Univ. Grenoble Alpes, CEA, INSERM, IRIG, Biomics, Grenoble, France.
Univ. Grenoble Alpes, INSERM U1209, CNRS UMR5309, IAB, La Tronche, France.
J Crohns Colitis. 2022 Feb 23;16(2):286-300. doi: 10.1093/ecco-jcc/jjab129.
Inflammatory bowel diseases are highly debilitating conditions that require constant monitoring and life-long medication. Current treatments are focused on systemic administration of immunomodulatory drugs, but they have a broad range of undesirable side-effects. RNA interference is a highly specific endogenous mechanism that regulates the expression of the gene at the transcript level, which can be repurposed using exogenous short interfering RNA [siRNA] to repress expression of the target gene. While siRNA therapeutics can offer an alternative to existing therapies, with a high specificity critical for chronically administrated drugs, evidence of their potency compared to chemical kinase inhibitors used in clinics is still lacking in alleviating an adverse inflammatory response.
We provide a framework to select highly specific siRNA, with a focus on two kinases strongly involved in pro-inflammatory diseases, namely JAK1 and JAK3. Using western-blot, real-time quantitative PCR and large-scale analysis, we assessed the specificity profile of these siRNA drugs and compared their efficacy to the most recent and promising kinase inhibitors for Janus kinases [Jakinibs], tofacitinib and filgotinib.
siRNA drugs can reach higher efficiency and selectivity at lower doses [5 pM vs 1 µM] than Jakinibs. Moreover, JAK silencing lasted up to 11 days, even with 6 h pulse transfection.
The siRNA-based drugs developed hold the potential to develop more potent therapeutics for chronic inflammatory diseases.
炎症性肠病是一种高度衰弱的疾病,需要持续监测和终身药物治疗。目前的治疗方法侧重于全身给予免疫调节剂,但它们有广泛的不良副作用。RNA 干扰是一种高度特异性的内源性机制,可在转录水平调节基因的表达,可通过外源性短干扰 RNA[siRNA]重新用于抑制靶基因的表达。虽然 siRNA 疗法可以提供一种替代现有疗法的方法,对于慢性给予的药物具有高度特异性至关重要,但与临床中使用的化学激酶抑制剂相比,其在缓解不良炎症反应方面的疗效证据仍然缺乏。
我们提供了一种选择高度特异性 siRNA 的框架,重点关注两种强烈参与炎症性疾病的激酶,即 JAK1 和 JAK3。通过 Western blot、实时定量 PCR 和大规模分析,我们评估了这些 siRNA 药物的特异性,并将其功效与最近和最有前途的 Janus 激酶[Jakinibs]激酶抑制剂托法替尼和菲戈替尼进行了比较。
siRNA 药物在较低剂量[5 pM 对 1 µM]下可达到更高的效率和选择性。此外,JAK 沉默可持续长达 11 天,即使是 6 小时脉冲转染。
开发的基于 siRNA 的药物有可能为慢性炎症性疾病开发更有效的治疗方法。