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Published on: September 25, 2019
Inhibition of hepatitis B virus replication in vivo using lipoplexes containing altritol-modified antiviral siRNAs
Justin Hean1, Carol Crowther, Abdullah Ely
1Antiviral Gene Therapy Research Unit; School of Pathology; University of the Witwatersrand Medical School; South Africa.
Insights
New altritol-containing synthetic siRNAs (ANA siRNAs) effectively silence hepatitis B virus (HBV) replication in vivo. This novel RNA interference therapy shows promise for treating chronic HBV infection with reduced side effects.
Area of Science:
- Hepatology
- Virology
- Molecular Therapy
Background:
- Chronic hepatitis B virus (HBV) infection affects 6% of the global population, posing a significant risk for hepatocellular carcinoma.
- Current treatments for chronic HBV infection have limited efficacy, highlighting the need for novel therapeutic strategies.
- RNA interference (RNAi) offers a promising approach to silence HBV gene expression, but requires further technological refinement for clinical application.
Purpose of the Study:
- To evaluate the efficacy and safety of altritol-containing synthetic siRNAs (ANA siRNAs) for silencing HBV replication in vivo.
- To assess the potential of ANA siRNAs, delivered as lipoplexes, to overcome limitations of current RNAi-based HBV therapies.
- To investigate the impact of ANA modification on off-target effects and immunostimulation associated with siRNA therapy.
Main Methods:
- Utilized a stringent HBV transgenic mouse model to test ANA siRNAs administered as lipoplexes.
- Assessed the in vivo silencing of HBV replication and evaluated potential toxicity.
- Compared the immunostimulatory effects of ANA siRNAs with unmodified siRNAs.
Main Results:
- ANA siRNAs demonstrated significant in vivo silencing of HBV replication.
- Approximately 50% inhibition of HBV replication was achieved without observable toxicity.
- ANA modification significantly attenuated non-specific immunostimulation observed with unmodified siRNAs.
Conclusions:
- ANA siRNAs represent a promising therapeutic strategy for silencing HBV replication in vivo.
- ANA modification of siRNAs can reduce undesirable immunostimulatory side effects, enhancing their safety profile.
- ANA siRNA therapeutic lipoplexes show potential for future clinical application in treating chronic HBV infection.
Abstract:
Chronic infection with the hepatitis B virus (HBV) occurs in approximately 6% of the world's population and carriers of the virus are at risk for complicating hepatocellular carcinoma. Current treatment options have limited efficacy and chronic HBV infection is likely to remain a significant global medical problem for many years to come. Silencing HBV gene expression by harnessing RNA interference (RNAi) presents an attractive option for development of novel and effective anti HBV agents. However, despite significant and rapid progress, further refinement of existing technologies is necessary before clinical application of RNAi-based HBV therapies is realized. Limiting off target effects, improvement of delivery efficiency, dose regulation and preventing reactivation of viral replication are some of the hurdles that need to be overcome. To address this, we assessed the usefulness of the recently described class of altritol-containing synthetic siRNAs (ANA siRNAs), which were administered as lipoplexes and tested in vivo in a stringent HBV transgenic mouse model. Our observations show that ANA siRNAs are capable of silencing of HBV replication in vivo. Importantly, non specific immunostimulation was observed with unmodified siRNAs and this undesirable effect was significantly attenuated by ANA modification. Inhibition of HBV replication of approximately 50% was achieved without evidence for induction of toxicity. These results augur well for future application of ANA siRNA therapeutic lipoplexes.
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