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Published on: May 2, 2019
Advances in siRNA Drug Delivery Strategies for Targeted TNBC Therapy
Md Abdus Subhan1,2, Vladimir P Torchilin3,4
1Division of Nephrology, University of Rochester, 601 Elmwood Ave, Rochester, NY 14642, USA.
Abstract:
Among breast cancers, triple-negative breast cancer (TNBC) has been recognized as the most aggressive type with a poor prognosis and low survival rate. Targeted therapy for TNBC is challenging because it lacks estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2). Chemotherapy, radiation therapy, and surgery are the common therapies for TNBC. Although TNBC is prone to chemotherapy, drug resistance and recurrence are commonly associated with treatment failure. Combination therapy approaches using chemotherapy, mAbs, ADC, and antibody-siRNA conjugates may be effective in TNBC. Recent advances with siRNA-based therapy approaches are promising for TNBC therapy with better prognosis and reduced mortality. This review discusses advances in nanomaterial- and nanobiomaterial-based siRNA delivery platforms for TNBC therapy exploring targeted therapy approaches for major genes, proteins, and TFs upregulated in TNBC tumors, which engage in molecular pathways associated with low TNBC prognosis. Bioengineered siRNA drugs targeting one or several genes simultaneously can downregulate desired genes, significantly reducing disease progression.
Insights
Triple-negative breast cancer (TNBC) is aggressive, lacking targeted therapy options. Nanomaterial-based siRNA delivery offers a promising approach to downregulate key genes, improving prognosis and reducing mortality in TNBC patients.
Area of Science:
- Oncology
- Biotechnology
- Nanomedicine
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype with poor prognosis.
- TNBC lacks specific molecular targets (ER, PR, HER2), complicating targeted therapy.
- Current treatments like chemotherapy face challenges of drug resistance and recurrence.
Purpose of the Study:
- To review advances in nanomaterial- and nanobiomaterial-based siRNA delivery platforms for TNBC therapy.
- To explore targeted therapy approaches for key genes, proteins, and transcription factors (TFs) in TNBC.
- To highlight the potential of siRNA-based therapies for improving TNBC prognosis and reducing mortality.
Main Methods:
- Review of recent scientific literature on siRNA delivery systems for TNBC.
- Discussion of targeted approaches utilizing nanomaterials for gene silencing in TNBC.
- Analysis of bioengineered siRNA drugs for simultaneous gene downregulation.
Main Results:
- Nanomaterial-based siRNA delivery platforms show promise for targeted TNBC therapy.
- Targeting upregulated genes, proteins, and TFs in TNBC can disrupt pathways associated with poor prognosis.
- Simultaneous gene silencing via bioengineered siRNA can significantly reduce TNBC progression.
Conclusions:
- siRNA-based therapies, particularly when delivered via nanomaterials, represent a promising frontier for TNBC treatment.
- Targeted gene silencing offers a strategy to overcome limitations of current TNBC therapies.
- Advances in nanomedicine are crucial for developing effective and less toxic treatments for aggressive breast cancers.
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