对由免疫刺激引起的小干扰RNA治疗效果的误解。

Misinterpreting the therapeutic effects of small interfering RNA caused by immune stimulation.

作者信息

Robbins Marjorie, Judge Adam, Ambegia Ellen, Choi Catherine, Yaworski Ed, Palmer Lorne, McClintock Kevin, MacLachlan Ian

机构信息

Tekmira Pharmaceuticals Inc., Burnaby, British Columbia, V5J 5J8 Canada.

出版信息

Hum Gene Ther. 2008 Oct;19(10):991-9. doi: 10.1089/hum.2008.131.

Abstract

Activation of innate immunity has direct effects in modulating viral replication, tumor growth, angiogenesis, and inflammatory and other immunological processes. It is now established that unmodified siRNA can activate this innate immune response and therefore there is real potential for siRNA to elicit nonspecific therapeutic effects in a wide range of disease models. Here we demonstrate that in a murine model of influenza infection, the antiviral activity of siRNA is due primarily to immune stimulation elicited by the active siRNA duplexes and is not the result of therapeutic RNA interference (RNAi) as previously reported. We show that the misinterpretation stems from the use of a particular control green fluorescent protein (GFP) siRNA that we identify as having unusually low immunostimulatory activity compared with the active anti-influenza siRNA. Curiously, this GFP siRNA has served as a negative control for a surprising number of groups reporting therapeutic effects of siRNA. The inert immunologic profile of the GFP sequence was unique among a broad panel of published siRNAs, all of which could elicit significant interferon induction from primary immune cells. This panel included eight active siRNAs against viral, angiogenic, and oncologic targets, the reported therapeutic efficacy of which was based on comparison with the nonimmunostimulatory GFP siRNA. These results emphasize the need for researchers to anticipate, monitor, and adequately control for siRNA-mediated immune stimulation and calls into question the interpretation of numerous published reports of therapeutic RNAi in vivo. The use of chemically modified siRNA with minimal immunostimulatory capacity will help to delineate more accurately the mechanism of action underlying such studies.

摘要

天然免疫的激活在调节病毒复制、肿瘤生长、血管生成以及炎症和其他免疫过程中具有直接作用。现已证实,未修饰的小干扰RNA(siRNA)可激活这种天然免疫反应,因此siRNA在广泛的疾病模型中引发非特异性治疗作用具有切实的可能性。在此我们证明,在流感感染的小鼠模型中,siRNA的抗病毒活性主要归因于活性siRNA双链体引发的免疫刺激,而非如先前报道的治疗性RNA干扰(RNAi)的结果。我们表明,这种误解源于使用了一种特定的对照绿色荧光蛋白(GFP)siRNA,我们发现其与活性抗流感siRNA相比具有异常低的免疫刺激活性。奇怪的是,对于众多报道siRNA治疗效果的研究小组而言,这种GFP siRNA一直作为阴性对照。在大量已发表的siRNA中,GFP序列的惰性免疫特征是独一无二的,所有这些siRNA均可从原代免疫细胞中引发显著的干扰素诱导。该组包括针对病毒、血管生成和肿瘤靶点的八种活性siRNA,其报道的治疗效果是基于与非免疫刺激的GFP siRNA的比较。这些结果强调了研究人员预测、监测和充分控制siRNA介导的免疫刺激的必要性,并对众多已发表的体内治疗性RNAi报告的解读提出了质疑。使用具有最小免疫刺激能力的化学修饰siRNA将有助于更准确地描绘此类研究背后的作用机制。

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