Method | Target region | Model organism | Outcome | Limitations | |
---|---|---|---|---|---|
Lentiviral-mediated RNAi | Striatum | Rat | Effective silencing of α-syn | Potential immune response to lentivirus, limited long-term data | [133] |
AAV vector-derived RNAi | Substantia nigra | Rat | Long-term knockdown of α-syn without causing neurodegeneration | Possible off-target effects, variability in RNAi efficiency | [135] |
AAV vector-derived RNAi | Substantia nigra | Thy1-hSNCA mice and viral hSNCA mice | Reduced α-syn levels and amelioration of behavioral deficits without adverse effects on neurons or glial cells | Limited to specific brain regions, potential off-target effects, long-term efficacy not established | [134] |
Polyethylenimine F25-LMW mediated siRNA delivery | Cerebrospinal fluid | Thy1-asyn mice | Reduced SNCA mRNA and protein expression | Concerns about insufficient nucleic acid delivery | [137] |
Indatraline-conjugated antisense oligonucleotide | Cerebrospinal fluid | Human WT α-syn overexpression in dopamine neurons mouse | Decreased levels of endogenous α-syn | Select delivery to neuronal populations | [142] |
Exosome-mediated delivery of antisense oligonucleotides | Cerebrospinal fluid | α-syn A53T mice | Attenuated α-syn aggregation and decreased degeneration of dopaminergic neurons | Complexity in exosome production and delivery, potential immune response | [143] |
Amido-bridged nucleic acids modified antisense oligonucleotide | Cerebrospinal fluid | Human WT α-syn overexpressing PD mice | Downregulated SNCA mRNA and protein, ameliorated neurological defects | Further safety evaluation, controlling for a modest reduction rather than total reduction | [144] |
Antisense oligonucleotides | Striatum | Wild-type mice | Local reduction of endogenous α-syn, preventing fibril-induced propagation of pathology | Localized delivery limitations and short duration of observation | [145] |