“…However, the main motivation in the field has been the use of CL-based NA vectors in gene therapeutics [ 44 , 45 , 46 ], a concept explored in numerous clinical trials [ 45 , 47 , 48 ]. Major discoveries in the biochemical arena, such as gene silencing via RNA interference (RNAi) [ 49 , 50 ] induced by double-stranded small interfering RNA (siRNA) [ 18 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ] and microRNA [ 59 ], gene editing via CRISPR/Cas-9 [ 60 , 61 , 62 ], and expression of base-modified mRNA [ 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 ], have greatly expanded the therapeutic potential of NAs. The first culmination of these efforts was the FDA approval of a lipid-based siRNA vector (patisiran/ONPATTRO ® , Alnylam Pharmaceuticals) in 2018 for treatment of the polyneuropathy caused by hereditary transthyretin amyloidosis [ 71 , 72 ].…”