Targeted delivery of siRNA to cell death proteins in sepsis

Pavan Brahmamdam1, Eizo Watanabe, Jacqueline Unsinger

  • 1Department of Surgery, Washington University in St Louis, School of Medicine, St Louis, Missouri 63110, USA.

Shock (Augusta, Ga.)
|November 27, 2008
PubMed

Insights

Sepsis causes immune cell death by upregulating Bim and PUMA proteins. A novel delivery system effectively delivered anti-apoptotic small interfering RNA (siRNA) to lymphocytes, reducing cell death and improving survival in sepsis models.

Area of Science:

  • Immunology
  • Molecular Biology
  • Sepsis Pathophysiology

Background:

  • Sepsis leads to immune suppression, characterized by lymphocyte apoptosis.
  • Loss of CD4 T and B cells contributes to immune incompetence during sepsis.
  • Inhibiting lymphocyte apoptosis improves survival in preclinical sepsis models.

Purpose of the Study:

  • To investigate the role of Bim and PUMA proteins in sepsis-induced lymphocyte apoptosis.
  • To develop and evaluate a novel siRNA delivery system for targeting lymphocytes in sepsis.

Main Methods:

  • Quantitative real-time PCR to measure Bim and PUMA expression in splenic CD4 T and B cells.
  • Development of a cyclodextrin polymer-based, transferrin receptor-targeted delivery vehicle for siRNA.
  • Co-administration of siRNA targeting Bim and PUMA to mice post-cecal ligation and puncture.
  • Flow cytometry to assess siRNA delivery, lymphocyte apoptosis, and protein levels in vivo.

Main Results:

  • Bim and PUMA were significantly upregulated in splenic CD4 T and B cells during sepsis.
  • The novel delivery vehicle successfully delivered siRNA to lymphocytes in vivo.
  • siRNA therapy targeting Bim and PUMA markedly reduced lymphocyte apoptosis and prevented cell depletion.
  • Intracellular levels of Bim and PUMA proteins were decreased following siRNA administration.

Conclusions:

  • Bim and PUMA are critical mediators of immune cell death in sepsis.
  • A novel targeted siRNA delivery system effectively targets lymphocytes, reversing sepsis-induced immune cell depletion.
  • This approach holds promise for treating immune suppression in sepsis.