2008
DOI: 10.1016/j.drudis.2008.06.008
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Maintaining the silence: reflections on long-term RNAi

Abstract: Since the demonstration of RNA interference (RNAi) in mammalian cells, considerable research and financial effort has gone towards implementing RNAi as a viable therapeutic platform. RNAi is, without doubt, the most promising strategy for the treatment of human genetic disorders. Because many of the targets proposed for RNAi therapy require chronic treatment, researchers agree that the emphasis must now be placed on the safe and long-term application of RNAi drugs to reap the benefits at last.

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Cited by 105 publications
(79 citation statements)
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References 167 publications
(217 reference statements)
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“…This is thought to originate from Dicer recognition and cleavage which could improve their incorporation into RISC. Moreover, the introduction of chemical modifications to decrease their susceptibility for nuclease degradation could also have its implications on the persistence of the RNAi effect relative to unmodified duplexes [13]. Especially following a prolonged incubation in the (nuclease rich) intracellular environment, the use of chemically modified DsiRNAs could be an advantage over unmodified 21 mer siRNAs.…”
Section: Resultsmentioning
confidence: 99%
See 2 more Smart Citations
“…This is thought to originate from Dicer recognition and cleavage which could improve their incorporation into RISC. Moreover, the introduction of chemical modifications to decrease their susceptibility for nuclease degradation could also have its implications on the persistence of the RNAi effect relative to unmodified duplexes [13]. Especially following a prolonged incubation in the (nuclease rich) intracellular environment, the use of chemically modified DsiRNAs could be an advantage over unmodified 21 mer siRNAs.…”
Section: Resultsmentioning
confidence: 99%
“…One of the limitations of non-viral carriers for synthetic siRNA delivery, especially when long-term treatment is advised, is the transient nature of the gene silencing effect as a result of cell division and intracellular siRNA degradation [13][14][15][16]. On the other hand, major concerns are raised with regard to adverse effects of siRNA therapeutics, such as unwanted immune activation [17], off-target silencing [18] and saturation of the RNAi machinery [19].…”
Section: Introductionmentioning
confidence: 99%
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“…Since synthetic siRNA can be designed to target nearly any human gene, RNAi has become the method of choice to suppress gene expression for therapeutic purposes. Over the last decade, several excellent reviews have been published on the concept of RNAi [1][2][3] and its clinical potential [4,5]. Different target tissues and modes of administration have already been evaluated for siRNA, but most successes to date have emerged from local delivery.…”
Section: Introductionmentioning
confidence: 99%
“…The application of siRNAs, designed to block the expression of disease-related proteins, has therefore emerged as a promising therapeutic strategy for the treatment of various diseases [1][2][3]. Pulmonary disorders, including chronic obstructive pulmonary disease (COPD) and lower respiratory infections, are currently amongst the top ten causes of death worldwide [4,5].…”
Section: Introductionmentioning
confidence: 99%