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RNA and RNA-processing enzymes

Molecular classification
Enzyme [10, 13], RNA [3, 4, 6], Nucleic acid [18], RNA-binding protein [10, 14]
01

Overview

RNA and RNA-processing enzymes constitute a broad and essential class of therapeutic targets involved in the regulation of gene expression at the post-transcriptional level [2, 7]. This category includes the RNA molecules themselves—such as messenger RNA (mRNA), microRNA (miRNA), and long non-coding RNA (lncRNA)—as well as the enzymatic machinery responsible for their synthesis, splicing, modification, and degradation [4, 16]. Key enzymes in this group include RNA polymerases, spliceosomal components, RNA methyltransferases (writers), and RNases [10, 13, 19]. Targeting these molecules allows for the modulation of protein production before translation occurs, offering a way to address "undruggable" proteins by either silencing disease-causing genes or restoring the function of defective ones [7, 11, 15]. Therapeutic modalities targeting this space range from antisense oligonucleotides (ASOs) and small interfering RNAs (siRNAs) to novel small molecules that can selectively bind RNA structures or modulate splicing [6, 12, 15]. While highly promising for treating genetic disorders, cancers, and viral infections, challenges such as precise tissue delivery and the avoidance of off-target effects remain central to the development of these therapies [1, 3, 18].

Other names
RNA metabolism machinery [5]RNA-binding proteins [14]RNA-modifying enzymes [19]Ribonucleoprotein complexes [4]Epitranscriptome [19]
02

Mechanism of action

Drugs targeting this class operate through diverse mechanisms, including splicing modulation to correct or alter exon inclusion [6, 15], RNA interference (RNAi) to induce mRNA cleavage and degradation [12, 18], and the use of antisense oligonucleotides (ASOs) for steric blocking or RNase H-mediated degradation [12]. Other approaches include inhibiting viral RNA-dependent RNA polymerases [6], inducing nonsense-mediated decay (NMD) of oncogenic transcripts [7, 15], and modulating epitranscriptomic "writer" or "eraser" enzymes to reset RNA modification patterns [19].

03

Biological functions

Transcription [7]Splicing [2, 5, 6, 7, 12, 15]Translation [6, 7, 16]RNA degradation [5, 7, 12, 13, 18]RNA modification [1, 2, 10, 19]RNA transport [5, 6]
04

Disease associations

Cancer [7, 10, 11, 15, 19]Neurodegenerative disease [5, 6, 9, 11, 14, 15]Infection [4, 6, 10]Genetic disorder [6, 9, 12]Inflammation [10, 17]
05

Safety considerations

Off-target transcriptomic effects [1, 3, 14, 18]Delivery to the central nervous system (CNS) and specific tissues [7, 11, 19]Immunogenicity of nucleic acids or bacterial-derived enzymes [1, 10, 18]Saturation of endogenous RNA processing pathways [18]High cost and therapeutic burden of nucleic acid-based drugs [19]
06

Interacting drugs

Risdiplam [6, 14, 15]

11 more in the full profile.

07

Biomarkers

mRNA expression levels [11, 12]Specific splice variant ratios [2, 15]RNA modification patterns (e.g., m6A) [19]Target protein concentration [15]Circulating microRNA levels [12]

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