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靶向 JAK/STAT 信号通路的治疗性 siRNAs 在炎症性肠病中的应用。

Therapeutic siRNAs Targeting the JAK/STAT Signalling Pathway in Inflammatory Bowel Diseases.

机构信息

Univ. Grenoble Alpes, CEA, INSERM, IRIG, Biomics, Grenoble, France.

Univ. Grenoble Alpes, INSERM U1209, CNRS UMR5309, IAB, La Tronche, France.

出版信息

J Crohns Colitis. 2022 Feb 23;16(2):286-300. doi: 10.1093/ecco-jcc/jjab129.

Abstract

BACKGROUND AND AIMS

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

The siRNA-based drugs developed hold the potential to develop more potent therapeutics for chronic inflammatory diseases.

摘要

背景和目的

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。

方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf6f/8864631/f98d7ddac21d/jjab129f0007.jpg

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