Therapeutic siRNAs

https://doi.org/10.1016/j.tips.2003.11.006Get rights and content

Abstract

The ability of small-interfering RNAs (siRNAs) to silence gene expression in somatic mammalian cells has provided researchers with a novel tool to block the expression of disease-causing genes, provided that their mRNA sequences are known. siRNAs can be delivered to cells either exogenously as synthetic agents or endogenously as gene-encoding siRNAs. Recent studies demonstrate the general application of siRNAs to silence gene expression in a range of cell types and in whole mammals. Beyond their value for dissecting gene functions and target validation, siRNAs also hold great potential as gene-specific therapeutic agents.

Section snippets

Mechanism of RNAi

In many cell types long dsRNAs are processed by a host RNase III, termed Dicer, to form siRNAs that contain 21–23 nucleotides [3]. Dicer-processed siRNAs and synthetic siRNAs undergo an ATP-dependent unwinding step before being incorporated into a high-molecular-weight protein complex termed RISC (RNA-induced silencing complex) that contains single-stranded siRNAs 8, 9. However, it is not clear whether the unwinding step takes place before or immediately after the incorporation of the siRNA

Sequence specificity

For siRNA to be a useful drug, it is crucial that it must not cause any effects other than those related to the knockdown of the target gene. This issue is particularly important in therapeutic applications where unwanted side-effects would be undesirable. Although the actual substrate specificity of individual siRNAs appears to be very high 6, 10, recent studies indicate that siRNAs can tolerate single mutations located in the centre of the molecule, and up to four mutations are necessary for

Delivery

Similar to ribozymes, delivery of siRNAs can be achieved by exogenous application of synthetic siRNAs or via a gene therapy approach that relies on the endogenous expression of siRNA from plasmid or viral vectors.

Cancer

siRNA technology can be applied to a wide range of cancers and other proliferative disorders in which aberrant gene expression occurs. Oncogenic and mutant tumour suppressor genes might represent potential targets for the RNAi approach. For example, p53 protein is mutated in 50% of human malignancies. In most cases, this abolishes the function of p53 [33]. Furthermore, mutant p53 trans-dominantly impairs the function of wild-type p53 [33] Interestingly, specific elimination of p53 mutant

siRNA activity in rodent models of human disease

To translate the RNAi technology to medical use, an immediate challenge is to determine the efficacy of siRNAs in living animals. Approximately a year after the description of siRNA technology [6], the first demonstration of RNAi action in whole mammals was demonstrated by McCaffrey and colleagues [51]. They delivered siRNAs by hydrodynamic injection into mice, silencing luciferase gene expression. Similarly, Lewis and colleagues showed that gene expression could be silenced in postnatal mice

Potential regulation of siRNA activity

Advances in molecular engineering have made it possible to create allosteric ribozymes that function as RNA ‘molecular switches’ whose catalytic activities can be controlled by specific effector molecules [63]. These RNA constructs would make excellent candidates for applications that require highly responsive genetic switches. This approach of rational design could be used to create allosteric siRNAs. In certain circumstances, constitutive siRNA expression in cells or tissues is not desirable

Concluding remarks

Taken together, published studies have firmly established the efficacy of siRNA in vitro and in vivo. Although the recent preclinical studies present compelling data on the utility of siRNA in disease models, we will not know the exact potential that RNAi affords for treating human disease until suitable delivery methods are established to enable the performance of clinical trials. A second key issue is the specificity of siRNAs, and the impact that this might have on their safety in humans.

Acknowledgements

The present work is supported in part by the Norwegian Cancer Society.

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