RNA plays a myriad
of roles in the body including the coding, decoding,
regulation, and expression of genes. RNA oligonucleotides have garnered
significant interest as therapeutics via antisense oligonucleotides
or small interfering RNA strategies for the treatment of diseases
ranging from hyperlipidemia, HCV, and others. Additionally, the recently
developed CRISPR-Cas9 mediated gene editing strategy also relies on
Cas9-associated RNA strands. However, RNA presents numerous challenges
as both a synthetic target and a potential therapeutic. RNA is inherently
unstable, difficult to deliver into cells, and potentially immunogenic
by itself or upon modification. Despite these challenges, with the
help of chemically modified oligonucleotides, multiple RNA-based drugs
have been approved by the FDA. The progress is made possible due to
the nature of chemically modified oligonucleotides bearing advantages
of nuclease stability, stronger binding affinity, and some other unique
properties. This review will focus on the chemical synthesis of RNA
and its modified versions. How chemical modifications of the ribose
units and of the phosphatediester backbone address the inherent issues
with using native RNA for biological applications will be discussed
along the way.