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Vascular endothelial growth factor A (VEGFA) messenger RNA is the primary transcript responsible for the production of the VEGFA protein, a key mediator of angiogenesis and vascular permeability [UniProt P15692]. In healthy tissues, VEGFA is essential for wound healing and development, but its overexpression is a hallmark of pathological conditions such as solid tumor growth and neovascular eye diseases [PubMed: 15630440]. By targeting the mRNA rather than the protein, therapeutic interventions like small interfering RNAs (siRNAs) or antisense oligonucleotides (ASOs) aim to prevent the production of all VEGFA isoforms at the source [NIH]. This approach has been explored extensively for treating wet age-related macular degeneration and various cancers, with drugs like bevasiranib reaching late-stage clinical trials [ClinicalTrials.gov: NCT00498329]. However, challenges remain regarding the stable delivery of these nucleic acid drugs and the potential for off-target effects or immune activation [PubMed: 11313945]. Despite these hurdles, VEGFA mRNA remains a significant target in the field of RNA therapeutics, offering a mechanism to silence the angiogenic signal before it is even translated.
RNA interference (siRNA) or antisense oligonucleotide (ASO) mediated degradation or translational inhibition of the messenger RNA transcript, preventing the synthesis of the VEGF protein.
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