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We wish to thank Dr Liebling for the relevant comments1 regarding our recent article in Annals of the Rheumatic Diseases entitled ‘MicroRNA-181a-5p antisense oligonucleotides attenuate osteoarthritis in facet and knee joints’.2 We are delighted that our article has gathered such interest in the scientific community and are happy to provide additional comments. In the aforementioned publication, we determined the potential of locked nucleic acid, antisense oligonucleotides against microRNA-181a-5p (LNA-miR-181a-5p ASO) as a therapy for the treatment of osteoarthritis (OA).2 The chemical modification of LNA is one of the most advanced ASO delivery systems. LNA modifications enable design of oligonucleotides that are short while maintaining high affinity and stable binding towards targets. …