Veiga Nuphar, Diesendruck Yael, Peer Dan
Laboratory of Precision NanoMedicine, Tel Aviv University, Tel Aviv, Israel; School of Molecular Cell Biology and Biotechnology, George S. Wise Faculty of Life Sciences, Tel Aviv University, Tel Aviv, Israel; Department of Materials Sciences and Engineering, Iby and Aladar Fleischman Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel; Center for Nanoscience and Nanotechnology, Tel Aviv University, Tel Aviv, Israel; Cancer Biology Research Center, Tel Aviv University, Tel Aviv, Israel.
School of Molecular Cell Biology and Biotechnology, George S. Wise Faculty of Life Sciences, Tel Aviv University, Tel Aviv, Israel.
Adv Drug Deliv Rev. 2020;159:364-376. doi: 10.1016/j.addr.2020.04.002. Epub 2020 Apr 13.
Abnormalities in leukocytes' function are associated with many immune related disorders, such as cancer, autoimmunity and susceptibility to infectious diseases. Recent developments in Genome-wide-association-studies give rise to new opportunities for novel therapeutics. RNA-based modalities, that allow a selective genetic manipulation in vivo, are powerful tools for personalized medicine, enabling downregulation or expression of relevant proteins. Yet, RNA-based therapeutics requires a delivery modality to facilitate the stability, uptake and intracellular release of the RNA molecules. The use of lipid nanoparticles as a drug delivery approach improves the payloads' stability, pharmacokinetics, bio-distribution and therapeutic benefit while reducing side effects. Moreover, a wide variety of targeting moieties allow a precise and modular manipulation of gene expression, together with the ability to identify and selectively affect disease-relevant leukocytes-subsets. Altogether, RNA-based therapeutics, targeting leukocytes subsets, is believed to be one of the most promising therapeutic concepts of the near future, addressing pressing issues in cancer and inflammation heterogeneity.
白细胞功能异常与许多免疫相关疾病有关,如癌症、自身免疫性疾病以及对传染病的易感性。全基因组关联研究的最新进展为新型治疗方法带来了新机遇。基于RNA的方法能够在体内进行选择性基因操作,是个性化医疗的有力工具,可实现相关蛋白质的下调或表达。然而,基于RNA的治疗需要一种递送方式来促进RNA分子的稳定性、摄取和细胞内释放。使用脂质纳米颗粒作为药物递送方法可提高有效载荷的稳定性、药代动力学、生物分布和治疗效果,同时减少副作用。此外,各种各样的靶向部分能够对基因表达进行精确且模块化的操作,还具备识别并选择性影响与疾病相关的白细胞亚群的能力。总之,靶向白细胞亚群的基于RNA的治疗被认为是近期最有前景的治疗概念之一,可解决癌症和炎症异质性方面的紧迫问题。