Comment by antichronology

There is a number of different technologies. Some of the big ones are:

- mRNA therapies: These therapies deliver a synthetically created messenger RNA (mRNA) molecule, typically protected within a lipid nanoparticle (LNP), to a patient's cells. The cell's own machinery then uses this mRNA as a temporary blueprint to produce a specific protein.

The big example here is CAR-T therapy from Capstan which just got acquired for 2.1B. Their asset,CPTX2309 , is currently in Phase 1. Previously to do Car-T therapy you had to extract a patient's T-cells and genetically engineer them in a special facility. Now the mRNA gets delivered directly to the patient's t cells which significantly lowers the cost and technical hurdles.

- RNA interferences (RNAi): Used for gene expression knockdown through natural cellular mechanisms for viral detection. The big example here is Alnylam with 5 approved therapies and a number in clinical trials.

- Antisense Oligonucleotides (ASOs): Short single stranded RNA molecules that get delivered directly to the cell and target an existing mRNA. The big win here is Spinraza which is the first approved treatment for Spinal Muscular Atrophy (SMA) which previously didn't have a treatment. The Spinraza clinical trial (ENDEAR) was so effective that they deemed it unethical to continue it because the control arm wasn't receiving the treatment. Prior to Spinraza most patients would pass away prior to two years of age.