2018
DOI: 10.1208/s12249-018-1183-0
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Nucleic Acid-Based Therapeutics for Pulmonary Diseases

Abstract: Nucleic acid-based therapeutics present huge potential in the treatment of pulmonary diseases ranging from lung cancer to asthma and chronic pulmonary diseases, which are often fatal and widely prevalent. The susceptibility of nucleic acids to degradation and the complex structure of lungs retard the effective pulmonary delivery of nucleic acid drug. To overcome these barriers, different strategies have been exploited to increase the delivery efficiency using chemically synthesized nucleic acids, vector encaps… Show more

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Cited by 34 publications
(10 citation statements)
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References 96 publications
(93 reference statements)
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“…Gene replacement can also be achieved by encapsulating plasmid DNA. This approach is being evaluated for treating lung cancer [217] and inflammatory diseases [218]. Inhaled gene-expressing plasmids therapy gives hope to chronic airway inflammatory disease such as allergic asthma, where a combination of mucus penetrating nanoparticle demonstrated anti-inflammatory and anti-fibrotic effects [219,220].…”
Section: Lipid-based Pulmonary Gene Therapy and Vaccinationmentioning
confidence: 99%
“…Gene replacement can also be achieved by encapsulating plasmid DNA. This approach is being evaluated for treating lung cancer [217] and inflammatory diseases [218]. Inhaled gene-expressing plasmids therapy gives hope to chronic airway inflammatory disease such as allergic asthma, where a combination of mucus penetrating nanoparticle demonstrated anti-inflammatory and anti-fibrotic effects [219,220].…”
Section: Lipid-based Pulmonary Gene Therapy and Vaccinationmentioning
confidence: 99%
“…Data have shown long-term treatment and frequent administration were often increase the immunogenicity of biological drug products 195 , which should be critically evaluated during the development of the inhaled formulations with extended pulmonary exposure using sustained-release formulations. Besides protein and peptide drugs, the immunogenicity of the nucleic acid-based therapeutics such as DNA, RNA species or analogues and their vectors often hinder their translations into the clinical practice 196 . The extracellular DNA can be recognized by immune cell receptors as damage-related molecular patterns or pathogen-related molecular patterns, activating pro-inflammatory signaling pathways or immunosuppressive cell functions 197 .…”
Section: Safety Concerns In Designing Of Inhaled Formulations With Extended Pulmonary Exposurementioning
confidence: 99%
“…And both approaches are accompanied by hurdles and challenges. [ 106 ] While in vivo studies in rodents can be performed using intratracheal aerosolization with one of three different devices, the PennCentury Microsprayer, [ 99 ] the Micro‐Mist Nebulizer, [ 107 ] and the AeroProbe nebulizing catheter, [ 108 ] development of a product would require formulation development accordingly.…”
Section: The Sars‐cov‐2 Pandemic—a Case Study For Rnai Therapeuticsmentioning
confidence: 99%