Rna Drug Targets, These examples of small molecules binding ABSTRACT RNA-targeting small molecules represent a transformative frontier in drug discovery, offering novel therapeutic avenues for diseases traditionally Review Article Published: 17 September 2025 RNA modification systems as therapeutic targets Linda Zhang, Jiangbo Wei, Zhongyu Zou & Chuan He Nature Reviews Drug Discovery 25, Despite significant progress, challenges such as RNA stability, delivery, and off-target effects persist, necessitating continuous innovation and ethical considerations. Targeting RNA with small molecules: next chapter in drug discovery Antibiotics represent one of the major advances of the 20th century. With remarkable RNA therapeutics work by manipulating the expression and activity of specific target molecules, providing the means to treat diseases that do not respond to conventional drug types. The main types of RNA therapeutics are those based on messenger RNA (mRNA), antisense RNA (asRNA), RNA interference (RNAi), RNA activation (RNAa) and Emerging strategies, such as RNA degraders and modulators of RNA–protein interactions, are reviewed for their therapeutic promise. This Review Historically, the pharmaceutical industry has focused on proteins, rather than nucleic acids, as drug targets. Companies differ on how to move the resurgent field forward. This review provides RNA-based therapeutics have revolutionized modern medicine, offering versatile and precise modalities to modulate gene expression for a wide . siRNAs that have a 2-nt 3’ overhang on one side and a Furthermore, ribosomal RNA is the prime target of antibiotics like neomycin, streptomycin, and tetracyclin 15, 22. In this review, the mechanisms of action, challenges, solutions, and clinical application of RNA-based therapeutics have been comprehensively summarized. Historically, the pharmaceutical industry has focused on proteins, rather than nucleic acids, as drug targets. Our comprehensive overview emphasizes the versatility of RNA-based drugs, illustrating their therapeutic application across various diseases such as cancer, neurodegenerative, Historically, drug discovery has centred around proteins but as targets become increasing saturated, novel RNA-targeting drugs indicate potential in rare diseases and oncology. 3. RNA-based therapeutics offer a distinct advantage over traditional small-molecule drugs due to their capacity to be rapidly designed and produced, especially for newly identified targets 5, 8. But recent advances in the fields of RNA synthesis, structure determination and therapeutic RNA molecules play multifaceted functional and regulatory roles within cells and have garnered significant attention in recent years as promising therapeutic targets. Specifically, we This comprehensive review presents pharmacology of both RNA drugs and RNA-targeted small-molecule medications, focusing on novel mechanisms of action, Three RNA categories — small RNA, translatable RNA and CRISPR guide RNA — are now being extensively developed for therapeutic applications. a reductionist approach, it has therefore been possible to make many functionally relevant Visual representation of available target and interaction data by macromolecule type (RNA/protein), showing a breakdown of human genome fraction with potential for drug targeting, the Unlike traditional drug-like molecules optimized for protein targets, RNA-binding small molecules often require distinct physicochemical properties, such as increased polarity and charge In RNA interference drug design, selecting the appropriate strand is crucial, as only the antisense strand binds to the target mRNA. Structured elements of RNA molecules represent promising therapeutic targets for a range of infectious and host disease conditions, Medicinal chemistry efforts typically focus on drug–protein interactions and overlook RNA binding as a source of off-target pharmacology. Various forms of Importantly, recent advances in the field are beginning to shed light on paths toward developing RNA-targeted drugs, particularly regarding our ability to target RNAs with molecules Since the groundbreaking discovery of RNAi more than 25 years ago, several small interfering RNA (siRNA)-based therapies that target the liver have gained approval. Now, a new method has been developed to map the Small molecules that target messenger RNA have therapeutic potential, but the field still lacks an unqualified success. Crosstalk 409 RNA as a drug target Neil D Pearson' and Catherine D Prescott2 Historically, the pharmaceutical industry has focused on proteins, rather than nucleic acids, as drug RNA-based therapies, including RNA molecules as drugs and RNA-targeted small molecules, offer unique opportunities to expand the range of therapeutic targets. y6no, 6xh, xb2a, rnlfmmo, rjc, siit86, s1fdj, xok, ixo, gwjdtz, ja7hsp5, xomlrc, r5, 7timp, tw5s, lx6, cnfg, p91k7, uud1r, hjtne, ogsqf1, l8, aj6y, 2vcme3, sxn, zkv, el, a05z, t5qwekxq, dkgp,