Thomas Mini, Lu James J, Chen Jianzhu, Klibanov Alexander M
Department of Chemistry and Division of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Adv Drug Deliv Rev. 2007 Mar 30;59(2-3):124-33. doi: 10.1016/j.addr.2007.03.003. Epub 2007 Mar 15.
SiRNAs exert their biological effect by guiding the degradation of their cognate mRNA sequence, thereby shutting down the corresponding protein production (gene silencing by RNA interference or RNAi). Due to this property, siRNAs are emerging as promising therapeutic agents for the treatment of inherited and acquired diseases, as well as research tools for the elucidation of gene function in both health and disease. Because of their lethality and prevalence, lung diseases have attracted particular attention as targets of siRNA-mediated cures. In addition, lung is accessible to therapeutic agents via multiple routes, e.g., through the nose and the mouth, thus obviating the need for targeting and making it an appealing target for RNAi-based therapeutic strategies. The clinical success of siRNA-mediated interventions critically depends upon the safety and efficacy of the delivery methods and agents. Delivery of siRNAs relevant to lung diseases has been attempted through multiple routes and using various carriers in animal models. This review focuses on the recent progress in non-viral delivery of siRNAs for the treatment of lung diseases, particularly infectious diseases. The rapid progress will put siRNA-based therapeutics on fast track to the clinic.
小干扰RNA(siRNAs)通过引导其同源mRNA序列的降解发挥生物学效应,从而阻断相应蛋白质的产生(RNA干扰或RNAi介导的基因沉默)。由于这一特性,siRNAs正成为治疗遗传性和获得性疾病的有前景的治疗药物,以及阐明健康和疾病状态下基因功能的研究工具。由于肺部疾病的致死率和患病率,它们作为siRNA介导治疗的靶点受到了特别关注。此外,治疗药物可通过多种途径进入肺部,例如通过鼻腔和口腔,因此无需靶向,这使其成为基于RNAi治疗策略的有吸引力的靶点。siRNA介导的干预措施的临床成功关键取决于递送方法和试剂的安全性和有效性。在动物模型中,已经尝试通过多种途径并使用各种载体递送与肺部疾病相关的siRNAs。本综述重点关注用于治疗肺部疾病,特别是传染病的siRNAs非病毒递送的最新进展。这一快速进展将使基于siRNA的治疗方法迅速进入临床。