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Treatment of psoriasis with NFKBIZ siRNA using topical ionic liquid formulations
Abhirup Mandal1,2, Ninad Kumbhojkar1,2, Charles Reilly2
1John A. Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, MA 02138, USA.
Science Advances
|August 25, 2020
Summary
Topical small interfering RNA (siRNA) targeting NFKBIZ offers a new psoriasis treatment. This approach overcomes skin delivery challenges, reducing inflammation without systemic side effects.
Area of Science:
- Dermatology
- Molecular Biology
- Biotechnology
Background:
- Systemic anti-tumor necrosis factor-α (TNF-α) and anti-interleukin-17A (IL-17A) antibodies are effective for plaque psoriasis but raise safety concerns.
- Targeting upstream molecules like NFKBIZ locally could offer an alternative therapeutic strategy.
- Effective topical delivery of small interfering RNA (siRNA) to the skin remains a significant challenge due to the skin's barrier properties and siRNA instability.
Purpose of the Study:
- To investigate the potential of ionic liquids for topical delivery of NFKBIZ siRNA.
- To evaluate the therapeutic efficacy of locally delivered NFKBIZ siRNA in a psoriasis model.
Main Methods:
- Development of an ionic liquid formulation for enhanced skin penetration of NFKBIZ siRNA.
- Application of the siRNA formulation to a psoriasis model.
- Assessment of gene expression changes and downstream signaling pathways, including TNF-α and IL-17A.
Main Results:
- Successful topical delivery of NFKBIZ siRNA into the skin was achieved using ionic liquids.
- Treatment with NFKBIZ siRNA suppressed aberrant gene expression characteristic of psoriasis.
- Down-regulation of key psoriasis-related inflammatory signals, including TNF-α and IL-17A, was observed.
Conclusions:
- Ionic liquids provide an effective platform for topical siRNA delivery to the skin.
- Local silencing of NFKBIZ via topical siRNA demonstrates therapeutic potential for psoriasis treatment.
- This approach offers a promising alternative to systemic biologics, potentially mitigating safety concerns.
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