Oligonucleotide Therapeutics for Age-Related Musculoskeletal Disorders: Successes and Challenges

Thomas A. Nicholson, Michael Sagmeister, Susanne N. Wijesinghe, Hussein Farah, Rowan S. Hardy, Simon W. Jones*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Age-related disorders of the musculoskeletal system including sarcopenia, osteoporosis and arthritis represent some of the most common chronic conditions worldwide, for which there remains a great clinical need to develop safer and more efficacious pharmacological treatments. Collectively, these conditions involve multiple tissues, including skeletal muscle, bone, articular cartilage and the synovium within the joint lining. In this review, we discuss the potential for oligonucleotide therapies to combat the unmet clinical need in musculoskeletal disorders by evaluating the successes of oligonucleotides to modify candidate pathological gene targets and cellular processes in relevant tissues and cells of the musculoskeletal system. Further, we discuss the challenges that remain for the clinical development of oligonucleotides therapies for musculoskeletal disorders and evaluate some of the current approaches to overcome these.

Original languageEnglish
Article number237
Number of pages19
JournalPharmaceutics
Volume15
Issue number1
DOIs
Publication statusPublished - 10 Jan 2023

Bibliographical note

Funding Information:
This research was funded by the Medical Research Council, grant number MR/W026961/1 and Versus Arthritis, grant number 21530.

Publisher Copyright:
© 2023 by the authors.

Keywords

  • bone
  • cartilage
  • oligonucleotides
  • osteoarthritis
  • osteoporosis
  • rheumatoid arthritis
  • sarcopenia
  • skeletal muscle
  • synovium
  • Review

ASJC Scopus subject areas

  • Pharmaceutical Science

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