RNA therapy in Russia: from Soviet developments to modern drugs

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Abstract

Introduction. RNA therapy development is one of the most dynamic areas of modern biomedicine. Fundamental principles of ribonucleic acid usage in medicine were established in the USSR, serving as a basis for modern domestic developments.

Objective: to analyze the evolution of RNA therapy in the USSR and Russia from early fundamental research to modern drugs, evaluate the contribution of domestic scientists and development prospects of this field.

Material and methods. An analytical review of scientific publications, patents, and dissertations of Soviet and Russian scientists in the field of RNA medical applications for the period 1950-2025 was conducted. Data on registered RNA-based drugs including Poludan, Ridostin, Amphievovir were analyzed. Foreign sources on mechanisms of RNA drug action through TLR3/7/8 receptors and interferon induction were studied.

Results. It was established that the Soviet school (R.I. Salganik, S.N. Zagrebelny, Yu.S. Alikin) made a significant contribution to developing the concept of enzymatic antiviral therapy and immunomodulators based on polyribonucleotides. Drugs Poludan, Ridostin, sodium nucleinate were created and introduced into practice. Modern developments (Amphievovir) demonstrate antiviral activity in vitro but require full-scale clinical trials.

Conclusion. Russia possesses rich historical heritage and scientific potential in RNA therapy. For widespread implementation of domestic developments, randomized controlled trials, improvement of regulatory framework and integration into international scientific space are necessary.

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About the authors

T. V. Potupchik

Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky, Ministry of Health of the Russian Federation

Author for correspondence.
Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0003-1133-4447
SPIN-code: 8353-3513

Ph.D. (Med.), Associate Professor of the Department of Pharmacology and Clinical Pharmacology with a Postgraduate Course

Russian Federation, 1 Partizana Zheleznyaka str., Krasnoyarsk, 660022

L. S. Evert

Khakass State University named after N.F. Katanov of the Ministry of Science and Higher Education of the Russian Federation, Medical Institute

Email: lidiya_evert@mail.ru
ORCID iD: 0000-0003-0665-7428
SPIN-code: 4099-8973

Dr.Sc. (Med.), Professor of the Department of General Professional Disciplines, Medical Institute

Russian Federation, 90 Lenin Avenue, Abakan, 655017

Yu. S. Alikun

"NATURE EVOLUTION SPA" LLC

Email: lidiya_evert@mail.ru
ORCID iD: 0009-0009-8273-6348

Dr.Sc. (Biol.), Professor, Expert

Russian Federation, 20/1, premises 1.2, Voskhod st., Novosibirsk, 630102

S. V. Generalov

Russian Anti-Plague Research Institute "Microbe" of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing

Email: svgeneraloff@gmail.com
ORCID iD: 0000-0003-1461-5383
SPIN-code: 4130-2475

Ph.D. (Biol.), Leading Research Scientist

Russian Federation, 46 Universitetskaya St., Saratov, 410005

D. D. Uvarova

Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: 8960dashayvar@mail.ru
ORCID iD: 0009-0009-8807-0612

Student

Russian Federation, 1 Ostrovityanova Street, Moscow, 117513

E. D. Belousova

Russian University of Medicine of the Ministry of Health of the Russian Federation

Email: yelizaveta.belousova.0202@mail.ru
ORCID iD: 0009-0005-9306-2001

Student

Russian Federation, 4 Dolgorukovskaya Street, Moscow, 127006

D. S. Shavalova

Dagestan State Medical University

Email: emily.grand@gmail.com
ORCID iD: 0009-0008-3364-8141

Student

Russian Federation, 1 V.I. Lenin Square, Makhachkala, Republic of Dagestan, 367012

S. A. Osmanova

Dagestan State Medical University

Email: saida.osmanova.06@bk.ru
ORCID iD: 0009-0005-1372-3229

Student

Russian Federation, 1 V.I. Lenin Square, Makhachkala, Republic of Dagestan, 367012

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