siRNA/miRNA
miRNA and siRNA are double-stranded RNA (dsRNA) ONs of 21 to 26
base-pairs that can cause gene silencing, a process known as RNA interference
(RNAi) (Fig. 8) (Sen and Blau, 2006). In 1998, RNAi was first described in the
nematode Caenorhabditis elegans. This silencing phenomenon also occurs in
plants, protozoa, fungi, and animals and appears to be conserved in all
eukaryotes and may even play a role in prokaryotic cells. It is an important
process in endogenous gene expression/translation regulation and defense
against pathogens.
miRNAs are produced from transcripts that form stem-loop structures. These are processed in the nucleus into 65 to 75 nucleotides long pre-miRNA followed by transport to the cytoplasm. Pre-miRNA is further cleaved by
an enzyme complex known as Dicer-complex to form miRNA, which is loaded into
the RNA-induced silencing complex (RISC) that can bind and cleave homologous
mRNA. siRNA are produced from endogenous or exogenous long dsRNA precur-sors
that are also cleaved by Dicer and loaded into RISC. The presence of long dsRNA
in mammalian cells induces an interferon response, which results in
non-specific inhibition of translation, and cell death. Therefore, in mammalian
systems, the shorter siRNA is used which largely circumvents this response.
Next to the direct endonucleolytic cleavage of mRNAs via RISC, miRNA and siRNA
appear also to act at other levels. They have been shown to affect methylation
of promoters, increase degradation of mRNA (notmediated by RISC), block protein
translation, and enhance protein degradation.
Since the discovery of the process, a remarkably rapid progress has been
made, and several com-pounds are currently clinically investigated. This rapid
progress is partly due to the strong potency of the RNAi technique which seems
to silence gene expression far more efficiently than antisense ap-proaches;
partly, also because much has been learned from previous nucleic acid-based
clinical trials. Acuity Pharmaceuticals and Sirna Therapeutics Inc. focus on
macular degeneration as therapeutic target with VEGF-inhibiting siRNAs named
Cand5 and siRNA-027, respectively. Alnylam Pharmaceuticals has started a
clinical trial on RSV-infection with ALN-RSV-01 inhibiting a viral gene.
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