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Off-target messenger RNA (Off-target mRNA)

Target
Off-target mRNA
Molecular classification
Nucleic acid, Messenger RNA
01

Overview

Off-target messenger RNA refers to the broad set of mRNA transcripts that are unintentionally targeted by oligonucleotide-based therapeutics, such as small interfering RNAs (siRNAs) and antisense oligonucleotides (ASOs) (Jackson & Linsley, 2010). These interactions occur when a drug sequence possesses sufficient complementarity to a non-target mRNA, leading to its degradation or translational inhibition (Fedorov et al., 2006). In the case of siRNAs, this is frequently driven by the 'seed region' (nucleotides 2-8), which can bind to 3' untranslated regions (UTRs) of unintended genes in a manner similar to microRNAs (Birmingham et al., 2006). Such off-target activity is a significant concern in drug development as it can lead to cellular toxicity, altered metabolic pathways, and adverse clinical side effects (Janas et al., 2018). Strategies to mitigate these effects include chemical modifications of the ribose sugar and careful bioinformatic screening during lead optimization (Bramsen & Kjems, 2012).

Other names
Unintended mRNA targetsOff-target transcriptsNon-specific mRNA bindingSeed-sequence-mediated off-targets
02

Mechanism of action

Unintended hybridization and degradation of non-target mRNA transcripts through partial sequence complementarity, often mediated by the RISC complex in the case of siRNAs or RNase H for ASOs (Jackson & Linsley, 2010; Fedorov et al., 2006).

03

Biological functions

Protein synthesisGene expression regulation
04

Disease associations

ToxicityAdverse drug reactions
05

Safety considerations

HepatotoxicityNephrotoxicityUnintended gene silencingSaturation of RNAi machineryPro-inflammatory responses
06

Interacting drugs

Patisiran

8 more in the full profile.

07

Biomarkers

RNA-seq transcriptome profilingLiver enzyme levels (ALT/AST)Cytokine levels

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