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Partially complementary off-target messenger RNA (Off-target mRNA)

Target
Off-target mRNA
Molecular classification
Other, Nucleic acid
01

Overview

Partially complementary off-target messenger RNAs (mRNAs) are transcripts that are unintentionally regulated or degraded by RNA-targeted therapeutics, such as small interfering RNAs (siRNAs) or antisense oligonucleotides (ASOs) [1]. This phenomenon occurs when a therapeutic oligonucleotide binds to a non-target mRNA sequence that possesses partial complementarity, particularly within the 6-8 nucleotide "seed region" of an siRNA or through non-specific hybridization of an ASO [2][3]. Such interactions can lead to unintended gene knockdown via the RNA-induced silencing complex (RISC) or RNase H-mediated cleavage, potentially resulting in cellular toxicity or adverse clinical effects [4]. These off-target effects represent a significant safety challenge in the development of nucleic acid-based drugs, necessitating rigorous bioinformatic screening and chemical modifications to enhance specificity [5]. Monitoring these interactions typically involves comprehensive transcriptomic profiling to identify and mitigate risks associated with non-specific gene modulation [6]. Furthermore, chemical modifications like 2'-O-methyl or phosphorothioate linkages are often employed to reduce the affinity for off-target sequences while maintaining potency for the intended target [5]. Understanding the landscape of off-target binding is essential for establishing a safe therapeutic index for oligonucleotide medicines [3].

Other names
Off-target transcriptUnintended mRNA targetSeed-sequence off-targetNon-specific mRNA binding
02

Mechanism of action

Unintended sequence-specific hybridization leading to mRNA degradation via RISC or RNase H, or translational repression.

03

Biological functions

Other
04

Disease associations

Other
05

Safety considerations

HepatotoxicityNephrotoxicityUnintended gene silencingOff-target toxicity
06

Interacting drugs

Patisiran

6 more in the full profile.

07

Biomarkers

RNA-seq transcriptome profilingLiver enzyme elevationCytokine levels

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