2019
DOI: 10.1186/s11658-019-0196-3
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Editorial focus: understanding off-target effects as the key to successful RNAi therapy

Abstract: With the first RNA interference (RNAi) drug (ONPATTRO (patisiran)) on the market, we witness the RNAi therapy field reaching a critical turning point, when further improvements in drug candidate design and delivery pipelines should enable fast delivery of novel life changing treatments to patients. Nevertheless, ignoring parallel development of RNAi dedicated in vitro pharmacological profiling aiming to identify undesirable off-target activity may slow down or halt progress in the RNAi field. Since academic re… Show more

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Cited by 95 publications
(74 citation statements)
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References 396 publications
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“…Hence, the hypothesis that the lung cells lack specific miRNA directed against pathogenic HCoVs seems rather unlikely, although it still cannot be excluded for specific miRNAs. This observation questions the use of miRNA overexpression (miRNA mimics) as a therapeutic approach against the COVID-19 infection since siRNAs directed against viral RNA would be more specific and therefore less prone to have off-target effects ( 12 ).…”
Section: Comparison Of the Mirna Target Sites In Human Coronavirusesmentioning
confidence: 99%
“…Hence, the hypothesis that the lung cells lack specific miRNA directed against pathogenic HCoVs seems rather unlikely, although it still cannot be excluded for specific miRNAs. This observation questions the use of miRNA overexpression (miRNA mimics) as a therapeutic approach against the COVID-19 infection since siRNAs directed against viral RNA would be more specific and therefore less prone to have off-target effects ( 12 ).…”
Section: Comparison Of the Mirna Target Sites In Human Coronavirusesmentioning
confidence: 99%
“…Then, the pNc-SAG1::CAS9-U6::sgGRA6 plasmid and selectable marker of DHFR-TS were electroporated into the Nc-1 strain, which was inoculated into HFF cells and allowed screening under pyrimethamine selection pressure. It is worth mentioning that gene knockout using stable transfection can avoid the common off-target effects brought by transient transfection using the RNAi method (33). In addition, the gene knockout method can completely remove the function of GRA6; however, the RNAi method can only lower the function of GRA6 to some extent, which may influence the following function research of GRA6.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, chemically modified double-stranded miRNAs of miRNA-23b and miRNA-25 were shown to inhibit podocyte injury in diabetic nephropathy mouse models in vivo (Zhao et al, 2016;Liu et al, 2017). However, there are still unresolved aspects of treatment of podocyte injury with miRNAs with/without vectors, such as efficient cellular uptake and intracellular re-release, as well as targeted delivery (Bartoszewski and Sikorski, 2019).…”
Section: Methods Of Modulation Of Mirna Expression Levels On Podocytementioning
confidence: 99%