AbstractsiRN" therapy has great potential in humans, and its applications have been significantly improved. The kidney is a comparatively easy target organ of siRN" therapy due to its unique structural and functional characteristics. Here, we reviewed recent achievements in the design, delivery, and utilization of RN"i with a focus on kidney diseases, in particular acute kidney injury. In addition, the perspectives and challenges of siRN" therapy such as increasing its serum stability and immune tolerance, targeting single/double/ multiple genes, cell/allele-specific delivery, time-controlled silencing, and siRN"-modified stem cell therapy were also discussed. Finally, selecting target genes and therapeutic time windows were addressed.