Karim Md Emranul, Tha Kyi Kyi, Othman Iekhsan, Borhan Uddin Mohammad, Chowdhury Ezharul Hoque
Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, 47500 Petaling Jaya, Selangor, Malaysia.
Pharmaceutics. 2018 May 26;10(2):65. doi: 10.3390/pharmaceutics10020065.
RNA Interference (RNAi) has brought revolutionary transformations in cancer management in the past two decades. RNAi-based therapeutics including siRNA and shRNA have immense scope to silence the expression of mutant cancer genes specifically in a therapeutic context. Although tremendous progress has been made to establish catalytic RNA as a new class of biologics for cancer management, a lot of extracellular and intracellular barriers still pose a long-lasting challenge on the way to clinical approval. A series of chemically suitable, safe and effective viral and non-viral carriers have emerged to overcome physiological barriers and ensure targeted delivery of RNAi. The newly invented carriers, delivery techniques and gene editing technology made current treatment protocols stronger to fight cancer. This review has provided a platform about the chronicle of siRNA development and challenges of RNAi therapeutics for laboratory to bedside translation focusing on recent advancement in siRNA delivery vehicles with their limitations. Furthermore, an overview of several animal model studies of siRNA- or shRNA-based cancer gene therapy over the past 15 years has been presented, highlighting the roles of genes in multiple cancers, pharmacokinetic parameters and critical evaluation. The review concludes with a future direction for the development of catalytic RNA vehicles and design strategies to make RNAi-based cancer gene therapy more promising to surmount cancer gene delivery challenges.
在过去二十年中,RNA干扰(RNAi)给癌症治疗带来了革命性变革。基于RNAi的疗法,包括小干扰RNA(siRNA)和短发夹RNA(shRNA),在治疗背景下具有极大潜力特异性沉默突变癌症基因的表达。尽管在将催化性RNA确立为一类新型癌症治疗生物制剂方面已取得巨大进展,但在通往临床批准的道路上,许多细胞外和细胞内障碍仍然构成长期挑战。一系列化学性质合适、安全有效的病毒和非病毒载体已应运而生,以克服生理障碍并确保RNAi的靶向递送。新发明的载体、递送技术和基因编辑技术使当前的治疗方案在对抗癌症方面更加强有力。本综述提供了一个平台,介绍了siRNA的发展历程以及RNAi疗法从实验室到临床转化所面临的挑战,重点关注siRNA递送载体的最新进展及其局限性。此外,还概述了过去15年中几项基于siRNA或shRNA的癌症基因治疗动物模型研究,突出了基因在多种癌症中的作用、药代动力学参数以及关键评估。综述最后展望了催化性RNA载体的发展方向以及设计策略,以使基于RNAi的癌症基因治疗在克服癌症基因递送挑战方面更具前景。