Division of Pharmaceutics & Pharmaceutical Chemistry, College of Pharmacy, The Ohio State University, Columbus, OH, 43210, United States.
Department of Biomedical Engineering, The Ohio State University, Columbus, OH, 43210, United States.
Biomaterials. 2019 Oct;217:119291. doi: 10.1016/j.biomaterials.2019.119291. Epub 2019 Jun 20.
Genetic and rare diseases (GARDs) affect more than 350 million patients worldwide and remain a significant challenge in the clinic. Hence, continuous efforts have been made to bridge the significant gap between the supply and demand of effective treatments for GARDs. Recent decades have witnessed the impressive progress in the fight against GARDs, with an improved understanding of the genetic origins of rare diseases and the rapid development in gene therapy providing a new avenue for GARD therapy. RNA-based therapeutics, such as RNA interference (RNAi), messenger RNA (mRNA) and RNA-involved genome editing technologies, demonstrate great potential as a therapy tool for treating genetic associated rare diseases. In the meantime, a variety of RNA delivery vehicles were established for boosting the widespread applications of RNA therapeutics. Among all the RNA delivery platforms which enable the systemic applications of RNAs, non-viral RNA delivery biomaterials display superior properties and a few biomaterials have been successfully exploited for achieving the RNA-based gene therapies on GARDs. In this review article, we focus on recent advances in the development of novel biomaterials for delivery of RNA-based therapeutics and highlight their applications to treat GARDs.
遗传和罕见病(GARDs)影响着全球超过 3.5 亿患者,在临床上仍然是一个重大挑战。因此,人们一直在努力缩小 GARD 有效治疗方法的供需差距。近几十年来,人们在对抗 GARDs 方面取得了令人瞩目的进展,对罕见病的遗传根源有了更深入的了解,基因治疗的快速发展为 GARD 治疗提供了新途径。基于 RNA 的疗法,如 RNA 干扰(RNAi)、信使 RNA(mRNA)和 RNA 相关基因组编辑技术,作为治疗遗传相关罕见病的工具具有巨大的潜力。同时,为了促进 RNA 疗法的广泛应用,建立了多种 RNA 递送载体。在所有能够实现 RNA 系统应用的 RNA 递送平台中,非病毒 RNA 递送生物材料具有优越的性能,一些生物材料已被成功开发用于实现 GARD 上的基于 RNA 的基因治疗。在这篇综述文章中,我们重点介绍了新型生物材料在 RNA 治疗药物传递方面的最新进展,并强调了它们在治疗 GARDs 方面的应用。