Small interfering RNA (siRNA)-based therapies allow targeted correction of molecular defects in distinct cell populations. Although efficient in multiple cell populations, dendritic cells (DCs) seem to resist siRNA delivery. Using fluorescence labeling and radiolabeling, we show that cholesterol modification enables siRNA uptake by DCs in vitro and in vivo. Delivery of cholesterol-modified p40 siRNA selectively abolished p40 transcription and suppressed TLR-triggered p40 production by DCs. During immunization with peptide in CFA, cholesterol-modified p40 siRNA generated p40-deficient, IL-10-producing DCs that prevented IL-17/Th17 and IFN-g/Th1 responses. Only cholesterol-modified p40-siRNA established protective immunity against experimental autoimmune encephalomyelitis and suppressed IFN-g and IL-17 expression by CNS-infiltrating mononuclear cells without inducing regulatory T cells. Because cholesterol-modified siRNA can thus modify selected DC functions in vivo, it is intriguing for targeted immune therapy of allergic, autoimmune, or neoplastic diseases. The Journal of Immunology, 2015Immunology, , 195: 2216Immunology, -2223 T he RNA interference (RNAi) technology is established as efficient treatment strategy for various gene-targeted therapies. Because RNAi delivery to target cells has to be effective and safe, nonviral delivery systems and biochemical modifications are coming into major focus for targeting gene expression in vivo. The in vivo application of small interfering RNA (siRNA) requires structural modifications to improve serum stability and target tissue delivery. For instance, siRNA encapsulated by lipid nanoparticles facilitates siRNA delivery to hepatocytes followed by sequence-specific knockdown. Recently published clinical trials demonstrated first results on the efficacy of RNAi therapy in humans to correct metabolic disorders (1, 2). In contrast, the in vivo use of RNAi technologies for the therapy of inflammatory autoimmune diseases still faces major hurdles. For the successful delivery of RNAi in autoimmunity, the constructs should preferentially target immune cells without inducing major off-target effects. In addition, the constructs should not be immunogenic to minimize the risk for activating TLR and to avoid the induction of proinflammatory responses. One possibility to minimize off-target effects is the selection of a target gene preferentially expressed by immune cells. Therefore, we decided to focus on sequences that silence p40 (Il12b). As part of IL-12 and IL-23, p40 is mainly produced by dendritic cells (DCs) (3). DCs producing IL-12 and IL-23 are of central importance for the activation of autoreactive Th cells toward pathogenic Th1 and Th17 cells (4). Both of these Th cell subsets are crucially involved in the pathogenesis of numerous autoimmune diseases such as multiple sclerosis or psoriasis (5,6). Notably, the spontaneous uptake of siRNA by DCs is very limited and typically requires the use of transfection reagents (7), which cannot be applied in vivo. Also, the use of ...