RNA Interference Comes of Age

The third FDA approval of an RNAi-based therapeutic marks the growing success of a technique that took two decades to get off the ground.

Written byDiana Kwon
| 6 min read
oxalate cystal rnai rna interference alnylam sirna lumasiran Oxlumo Patisiran Onpattro givosiran Givlaari galnac inclisiran

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ABOVE: A newly approved RNAi-based therapy reduces the overproduction of oxalate among people who have a rare genetic disorder. The condition leads to kidney stones, which are formed by calcium oxalate crystals such as these, and tissue damage.
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Last month, the US Food and Drug Administration approved lumasiran (Oxlumo), a drug to treat a rare genetic disorder known as primary hyperoxaluria type 1. PH1 results in an overproduction of a substance known as oxalate by the liver, which can accumulate in the kidney and urinary tract and cause a wide range of effects, including kidney stones, widespread organ damage, and end-stage renal disease.

The only cure for PH1 is a liver transplant. Lumasiran, which was developed by Cambridge, Massachusetts-based Alnylam Pharmaceuticals, is the first drug that reduces oxalate levels in patients, thus reducing the risk of complications later in life. “This is really the first treatment that medically ...

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  • Diana is a freelance science journalist who covers the life sciences, health, and academic life. She’s a regular contributor to The Scientist and her work has appeared in several other publications, including Scientific American, Knowable, and Quanta. Diana was a former intern at The Scientist and she holds a master’s degree in neuroscience from McGill University. She’s currently based in Berlin, Germany.

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