Tetrahedral Framework Nucleic Acids Based Small Interfering RNA Targeting Receptor for Advanced Glycation End
Zhengwen Cai1, Yong Li1, Long Bai2
1State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China.
Abstract:
Complications arising from diabetes can threaten multiple organs. Advanced glycation end products (AGEs) play a significant role in inducing these complications. Highly processed diets and hyperglycemia facilitate the accumulation of AGEs in the body. Interaction between AGEs and their main receptor (RAGE) initiates the transmission of intracellular inflammatory and cell death signals, which ultimately lead to complications. To counter AGEs-induced damage, we developed an siRNA-binding tetrahedral framework nucleic acids (TDN) system, termed Tsi, which combines the potent cell membrane penetrability and serum stability of TDN with the gene-targeting specificity of siRNA-RAGE. Tsi effectively and persistently downregulates the expression of RAGE, thereby suppressing inflammation by blocking the NF-κB pathway as well as exhibiting antioxidant functions. Furthermore, Tsi regulates the pyroptosis state of macrophages via the NLRP3/caspase-1 axis, which inhibits the spread of cell death signals and maintains homeostasis. This is of great significance for the synergistic treatment strategy for systemic complications in patients with refractory hyperglycemia. In summary, this study describes a nanomedicine that targets the RAGE and suppresses AGE-induced inflammation. This nucleic acid drug holds long-lasting efficacy and is independent of lowering hyperglycemia, which provides a strategy for the treatment of diabetic complications and age-related diseases.
Insights
A novel nanomedicine, Tsi, targets the receptor for advanced glycation end products (RAGE) to reduce inflammation and cell death, offering a new treatment for diabetic complications.
Area of Science:
- Biomedical Engineering
- Nanomedicine
- Molecular Biology
Background:
- Diabetes complications affect multiple organs, driven by advanced glycation end products (AGEs).
- AGEs accumulate due to hyperglycemia and processed diets, triggering inflammation and cell death via the receptor for AGEs (RAGE).
- Existing treatments often focus on hyperglycemia, necessitating alternative strategies for AGEs-induced damage.
Purpose of the Study:
- To develop a novel nanomedicine system, Tsi, for targeting RAGE and mitigating AGEs-induced complications.
- To evaluate the efficacy of Tsi in downregulating RAGE expression and suppressing downstream inflammatory pathways.
- To assess Tsi's impact on macrophage pyroptosis and its potential for synergistic treatment of diabetic complications.
Main Methods:
- Development of an siRNA-binding tetrahedral framework nucleic acid (TDN) system (Tsi) with enhanced cell membrane penetration and serum stability.
- In vitro and in vivo assessment of Tsi's ability to downregulate RAGE expression.
- Analysis of Tsi's effects on the NF-κB inflammatory pathway, antioxidant functions, and the NLRP3/caspase-1 pyroptosis axis in macrophages.
Main Results:
- Tsi effectively and persistently downregulates RAGE expression, suppressing AGEs-induced inflammation.
- Tsi inhibits the NF-κB pathway and exhibits antioxidant properties.
- Tsi regulates macrophage pyroptosis via the NLRP3/caspase-1 axis, preventing the spread of cell death signals and maintaining homeostasis.
Conclusions:
- The Tsi nanomedicine system offers a promising therapeutic strategy for diabetic complications by targeting RAGE and AGE-induced inflammation.
- Tsi demonstrates long-lasting efficacy, independent of lowering blood glucose levels.
- This approach provides a novel treatment avenue for diabetic complications and potentially age-related diseases.
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