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Published on: May 30, 2025
Small interfering RNA (siRNA) based therapies for cancer treatment: A special focus on cervical cancer
Labdhi Bavishi1, Shital B Butani1, Snehal S Patel1
1Department of Pharmacology, Institute of Pharmacy, Nirma University, Ahmedabad, Gujarat, India.
Abstract:
Small interfering RNA (siRNA)-based therapies are rapidly advancing as a novel approach in cancer treatment by selectively silencing oncogenes and disease-associated genes via the RNA interference (RNAi) pathway. By harnessing the body's natural cellular machinery to degrade specific messenger RNA (mRNAs), siRNA therapies prevent the production of harmful proteins with remarkable precision, offering reduced off-target effects compared to conventional chemotherapy or radiation. This review emphasizes the growing importance of siRNA in various cancers, particularly cervical cancer, which is often linked to persistent Human Papillomavirus (HPV) infections. It discusses how siRNA therapies target key viral oncogenes like E6 and E7, reactivating tumour suppressor pathways, modulating immune responses and improving sensitivity to chemotherapy. In addition, the review explores recent advancements in siRNA delivery strategies such as lipid nanoparticles, polymeric carriers, dendrimers and exosomes that address major challenges like nuclease degradation, limited cellular uptake and immune activation. The clinical potential of siRNA, including its integration with personalized medicine and ongoing clinical trials, is evaluated, alongside a critical analysis of current limitations such as immunogenicity, delivery efficiency and manufacturing complexities. Altogether, the review highlights both the promises and challenges of siRNA-based therapies and points towards future directions needed to realize their full clinical potential in oncology.
Insights
Small interfering RNA (siRNA) therapies offer precise cancer treatment by silencing disease-causing genes. This review highlights siRNA
Area of Science:
- Oncology and Molecular Biology
- RNA interference (RNAi) therapeutics
Background:
- Small interfering RNA (siRNA) therapies leverage the RNA interference (RNAi) pathway for targeted gene silencing.
- siRNA offers a precise alternative to conventional cancer treatments, minimizing off-target effects.
- Cervical cancer, often linked to Human Papillomavirus (HPV), is a key area for siRNA application.
Purpose of the Study:
- To review the significance and advancements of siRNA-based therapies in oncology.
- To explore siRNA's role in targeting oncogenes, particularly HPV-associated E6 and E7 proteins in cervical cancer.
- To discuss novel siRNA delivery strategies and evaluate clinical potential and limitations.
Main Methods:
- Review of current literature on siRNA mechanisms, applications, and delivery systems.
- Analysis of siRNA's impact on oncogene silencing, tumor suppressor pathways, and immune modulation.
- Evaluation of delivery vehicles including lipid nanoparticles, polymeric carriers, dendrimers, and exosomes.
Main Results:
- siRNA therapies effectively silence oncogenes and viral proteins like HPV E6/E7, reactivating tumor suppressors.
- Advanced delivery strategies are improving siRNA stability, cellular uptake, and reducing immunogenicity.
- siRNA demonstrates potential in personalized medicine and combination therapies, with ongoing clinical trials.
Conclusions:
- siRNA-based therapies hold significant promise for various cancers, especially HPV-driven cervical cancer.
- Overcoming challenges in delivery efficiency, immunogenicity, and manufacturing is crucial for clinical translation.
- Further research and clinical trials are essential to fully realize the therapeutic potential of siRNA in oncology.
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