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RNAi 疗法和 microRNAs 在癌症治疗中的应用。

RNAi therapeutics and applications of microRNAs in cancer treatment.

机构信息

Division of Molecular and Cellular Medicine, National Cancer Center Research Institute, 1-1, Tsukiji 5-chome, Chuo-ku, Tokyo 104-0045, Japan.

出版信息

Jpn J Clin Oncol. 2013 Jun;43(6):596-607. doi: 10.1093/jjco/hyt052. Epub 2013 Apr 16.

Abstract

RNA interference-based therapies are proving to be powerful tools for combating various diseases, including cancer. Scientists are researching the development of safe and efficient systems for the delivery of small RNA molecules, which are extremely fragile in serum, to target organs and cells in the human body. A dozen pre-clinical and clinical trials have been under way over the past few years involving biodegradable nanoparticles, lipids, chemical modification and conjugation. On the other hand, microRNAs, which control the balance of cellular biological processes, have been studied as attractive therapeutic targets in cancer treatment. In this review, we provide an overview of RNA interference-based therapeutics in clinical trials and discuss the latest technology for the systemic delivery of nucleic acid drugs. Furthermore, we focus on dysregulated microRNAs in human cancer, which have progressed in pre-clinical trials as therapeutic targets, and describe a wide range of strategies to control the expression levels of endogenous microRNAs. Further development of RNA interference technologies and progression of clinical trials will contribute to the achievement of practical applications of nucleic acid drugs.

摘要

基于 RNA 干扰的疗法被证明是对抗各种疾病(包括癌症)的有力工具。科学家们正在研究开发安全有效的系统,将极其脆弱的小 RNA 分子递送到人体的靶器官和细胞。在过去的几年中,已经有十几个临床前和临床试验涉及可生物降解的纳米粒子、脂质、化学修饰和缀合。另一方面,microRNAs 控制着细胞生物过程的平衡,已被研究作为癌症治疗中有吸引力的治疗靶点。在这篇综述中,我们提供了临床研究中基于 RNA 干扰的治疗方法的概述,并讨论了用于系统递送核酸药物的最新技术。此外,我们专注于人类癌症中失调的 microRNAs,这些 microRNAs 在临床前试验中作为治疗靶点取得了进展,并描述了广泛的控制内源性 microRNAs 表达水平的策略。进一步开发 RNA 干扰技术和临床试验的进展将有助于实现核酸药物的实际应用。

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