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Nanodelivery systems for nucleic acid therapeutics in drug resistant tumors
Arun K Iyer1, Zhenfeng Duan, Mansoor M Amiji
1Department of Pharmaceutical Sciences, School of Pharmacy, Bouvé College of Health Sciences, Northeastern University , Boston, Massachusetts 02115, United States.
Abstract:
Development of intrinsic and acquired drug resistance in cancer is a significant clinical challenge for effective therapeutic outcomes. Multidrug resistance (MDR) in solid tumors is especially difficult to overcome due to the many different factors that influence clinically manifested refractory disease. Genetic profiling of MDR tumors can provide for more specific control through RNA interference (RNAi) therapy. However, there are multiple barriers to effective in vivo delivery of functional nucleic acid constructs, such as small interfering RNAs (siRNAs) and micro RNAs (miRNAs or miRs). In this review, we have briefly described the principles and mechanisms based on the RNA interference phenomenon and the barriers to its successful clinical translation. The principles of active and passive tumor targeting using nanoparticles systems are also discussed. Furthermore, illustrative examples of miRNA, siRNA, and gene-drug combination delivery using nanoparticle systems that have shown promising potentials for the treatment of diseases such as MDR cancers are covered.
Insights
Overcoming multidrug resistance (MDR) in cancer is challenging. RNA interference (RNAi) therapy, using small interfering RNAs (siRNAs) and microRNAs (miRNAs), shows promise, but delivery barriers exist. Nanoparticles offer solutions for targeted delivery.
Area of Science:
- Oncology
- Biotechnology
- Nanomedicine
Background:
- Multidrug resistance (MDR) in cancer presents a significant clinical hurdle, particularly in solid tumors, due to complex contributing factors.
- Genetic profiling of MDR tumors offers potential for targeted therapies like RNA interference (RNAi).
- Effective in vivo delivery of nucleic acid constructs (siRNAs, miRNAs) faces substantial barriers, limiting clinical translation.
Purpose of the Study:
- To review the principles and mechanisms of RNA interference (RNAi) for cancer therapy.
- To discuss the barriers hindering the clinical application of RNAi.
- To explore nanoparticle-based strategies for active and passive tumor targeting and delivery of RNAi agents and gene-drug combinations.
Main Methods:
- Review of RNA interference (RNAi) principles and mechanisms.
- Discussion of barriers to in vivo nucleic acid delivery.
- Analysis of nanoparticle systems for active and passive tumor targeting.
- Examination of examples using miRNA, siRNA, and gene-drug combinations delivered via nanoparticles.
Main Results:
- RNA interference (RNAi) offers a mechanism for targeted cancer therapy by interfering with gene expression.
- Significant barriers impede the in vivo delivery of functional RNAi agents, including siRNAs and miRNAs.
- Nanoparticle systems demonstrate potential for overcoming delivery challenges through active and passive tumor targeting.
- Combination therapies involving miRNAs, siRNAs, and drugs, delivered via nanoparticles, show promise for treating MDR cancers.
Conclusions:
- RNA interference (RNAi) holds therapeutic potential for multidrug-resistant (MDR) cancers.
- Nanoparticle-mediated delivery systems are crucial for overcoming in vivo delivery barriers of RNAi agents.
- Targeted delivery of RNAi therapeutics, including miRNAs and siRNAs, via nanoparticles is a promising strategy for enhancing cancer treatment outcomes.
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