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肝胆相照论坛 论坛 学术讨论& HBV English RNA 疗法的递送:伟大的内体逃逸!
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RNA 疗法的递送:伟大的内体逃逸! [复制链接]

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发表于 2022-10-30 12:36 |只看该作者 |倒序浏览 |打印
RNA 疗法的递送:伟大的内体逃逸!

史蒂文·F·道迪
, 瑞安·L·塞顿
, 崔贤淑
, 和 Satish G. Jadhav
在线发布:2022 年 10 月 14 日 https://doi.org/10.1089/nat.2022.0004

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抽象的

RNA 疗法,包括 siRNA、反义寡核苷酸和其他寡核苷酸,具有选择性治疗多种人类疾病的巨大潜力,从癌症到 COVID 再到帕金森病。 RNA 治疗活性由 Watson-Crick 碱基与靶基因 RNA 配对机械驱动,无需事先了解蛋白质结构、功能或细胞位置。然而,在 RNA 疗法的广泛使用成为现实之前,我们必须克服十亿年的进化防御,这些防御旨在阻止入侵的 RNA 进入细胞。与设计为被动扩散穿过细胞膜的小分子治疗剂不同,大分子 RNA 治疗剂太大、太带电和/或太亲水,无法被动地扩散穿过细胞膜,而是通过内吞作用进入细胞。然而,与细胞膜类似,内体包含一个脂质双层,它可以捕获 99% 或更多的 RNA 治疗剂,即使在肝脏、中枢神经系统和肌肉等半开放性组织中也是如此。因此,在 RNA 疗法能够实现其治疗广泛人类疾病的最终临床潜力之前,必须以临床可接受的方式解决内体逃逸的限速递送问题。

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发表于 2022-10-30 12:36 |只看该作者
Delivery of RNA Therapeutics: The Great Endosomal Escape!

Steven F. Dowdy
, Ryan L. Setten
, Xian-Shu Cui
, and Satish G. Jadhav
Published Online:14 Oct 2022https://doi.org/10.1089/nat.2022.0004

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Abstract

RNA therapeutics, including siRNAs, antisense oligonucleotides, and other oligonucleotides, have great potential to selectively treat a multitude of human diseases, from cancer to COVID to Parkinson's disease. RNA therapeutic activity is mechanistically driven by Watson–Crick base pairing to the target gene RNA without the requirement of prior knowledge of the protein structure, function, or cellular location. However, before widespread use of RNA therapeutics becomes a reality, we must overcome a billion years of evolutionary defenses designed to keep invading RNAs from entering cells. Unlike small-molecule therapeutics that are designed to passively diffuse across the cell membrane, macromolecular RNA therapeutics are too large, too charged, and/or too hydrophilic to passively diffuse across the cellular membrane and are instead taken up into cells by endocytosis. However, similar to the cell membrane, endosomes comprise a lipid bilayer that entraps 99% or more of RNA therapeutics, even in semipermissive tissues such as the liver, central nervous system, and muscle. Consequently, before RNA therapeutics can achieve their ultimate clinical potential to treat widespread human disease, the rate-limiting delivery problem of endosomal escape must be solved in a clinically acceptable manner.

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发表于 2022-10-30 12:36 |只看该作者
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