2015
DOI: 10.1038/nrg3978
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Knocking down disease: a progress report on siRNA therapeutics

Abstract: Small interfering RNAs (siRNAs), which downregulate gene expression guided by sequence complementarity, can be used therapeutically to block the synthesis of disease-causing proteins. The main obstacle to siRNA drugs — their delivery into the target cell cytosol — has been overcome to allow suppression of liver gene expression. Here, we review the results of recent clinical trials of siRNA therapeutics, which show efficient and durable gene knockdown in the liver, with signs of promising clinical outcomes and … Show more

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Cited by 686 publications
(539 citation statements)
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References 86 publications
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“…Critically, during this trafficking process, significant lysosomal degradation of the gene by digestive enzymes and acidic conditions with a pH less than 4.5 occurs in lysosomes,13 thereby greatly diminishing the therapeutic efficacy. Thus, lysosomal decomposition is a critical obstacle for intracellular miRNA delivery 14. Consequently, new vectors with efficient delivery of miRNAs and perfect biocompatibility are highly desirable.…”
Section: Introductionmentioning
confidence: 99%
“…Critically, during this trafficking process, significant lysosomal degradation of the gene by digestive enzymes and acidic conditions with a pH less than 4.5 occurs in lysosomes,13 thereby greatly diminishing the therapeutic efficacy. Thus, lysosomal decomposition is a critical obstacle for intracellular miRNA delivery 14. Consequently, new vectors with efficient delivery of miRNAs and perfect biocompatibility are highly desirable.…”
Section: Introductionmentioning
confidence: 99%
“…This delivery system has an encouraging initial safety profile because repeated systemic administration did not affect body weight. In prior studies, performed in nonhuman primates and currently under phase III clinical trials, the LNP components that we used (except for the uninvestigated mAbs) showed satisfactory biocompatibility and little or no immune response (11,14,(16)(17)(18)24). However, more extensive toxicity studies are needed.…”
Section: Discussionmentioning
confidence: 99%
“…However, the efficient, specific and safe delivery of RNAi payloads remains a major challenge facing the application of RNAi therapeutics to most diseases (2,11). The use of RNAi for treating B-cell lymphomas has been stymied by the lack of an appropriate delivery system.…”
Section: Discussionmentioning
confidence: 99%
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“…By interfering with the cellular pathway of disease‐related proteins, siRNA is a promising drug, e.g., against cancer 1. Moreover, siRNA has become an important tool for fundamental biological research, as it allows to knockdown gene expression in vitro.…”
Section: Introductionmentioning
confidence: 99%