siRNA Nanotherapeutics: Are We on the Verge of Curing All Diseases?
"Exploring the promise and the challenges of RNAi-based therapies in the quest for a universal cure."
RNA interference (RNAi) has rapidly evolved into a central research topic in medicine and biological sciences. The mechanisms governing gene silencing by RNAi regulators have been extensively reviewed. In short, the dsRNA (21-23 nucleotide long) results from various mechanisms associated with the RNA-induced silencing complex (RISC). One dsRNA strand is chopped off, determined by the duplex's thermodynamic properties. The other strand, known as the guide strand, escorts the RISC to accomplish sequence-specific degradation of the cognate mRNA (in the case of small interfering RNA) and/or translational repression by binding to the 3' untranslated region (UTR) of the complementary mRNA.
Since its inception, RNAi has been widely recognized for selectively blocking the expression of genes of interest, thereby modulating or specifically obstructing events underlying diseases. Thus, siRNA therapeutics may offer promising ways to control many dreadful diseases, evidenced by ongoing clinical trials. In fact, the technology is considered a magic bullet for several untamed diseases. As of yet, no siRNA-based 'front runner' has been commercialized due to challenges associated with their effective translation into clinical settings; the most important being systemic administration into the target cell in vivo.
Although great strides have been made in building safe and efficient siRNA delivery methodologies, as evidenced by exhilarating reports on specialized siRNA delivery systems, no unambiguous platforms have been embarked upon. Delivery systems comprise synthetic and natural delivery systems (bacterial and viral-based carriers/vectors), each with its pros and cons. Recent scenarios favor synthetic carriers due to fewer safety issues and relative simplicity, yet the preferred method characteristically owes to the application required, the therapeutic timeline, and the intended targeted tissue.
What Challenges Hinder siRNA's Path to Becoming a Panacea?
For years, it has been known that to accomplish gene silencing, intact siRNAs must be targeted into the cytoplasmic milieu of the target cell, where they can interact with the endogenous RNAi machinery and associate with the RISC. The molecular drug siRNAs (21-23 nt dsRNA) are larger than commercially available drugs and have a strong negative charge, hindering their translocation through the plasma membrane to achieve cytoplasmic delivery, the required site for their processing and action.
- Vulnerability to Degradation: Nucleases in the systemic circulation and tissues make naked siRNAs vulnerable.
- Clearance by the Mononuclear Phagocytic System (MPS): Entities are challenging for nanosized structures.
- Immune System Stimulation and Off-Target Delivery: RNAi regulators can cause undesirable manifestations, including innate immune stimulation and off-target effects.
- Degradation in the Lysosomal Compartment: Internalization of molecular entities into the cellular compartment occurs by both energy-dependent and energy-independent pathways.
Is siRNA the Future of Medicine?
Improvements are being made in the arena of nanovectors for siRNA delivery. However, it is crucial to combine multiple features into one delivery system to foster a system with attributes to negotiate through multiple biological barriers and deliver the biosmart agent at the desired site. There have been tremendous efforts focused on developing siRNA nanotherapeutics. As such, efforts need to be driven, particularly focusing on augmenting these poorer aspects of siRNA as a molecular drug. Nevertheless, it remains a challenge to fabricate orchestrated siRNA-based architecture that could move to a clinical setting. Successes in safer, efficacious delivery of siRNA to the right target in requisite amount in vivo would be considered a major milestone in the field of siRNA-based therapeutics, establishing its panacea. Nonetheless, the ascendance of siRNA therapeutics has been meticulous.