Publication Date:
2010-03-23
Description:
Therapeutics that are designed to engage RNA interference (RNAi) pathways have the potential to provide new, major ways of imparting therapy to patients. Long, double-stranded RNAs were first shown to mediate RNAi in Caenorhabditis elegans, and the potential use of RNAi for human therapy has been demonstrated by the finding that small interfering RNAs (siRNAs; approximately 21-base-pair double-stranded RNA) can elicit RNAi in mammalian cells without producing an interferon response. We are at present conducting the first in-human phase I clinical trial involving the systemic administration of siRNA to patients with solid cancers using a targeted, nanoparticle delivery system. Here we provide evidence of inducing an RNAi mechanism of action in a human from the delivered siRNA. Tumour biopsies from melanoma patients obtained after treatment show the presence of intracellularly localized nanoparticles in amounts that correlate with dose levels of the nanoparticles administered (this is, to our knowledge, a first for systemically delivered nanoparticles of any kind). Furthermore, a reduction was found in both the specific messenger RNA (M2 subunit of ribonucleotide reductase (RRM2)) and the protein (RRM2) levels when compared to pre-dosing tissue. Most notably, we detect the presence of an mRNA fragment that demonstrates that siRNA-mediated mRNA cleavage occurs specifically at the site predicted for an RNAi mechanism from a patient who received the highest dose of the nanoparticles. Together, these data demonstrate that siRNA administered systemically to a human can produce a specific gene inhibition (reduction in mRNA and protein) by an RNAi mechanism of action.〈br /〉〈br /〉〈a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2855406/" target="_blank"〉〈img src="https://static.pubmed.gov/portal/portal3rc.fcgi/4089621/img/3977009" border="0"〉〈/a〉 〈a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2855406/" target="_blank"〉This paper as free author manuscript - peer-reviewed and accepted for publication〈/a〉〈br /〉〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉Davis, Mark E -- Zuckerman, Jonathan E -- Choi, Chung Hang J -- Seligson, David -- Tolcher, Anthony -- Alabi, Christopher A -- Yen, Yun -- Heidel, Jeremy D -- Ribas, Antoni -- CA U54 119347/CA/NCI NIH HHS/ -- U54 CA119347/CA/NCI NIH HHS/ -- U54 CA119347-04/CA/NCI NIH HHS/ -- England -- Nature. 2010 Apr 15;464(7291):1067-70. doi: 10.1038/nature08956. Epub 2010 Mar 21.〈br /〉〈span class="detail_caption"〉Author address: 〈/span〉Chemical Engineering, California Institute of Technology, Pasadena, California 91125, USA. mdavis@cheme.caltech.edu〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/20305636" target="_blank"〉PubMed〈/a〉
Keywords:
Biopsy
;
*Clinical Trials, Phase I as Topic
;
*Drug Carriers/administration & dosage/pharmacokinetics
;
Drug Delivery Systems
;
Gene Knockdown Techniques/*methods
;
Humans
;
Injections, Intravenous
;
Melanoma/drug therapy/enzymology/genetics
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*Nanoparticles/administration & dosage/analysis
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RNA Interference/*drug effects
;
RNA, Messenger/analysis/genetics/metabolism
;
RNA, Small Interfering/*administration &
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dosage/genetics/*pharmacology/therapeutic use
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Receptors, Transferrin/metabolism
;
Ribonucleoside Diphosphate Reductase/biosynthesis/genetics
Print ISSN:
0028-0836
Electronic ISSN:
1476-4687
Topics:
Biology
,
Chemistry and Pharmacology
,
Medicine
,
Natural Sciences in General
,
Physics
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