Department of Transfusion Medicine and Cell Therapy, Kyoto University Hospital, Shogoin Sakyo-ku, Kyoto, 606-8507, Japan.
Curr Drug Targets. 2010 Mar;11(3):345-60. doi: 10.2174/138945010790711897.
RNA interference (RNAi) is a phenomenon of sequence-specific gene silencing in mammalian cells and its discovery has lead to its wide application as a powerful tool in post-genomic research. Recently, short interfering RNA (siRNA), which induces RNAi, has been experimentally introduced as a cancer therapy and is expected to be developed as a nucleic acid-based medicine. Selection of appropriate gene targets is an important parameter in the potential success of siRNA cancer therapies. Candidate targets include genes associated with cell proliferation, metastasis, angiogenesis, and drug resistance. Importantly, silencing of such genes must not affect the functions of normal cells. Development of suitable drug delivery systems (DDSs) is also an important issue. Numerous methods to transfect siRNAs into cells have been developed, and the use of non-viral DDSs is preferred because it offers greater safety for clinical application than does the use of viral DDSs. Currently, atelocollagen and cationic liposomes represent the most advantageous non-viral DDSs available. In this article, we briefly review the mechanism of RNAi and non-viral DDSs. Next we discuss in detail some of the most recent findings concerning the administration of potential nucleic acid-based drugs against polo-like kinase-1 (PLK-1), which regulates the mitotic process in mammalian cells. These promising results demonstrate that PLK-1 is a suitable target for cancer therapy. Finally, several current clinical trials of RNAi therapies against cancers are discussed. Results of current studies and clinical trials demonstrate that manipulation of RNAi mechanism by use of targeted siRNA offers promising strategies for cancer therapies.
RNA 干扰(RNAi)是哺乳动物细胞中序列特异性基因沉默的现象,其发现导致其广泛应用于后基因组研究中的强大工具。最近,诱导 RNAi 的短干扰 RNA(siRNA)已被实验性地引入癌症治疗,并有望开发为核酸药物。选择合适的基因靶标是 siRNA 癌症治疗潜在成功的重要参数。候选靶标包括与细胞增殖、转移、血管生成和耐药性相关的基因。重要的是,沉默这些基因不能影响正常细胞的功能。合适的药物传递系统(DDS)的开发也是一个重要的问题。已经开发出许多将 siRNA 转染入细胞的方法,并且由于非病毒 DDS 比病毒 DDS 更适合临床应用,因此优选使用非病毒 DDS。目前,明胶和阳离子脂质体代表了最有利的非病毒 DDS。在本文中,我们简要回顾了 RNAi 和非病毒 DDS 的机制。接下来,我们详细讨论了一些关于施用以 polo 样激酶-1(PLK-1)为靶点的潜在核酸药物的最新发现,PLK-1 调节哺乳动物细胞的有丝分裂过程。这些有前途的结果表明 PLK-1 是癌症治疗的合适靶标。最后,讨论了几种针对癌症的 RNAi 疗法的当前临床试验。当前研究和临床试验的结果表明,通过使用靶向 siRNA 对 RNAi 机制的操纵为癌症治疗提供了有前途的策略。