre-messenger RNA
01

Overview

Endogenous precursor messenger RNA (pre-mRNA) in cardiomyocytes and smooth muscle cells refers to the initial, unspliced transcripts of genes expressed within the muscular tissues of the heart and blood vessels. These molecules are essential intermediates in the central dogma, undergoing complex processing including 5' capping, polyadenylation, and splicing to form mature mRNA (Source: Nature Reviews Molecular Cell Biology, 2019). In the context of cardiovascular pathology, aberrant splicing or the presence of pathogenic mutations within these pre-mRNAs can lead to the production of dysfunctional proteins, contributing to conditions like dilated cardiomyopathy or vascular proliferative diseases (Source: Circulation, 2022). Therapeutic strategies targeting these pre-mRNAs primarily utilize antisense oligonucleotides (ASOs) and splice-switching oligonucleotides (SSOs) to modulate gene expression or correct splicing defects (Source: Journal of Clinical Investigation, 2021). By binding to specific sequences, these drugs can either trigger RNase H-mediated degradation of the transcript or sterically block splicing factors to include or exclude specific exons (Source: Molecular Therapy, 2020). However, the clinical application of these therapies is currently limited by the difficulty of achieving high-efficiency, cell-specific delivery to cardiomyocytes and smooth muscle cells without systemic toxicity (Source: Advanced Drug Delivery Reviews, 2023).

Other names
Primary RNA transcriptsHeterogeneous nuclear RNAhnRNACardiac pre-mRNAVascular smooth muscle pre-mRNA
02

Mechanism of action

Therapeutic agents target these molecules through RNase H-mediated degradation of the transcript, splice-site modulation via steric hindrance of the spliceosome, or RNA interference pathways to alter protein production.

03

Biological functions

RNA splicingGene expression regulationProtein synthesis precursorTranscriptional processing
04

Disease associations

Cardiovascular diseaseHypertrophic cardiomyopathyHeart failureAtherosclerosisHypertensionVascular restenosis
05

Safety considerations

Off-target hybridization and transcriptome-wide effectsInnate immune activation by synthetic oligonucleotidesTissue-specific delivery challenges to the heart and vasculaturePotential for systemic toxicity and accumulation in liver or kidney
06

Interacting drugs

Antisense oligonucleotides (ASOs)

5 more in the full profile.

07

Biomarkers

Alternative splicing isoform ratiosTarget mRNA expression levelsCardiac troponin I/TN-terminal pro-b-type natriuretic peptide (NT-proBNP)

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