RNAi therapy targeting coronavirus genomes, pulmonary delivery strategies and design principles: A review

Hao Shen1, Dongwan Cheng2, Liqing Liu3

  • 1Genetic Skin Disease Center, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Hospital for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, Jiangsu, China.

Insights

RNA interference (RNAi) offers a promising therapeutic strategy to combat coronaviruses like COVID-19 by silencing viral genes. Advances in delivery methods, such as inhalation, enhance the potential of small interfering RNA (siRNA) therapeutics.

Area of Science:

  • Molecular Biology
  • Virology
  • Biotechnology

Background:

  • The COVID-19 pandemic highlights the urgent need for effective antiviral therapies.
  • RNA interference (RNAi) presents a novel approach for gene silencing to inhibit viral replication.
  • Clinical application of small interfering RNA (siRNA) faces challenges including delivery and specificity.

Purpose of the Study:

  • To review recent advancements in RNAi-mediated inhibition of coronaviruses, focusing on SARS-CoV-2.
  • To evaluate RNAi strategies targeting specific viral components and identify universal targets.
  • To assess various delivery platforms and targeted delivery methods for siRNA therapeutics.

Main Methods:

  • Review of current literature on RNAi applications against coronaviruses.
  • Analysis of RNAi efficacy against different viral targets (RdRp, S, E, M, N proteins).
  • Evaluation of delivery systems: liposomes, polymers, nanoparticles, and viral vectors.

Main Results:

  • RNAi demonstrates specificity and efficacy against various viral components, with potential for universal targets.
  • Inhalation-based delivery shows promise for pulmonary diseases, including COVID-19.
  • Nanotechnology and gene editing are expanding possibilities for effective siRNA delivery.

Conclusions:

  • RNAi is a viable therapeutic strategy against coronaviruses, with ongoing research addressing delivery and specificity challenges.
  • Targeted delivery systems, particularly inhalation, are crucial for advancing siRNA therapeutics for respiratory viral infections.
  • Continued innovation in gene editing and nanotechnology will likely enhance the effectiveness of RNAi-based treatments.

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