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Non-microRNA-21 RNAs with partial sequence complementarity

Molecular classification
RNA, Messenger RNA, Non-coding RNA
01

Overview

Non-microRNA-21 RNAs with partial sequence complementarity refer to a diverse group of endogenous RNA transcripts that share sequence homology with microRNA-21 (miR-21), a potent oncomir and driver of fibrosis (Thum et al., Nature, 2008). These molecules are not therapeutic targets themselves but represent a significant class of off-targets for drugs designed to inhibit miR-21, such as antisense oligonucleotides (ASOs) like Lademirsen (RG-012) (Regulus Therapeutics, 2023). The primary concern involves the seed region of the ASO, which can hybridize with partially complementary sequences in the 3' untranslated regions (UTRs) of unintended messenger RNAs (mRNAs), leading to their degradation or translational repression (Jackson et al., Nature Biotechnology, 2003). This off-target binding can result in unintended biological effects and toxicity, complicating the safety profile of miR-21-targeted therapies. In clinical development, these RNAs are scrutinized to ensure that the therapeutic agent maintains high specificity for miR-21 over other cellular RNAs (Burchard et al., Nature Biotechnology, 2009). Consequently, they are a major focus of bioinformatic screening and lead optimization in the field of RNA therapeutics. Understanding the landscape of these partially complementary RNAs is essential for minimizing adverse events in patients treated for conditions like Alport syndrome or solid tumors.

Other names
Off-target transcriptsmiR-21-homologous RNAsSeed-matched off-targets
02

Mechanism of action

Unintended hybridization and subsequent silencing of non-target transcripts by antisense oligonucleotides designed for miR-21 (Jackson et al., Nature Biotechnology, 2003).

03

Biological functions

Regulation of gene expressionTranslationRNA stability
04

Disease associations

CancerFibrosisAlport syndrome
05

Safety considerations

Off-target gene silencingToxicityReduced therapeutic indexHepatotoxicityNephrotoxicity
06

Interacting drugs

Lademirsen

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