Celiac
disease is a chronic inflammatory condition characterized
by activation of the immune system in response to deamidation of gluten
peptides brought about by tissue transglutaminase-2 (TG2). Overexpression
of interleukin-15 (IL-15) in the intestinal epithelium and the lamina
propria leads to the dysregulation of the immune system, leading to
epithelial damage. The goal of this study was to develop an RNA interference
therapeutic strategy for celiac disease using a combination of TG2
and IL-15 gene silencing in the inflamed intestine. TG2 and IL-15
silencing siRNA sequences, along with scrambled control, were encapsulated
in a nanoparticle-in-microsphere oral system (NiMOS) and administered
in a poly(I:C) mouse model of celiac disease. Single TG2 and IL-15
siRNA therapy and the combination showed effective gene silencing
in vivo. Additionally, it was found that IL-15 gene silencing alone
and combination in the NiMOS significantly reduced other proinflammatory
cytokines. The tissue histopathology data also confirmed a reduction
in immune cell infiltration and restoration of the mucosal architecture
and barrier function in the intestine upon treatment. Overall, the
results of this study show evidence that celiac disease can be potentially
treated with an oral microsphere formulation using a combination of
TG2 and IL-15 RNA interference therapeutic strategies.