2023
DOI: 10.1016/j.addr.2023.115052
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A holistic analysis of the intrinsic and delivery-mediated toxicity of siRNA therapeutics

Sheyda Ranjbar,
Xiao-bo Zhong,
José Manautou
et al.
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Cited by 14 publications
(4 citation statements)
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“…Organ toxicity is a major concern of liposomal nanodrugs [ 230 ] because they prefer to accumulate in certain organs, such as the liver and spleen, affecting the tissue-specific functionality and potentially causing toxicities [ 231 ]. In addition, liposomes may interact with cell membranes, which can alter cell permeability and integrity, ultimately causing cellular damage [ 232 ]. Addressing these safety concerns requires strategic refinement and optimization.…”
Section: Discussion and Outlookmentioning
confidence: 99%
“…Organ toxicity is a major concern of liposomal nanodrugs [ 230 ] because they prefer to accumulate in certain organs, such as the liver and spleen, affecting the tissue-specific functionality and potentially causing toxicities [ 231 ]. In addition, liposomes may interact with cell membranes, which can alter cell permeability and integrity, ultimately causing cellular damage [ 232 ]. Addressing these safety concerns requires strategic refinement and optimization.…”
Section: Discussion and Outlookmentioning
confidence: 99%
“…However, the naked delivery of siRNA has faced many challenges because of their inherent properties-i.e. high molecular weight and negative charge (make them difficult to enter into cells), instability in plasma, immunogenicity, intrinsic toxicity and so on [104][105][106]. Besides, the major barriers for siRNA-based RNAi are depending upon two major factors: (i) the area-of-therapeutic interest-that can be specific tissues or organs-whose accessibility can pose an issue for reaching of siRNA; and (ii) the administration routes (local and systemic)-herein, the local administration route can pose comparative lesser threat.…”
Section: Conventional Delivery and Challengesmentioning
confidence: 99%
“…[95] Although being used most frequently as the carrier for siRNA drugs in the clinical trials, numerous LNP-based siRNA drugs such as TKM-ApoB and TKM-080301 have failed in clinical trials due to the safety issue rather than the silencing efficiency. [381] Accordingly, there are still a lot of challenges associated with LNP-based siRNA drugs. Of the challenges, de-livering to the target organs other than liver and encountering in vivo cytotoxicity are considered the major two obstacles need to be addressed.…”
Section: Recent Advances and Design Strategies Of Clinical-used Sirna...mentioning
confidence: 99%