2022
DOI: 10.1038/s41416-022-02123-8
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Synthetic miR-34a against solid tumours: a predictable failure

Abstract: A prolific scientific literature attributes pro-or anti-oncogenic properties to many human microRNAs ("miRNAs"). While many of these studies are based on unpersuasive analyses, one candidate suppressor tumor miRNA, miR-34a, appeared convincing enough to be administered to human patients in a clinical trial -with disappointing outcomes. Here we review possible reasons for that failure, and their implications for other miRNAs.

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Cited by 6 publications
(3 citation statements)
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“…Until now, endeavours to employ modified miR-34a as a therapeutic agent have encountered setbacks in clinical trials 66 . These failures have been attributed to issues of non-specificity and high drug dosages, which can trigger immunogenic responses 67 . By tailoring miRNA- based drugs based on known structural information, we may have the potential to create more effective treatments characterised by a reduced immunogenic profile and a more selective targeting approach.…”
Section: Discussionmentioning
confidence: 99%
“…Until now, endeavours to employ modified miR-34a as a therapeutic agent have encountered setbacks in clinical trials 66 . These failures have been attributed to issues of non-specificity and high drug dosages, which can trigger immunogenic responses 67 . By tailoring miRNA- based drugs based on known structural information, we may have the potential to create more effective treatments characterised by a reduced immunogenic profile and a more selective targeting approach.…”
Section: Discussionmentioning
confidence: 99%
“…Allowing the mutation of miRNA genes, or of their binding sites in target RNAs, or both of them simultaneously in a compensatory manner, this technique should allow to disrupt and restore miRNA/target interactions on demand in a complete in vivo setting. The analysis of physiological phenotypes controlled by individual interactions is much needed, as exemplified by the frequent misannotation of the biological roles of miRNA/target interactions when it is based on extrapolated ex vivo or in silico analyses [Mockly and Seitz, 2019 ; Mockly and Seitz, 2023].…”
Section: Discussionmentioning
confidence: 99%
“…Other authors have associated miR-34a with Acute Respiratory Distress Syndrome [80], an inflammatory disorder resulting in rare fatal irAEs such as pneumonitis or respiratory failures [81], or other irAEs. Finally, further evidence of the need to maintain low miR-34a levels is demonstrated by the early closure of the Phase 1 study of MRX34, a liposomal mimic of miR-34a, in patients with advanced solid tumors, due to the death of several patients [82,83].…”
Section: Mirnas That Regulate Immune-related Adverse Events (Iraes)mentioning
confidence: 99%