2019
DOI: 10.1016/j.omtm.2019.10.011
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mRNA as a Novel Treatment Strategy for Hereditary Spastic Paraplegia Type 5

Abstract: Hereditary spastic paraplegia type 5 is a neurodegenerative disease caused by loss-of-function mutations in the CYP7B1 gene encoding the oxysterol 7-α-hydroxylase involved in bile acid synthesis in the liver. Lack of CYP7B1 leads to an accumulation of its oxysterol substrates, in particular 25-hydroxycholesterol and 27-hydroxycholesterol that are able to cross the blood-brain barrier and have neurotoxic properties. A potential therapeutic strategy for SPG5 is the replacement of CYP7B1 by administration of mRNA… Show more

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Cited by 24 publications
(29 citation statements)
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References 35 publications
(48 reference statements)
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“… 66 Such advances have contributed–in part–to the pioneering successes that are starting to be realized for in vivo delivery of therapeutic mRNA outside of the vaccine arena. 67 72 …”
Section: Discussionmentioning
confidence: 99%
“… 66 Such advances have contributed–in part–to the pioneering successes that are starting to be realized for in vivo delivery of therapeutic mRNA outside of the vaccine arena. 67 72 …”
Section: Discussionmentioning
confidence: 99%
“…Obtaining sufficient delivery and intracellular expression will be amongst the most important challenges. Encouragingly, the in vivo delivery of therapeutic mRNA is starting to be realized outside of the vaccine arena [55][56][57][58][59][60] .…”
Section: Discussionmentioning
confidence: 99%
“…Preclinical studies also showed the potential of mRNA‐based therapy in inherited spastic paraplegia type 5. [ 193 ] Additionally, a hybrid mRNA technology delivery system has been developed to treat ornithine transcarbamylase (OTC) deficiency. [ 178 ] This mRNA delivery system consists of two types of nanoparticles: a di‐block polymer micelle ( N ‐acetylgalactosamine (GalNAc)‐targeted polymer micelle) that targets liver and promotes transfection, and an inert LNP composed of DOTAP/CHEMS/Chol/PEG2k‐lipid to encapsulate mRNA and protect it from nucleases.…”
Section: Application and Clinical Translationmentioning
confidence: 99%