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Volume 19 Issue 12, December 2020

Therapeutic base editing, inspired by the Review on p839.

Cover design: Susanne Harris.

Comment

  • Randomized controlled trials are the accepted standard for evaluating investigational therapies, but such trials are sometimes not an option for reasons of ethics or feasibility. Here, we discuss opportunities to address evidence gaps by using historical clinical trial data and real-world data in external control arms for single-arm trials, as well as the associated challenges.

    • Ruthie Davi
    • Nirosha Mahendraratnam
    • Rachel Sherman
    Comment

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News & Analysis

  • A lack of novel excipients is threatening the ability of drug developers to translate progress with small molecules and biologics into therapeutic success. The FDA could soon test a new model of excipient review to foster formulation innovation.

    • Katie Kingwell
    News
  • The National Cancer Institute and Cancer Research UK’s US$380 million “Cancer Grand Challenges” programme highlights understudied knowledge gaps that could yet make big differences to patients.

    • Asher Mullard
    News
  • News in Brief

  • Biobusiness Briefs

  • An Audience With

    • The sugars that coat the surface of the cell have long fascinated Carolyn Bertozzi, a Professor of Chemistry at Stanford University. But her study of these complex carbohydrates has had much further reaching implications. Her pioneering work on bioorthogonal chemistry — reactions that can be run in living systems, without damaging them — has opened up basic drug discovery and therapeutic applications alike, for example. In her hands, these chemical tools have led to the creation of new therapeutic modalities including antibody–enzyme conjugates that can reshape the glycocalyx and lysosome-targeting chimaeras (LYTACs) that can degrade membrane-bound and extracellular targets. These, in turn, are helping her to further unravel the role of sugars in biology and in immuno-oncology. Bertozzi has already founded eight companies to advance these and other approaches. More are on the way. Speaking with Asher Mullard, she discussed her work and why drug developers have been so slow to see the sugars on the surface of the cell.

      • Asher Mullard
      An Audience With
  • From the Analyst's Couch

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Research Highlights

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Reviews

  • Base editing is emerging as a potential approach to treat genetic diseases through the introduction of single-nucleotide alterations in DNA and RNA. Here, Porto et al. provide an overview of DNA and RNA base editing, discuss recent advances in the development of these technologies and highlight promising therapeutic applications.

    • Elizabeth M. Porto
    • Alexis C. Komor
    • Gene W. Yeo
    Review Article
  • Immune activating antibodies that target co-stimulatory molecules have altered the cancer therapy landscape. Here, Walker and colleagues discuss therapies — particularly those that target molecules in the same families as CTLA4 and PD1 or TNF receptor — that inhibit the immune system and are being investigated for the treatment of autoimmune diseases. They describe the future opportunities and challenges for the field, including combination approaches.

    • Natalie M. Edner
    • Gianluca Carlesso
    • Lucy S. K. Walker

    Milestone:

    Review Article
  • Targeting protein complexes, including those containing G protein-coupled receptors or ligand-gated ion channels, could provide opportunities to increase the target and functional selectivity of novel drugs compared with existing therapies, which only target the receptors. This Review discusses the landscape of ligand-gated ion channel and G protein-coupled receptor complexes as therapeutic targets, as well as strategies for their pharmacological modulation.

    • Mette Ishøy Rosenbaum
    • Louise S. Clemmensen
    • Kristian Strømgaard
    Review Article
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Amendments & Corrections

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