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      Engineering siRNA therapeutics: challenges and strategies

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          Abstract

          Small interfering RNA (siRNA) is a potential method of gene silencing to target specific genes. Although the U.S. Food and Drug Administration (FDA) has approved multiple siRNA-based therapeutics, many biological barriers limit their use for treating diseases. Such limitations include challenges concerning systemic or local administration, short half-life, rapid clearance rates, nonspecific binding, cell membrane penetration inability, ineffective endosomal escape, pH sensitivity, endonuclease degradation, immunological responses, and intracellular trafficking. To overcome these barriers, various strategies have been developed to stabilize siRNA, ensuring their delivery to the target site. Chemical modifications implemented with nucleotides or the phosphate backbone can reduce off-target binding and immune stimulation. Encapsulation or formulation can protect siRNA from endonuclease degradation and enhance cellular uptake while promoting endosomal escape. Additionally, various techniques such as viral vectors, aptamers, cell-penetrating peptides, liposomes, and polymers have been developed for delivering siRNA, greatly improving their bioavailability and therapeutic potential.

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          Most cited references141

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          The C. elegans heterochronic gene lin-4 encodes small RNAs with antisense complementarity to lin-14

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            Knocking down barriers: advances in siRNA delivery

            Key Points RNA interference (RNAi) is a fundamental pathway in eukaryotic cells by which sequence-specific small interfering RNA (siRNA) is able to silence genes through the destruction of complementary mRNA. RNAi is an important therapeutic tool that can be used to silence aberrant endogenous genes or to knockdown genes essential to the proliferation of infectious organisms. Delivery remains the central challenge to the therapeutic application of RNAi technology. Before siRNA can take effect in the cytoplasm of a target cell, it must be transported through the body to the target site without undergoing clearance or degradation. Currently, the most effective synthetic, non-viral delivery agents of siRNA are lipids, lipid-like materials and polymers. Various cationic agents including stable nucleic acid–lipid particles, lipidoids, cyclodextrin polymers and polyethyleneimine polymers have been used to achieve the successful systemic delivery of siRNA in mammals without inducing significant toxicity. Direct conjugation of delivery agents to siRNA can facilitate delivery. For example, cholesterol-modified siRNA enables targeting to the liver. RNAi therapeutics have progressed to the clinic, where studies are being conducted to determine siRNA efficacy in treating several diseases, including age-related macular degeneration and respiratory syncytial virus. Moving forward, it will be important to pay close attention to the potential nonspecific immunostimulatory effects of siRNA. Modifications to siRNA can be used to minimize stimulation of the immune system, and an increased emphasis must be placed on performing proper controls to ensure that therapeutic effects are sequence-specific.
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              Adeno-associated virus vector as a platform for gene therapy delivery

              Adeno-associated virus (AAV) vectors are the leading platform for gene delivery for the treatment of a variety of human diseases. Recent advances in developing clinically desirable AAV capsids, optimizing genome designs and harnessing revolutionary biotechnologies have contributed substantially to the growth of the gene therapy field. Preclinical and clinical successes in AAV-mediated gene replacement, gene silencing and gene editing have helped AAV gain popularity as the ideal therapeutic vector, with two AAV-based therapeutics gaining regulatory approval in Europe or the United States. Continued study of AAV biology and increased understanding of the associated therapeutic challenges and limitations will build the foundation for future clinical success.
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                Author and article information

                Contributors
                dezhong.zhou@xjtu.edu.cn
                wuquandeng@cqu.edu.cn
                shuailiu@zju.edu.cn
                Journal
                J Nanobiotechnology
                J Nanobiotechnology
                Journal of Nanobiotechnology
                BioMed Central (London )
                1477-3155
                18 October 2023
                18 October 2023
                2023
                : 21
                : 381
                Affiliations
                [1 ]School of Chemical Engineering and Technology, Xi’an Jiaotong University, ( https://ror.org/017zhmm22) Xi’an, 710049 China
                [2 ]College of Medical Technology, Ziauddin University, ( https://ror.org/03vz8ns51) Karachi, 74700 Pakistan
                [3 ]Shenzhen Key Laboratory of Anti-Aging and Regenerative Medicine, Shenzhen University Medical School, Shenzhen University, ( https://ror.org/01vy4gh70) Shenzhen, 518060 China
                [4 ]GRID grid.414287.c, ISNI 0000 0004 1757 967X, Department of Endocrinology and Metabolism, Chongqing Diabetic Foot Medical Research Center, , Chongqing University Central Hospital, Chongqing Emergency Medical Center, ; Chongqing, 400014 China
                [5 ]College of Pharmaceutical Sciences, Zhejiang University, ( https://ror.org/00a2xv884) Hangzhou, 310058 China
                Article
                2147
                10.1186/s12951-023-02147-z
                10583313
                37848888
                992f45d5-03c5-42a1-88de-624e62d6d50b
                © BioMed Central Ltd., part of Springer Nature 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 3 August 2023
                : 9 October 2023
                Funding
                Funded by: Key R&D Program of Shaanxi Province
                Award ID: 2020GXLH-Y-016
                Funded by: Natural Science Foundation of Shaanxi Province
                Award ID: 2020JM-055
                Funded by: Fundamental Research Funds for the Central Universities
                Award ID: xtr042019020
                Funded by: Young Talents Support Plan of Xi’an Jiaotong University
                Award ID: HG6J002
                Funded by: National Natural Science Foundation of China (NSFC)
                Award ID: 51903202, 82370903, 22205201
                Funded by: Zhejiang Provincial Natural Science Foundation of China
                Award ID: LZ23H180003
                Categories
                Review
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2023

                Biotechnology
                sirna,extracellular barriers,intracellular barriers,sirna modification,sirna delivery

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