Target intelligence / Profile preview

Fibrinogen alpha chain mRNA (FGA mRNA) (FGA mRNA)

Target
FGA mRNA
Molecular classification
Other
01

Overview

Fibrinogen alpha chain mRNA is the messenger RNA transcript of the FGA gene, which encodes the alpha subunit of fibrinogen, a 340 kDa hexameric glycoprotein essential for blood coagulation (UniProt: P02671). Fibrinogen is synthesized in the liver and converted into fibrin by thrombin during the final stage of the coagulation cascade to form a stable blood clot (PubMed: 30243534). Mutations in the C-terminal region of the FGA gene lead to hereditary fibrinogen A alpha-chain amyloidosis, a rare autosomal dominant condition where misfolded alpha-chain fragments aggregate into amyloid fibrils, primarily depositing in the renal glomeruli and leading to end-stage renal disease (NIH: Genetic and Rare Diseases Information Center). Therapeutic targeting of FGA mRNA using antisense oligonucleotides (ASOs), such as IONIS-FGA-LRx (also known as AKCEA-FGA-LRx), utilizes RNase H1-mediated degradation to reduce the hepatic production of the fibrinogen alpha chain (ClinicalTrials.gov: NCT05158309). By lowering the circulating levels of the amyloidogenic precursor protein, these therapies aim to halt or reverse amyloid deposition and preserve organ function, though they necessitate careful monitoring of plasma fibrinogen levels to mitigate the risk of bleeding (PubMed: 34161488).

Other names
FGA mRNAFibrinogen A alpha chain mRNAFIBA mRNAFibrinogen alpha chain transcript
02

Mechanism of action

Antisense oligonucleotide-mediated degradation of mRNA via RNase H1, leading to reduced translation of the fibrinogen alpha chain protein.

03

Biological functions

Other
04

Disease associations

OtherCardiovascular disease
05

Safety considerations

Bleeding riskHypofibrinogenemiaInjection site reactionsThrombocytopenia
06

Interacting drugs

IONIS-FGA-LRx

2 more in the full profile.

07

Biomarkers

Plasma fibrinogen levelsProteinuriaEstimated glomerular filtration rate (eGFR)

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