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UCSF Research Advances Prenatal Therapy for Spinal Muscular Atrophy

Preclinical studies show safety and efficacy of antisense oligonucleotides delivered via amniotic fluid, setting the stage for FDA submissions for human trials.

Experimental mice in science.

Overview

  • UCSF-led research demonstrated that prenatal delivery of antisense oligonucleotides (ASOs) into the amniotic fluid prevents motor neuron degeneration in spinal muscular atrophy (SMA) animal models.
  • Mouse studies showed significant improvements in survival, motor function, and spinal cord neuron preservation compared to postnatal treatment or no treatment.
  • Safety and biodistribution studies in sheep confirmed that ASOs reached key fetal organs without causing toxicity or developmental harm.
  • Researchers plan to apply for FDA approval to initiate human clinical trials, marking a critical step toward translating this approach to the clinic.
  • The minimally invasive delivery method, described as an 'inverse amniocentesis,' could potentially be adapted for other severe genetic disorders identified during pregnancy.