This review considers comparisons of the off-target effects of siRNA to shRNA and their potential impact on the efficacy and toxicity of RNAi based therapeutics. Cancer Gene Therapy (2009) 16, 807-809; doi:10.1038/cgt.2009 published online 28 August 2009 Keywords: RNAi; siRNA; shRNA; miRNA; cancer therapyThe discovery of RNA interference (RNAi), 1 an innate biological process through which the expression of specifically targeted genes can be modulated and/or silenced, ushered in a new world of research and potential therapeutic applications thereby setting the stage for a paradigm shift in oncology. Targeted gene knockdown can be used as a preclinical tool for reverse genetics to determine the function of a given gene as well as delineating its functional connectivity. In the therapeutic arena, the potential of targeted therapy with high specificity can finally be considered a realizable goal. The effect of RNAi and associated technical advances on the scientific community is attested to by more than 20 000 related publications in the PubMed database. A number of in vivo animal studies have shown the activity of RNAi technology implying likely potential for therapeutic efficacy in humans; in fact, a few RNAibased therapeutic strategies are currently being tested through clinical trials. 2 RNA interference holds strong promise for cancer gene therapy where differentially expressed genes, designated as malignancy process-dependent (drivers 3,4 ) by virtue of high connectivity and, most likely, 'in-betweenness', can be targeted as a presumptive, individual tumor's 'Achilles' heel'.5 RNAi can be effected through two types of molecules; a synthetic small interfering RNA (siRNA) and a vector-based short hairpin RNA (shRNA). siRNAs are 21-23 nucleotide (nt), double-stranded RNAs with 2-nt overhangs on the 3 0 ends capable of being incorporated into an RNA-induced silencing complex, whereas shRNAs are composed of RNA folded into stem-loop structures similar to pre-miRNA hairpins requiring processing by DICER before incorporation into the RNA-induced silencing complex. Although both siRNA and shRNA are reported to be able to achieve target-specific silencing, insofar as they are mechanistically different, one could postulate varying levels of therapeutic effectiveness based on considerations of both silencing efficiency and off-target effects (as a safety parameter).Soon after the discovery, in fact, the dream of target specificity was somewhat dampened by the finding of offtarget effects associated with the applications of RNAi. Induction of interferon in cells transfected with siRNA was the first reported off-target effect of RNAi. siRNA duplexes longer than 29-30 bp can readily induce a cellular interferon response similar to double-stranded RNA. However, structural modification or shortening the length of the siRNA in large part abrogates interferon induction.6 There are also recent reports of siRNA-or shRNA-induced stimulation of Toll-like receptors (TLRs) including the membrane-bound TLR4 and endosomal TLR3 (dsR...