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Messenger RNA (mRNA) serves as the critical intermediary in the central dogma of molecular biology, carrying genetic information from DNA to the ribosome for protein synthesis [1]. As a therapeutic target, mRNA allows for the modulation of protein expression levels, offering a pathway to treat diseases caused by 'undruggable' proteins that lack accessible binding pockets for traditional small molecules [2]. Drugs targeting mRNA, such as antisense oligonucleotides (ASOs) and small interfering RNAs (siRNAs), work by binding to specific sequences to trigger degradation or block translation [3]. This target class is instrumental in treating genetic disorders like spinal muscular atrophy and hereditary transthyretin-mediated amyloidosis by either silencing toxic genes or correcting splicing defects [4]. Small molecules are also being developed to target the secondary and tertiary structures of mRNA to influence its stability and translation efficiency [5]. While highly specific, mRNA-targeted therapies face challenges related to cellular delivery, stability in the bloodstream, and potential activation of the innate immune system [6]. The term 'mRNA of intended gene target' is a generic descriptor used in drug development to indicate that the therapeutic strategy focuses on the transcript of a specific, yet-to-be-named gene [7]. Effective utilization of this target requires precise knowledge of the target sequence to avoid off-target effects and ensure therapeutic efficacy [8].
Drugs targeting mRNA typically function through RNA interference (RNAi), RNase H-mediated degradation, steric hindrance of translation, or modulation of alternative splicing [1][3].
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