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Antisense Therapy: An Overview 反义疗法:综述
Pub Date : 2019-11-20 DOI: 10.5772/intechopen.86867
S. Sharad
Nucleic acids are the backbone of antisense therapy. Antisense oligonucleotide-based therapeutics involves downregulation of gene expression. RNA-based drugs that include antisense oligonucleotides bear great therapeutic potential toward treatment of various diseases by altering RNA and/or reducing, restoring, and mod-ifying protein expression through multiple molecular mechanisms. Pharmacology of targeted antisense therapy has provided the platform to translate its utility to the clinic. Over the years, chemical modifications of antisense oligonucleotides have not only enhanced the specificity and efficacy but also reduced the side effects. These have changed the whole clinical trial design and provide newer strategies for therapies. Improvement in antisense oligonucleotide therapy technology has allowed and brought research from bench to clinic. Additionally, the use of small interfering RNAs, micro RNAs, ribozymes, and other antisense compounds toward the treatment of deadly diseases like cancers have demonstrated both preclinical and clinical responses. Furthermore, antisense therapy has great potential to target specific genes of interest in the context of precision medicine. Optimization of enhanced delivery, specificity, affinity, and nuclease resistance with reduced toxic-ity is underway in different disease context. This chapter gives a complete overview of antisense therapy and highlights its potential. Here, we focused on the advances of the antisense technology, pharmacology, therapeutics, and drug discovery.
核酸是反义治疗的支柱。基于反义寡核苷酸的治疗涉及基因表达的下调。包括反义寡核苷酸在内的RNA药物通过多种分子机制改变RNA和/或减少、恢复和修饰蛋白质表达,在治疗各种疾病方面具有巨大的治疗潜力。靶向反义治疗的药理学研究为其临床应用提供了平台。多年来,反义寡核苷酸的化学修饰不仅提高了特异性和疗效,而且减少了副作用。这些改变了整个临床试验的设计,并为治疗提供了新的策略。反义寡核苷酸治疗技术的进步使研究从实验室走向临床。此外,小干扰rna、微rna、核酶和其他反义化合物在治疗癌症等致命疾病方面的应用已经证明了临床前和临床反应。此外,反义疗法在精准医学的背景下具有针对特定基因的巨大潜力。在不同的疾病背景下,正在优化增强的递送、特异性、亲和力和核酸酶抗性,同时降低毒性。本章给出了反义治疗的完整概述,并强调了其潜力。在这里,我们重点介绍了反义技术、药理学、治疗学和药物发现的进展。
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引用次数: 6
Applications of Lipidic and Polymeric Nanoparticles for siRNA Delivery 脂质和聚合纳米颗粒在siRNA传递中的应用
Pub Date : 2019-06-17 DOI: 10.5772/INTECHOPEN.86920
Behiye Şenel, G. Büyükköroğlu
The antisense technology that emerged with the discovery of RNA interference nearly 20 years ago has gained a significant place in gene therapy. siRNA, one of two important components of RNA interference, efficiently downregulates gene expression in human cells, so it has the potential to eradicate disease. siRNA delivery systems, which can be applied both systemically and locally in different diseases, have gained significant importance. Naked small RNAs can be delivered directly to cells, but because of their instability, exposure to enzyme degradation, and difficulties in reaching/entering the target cell or tissue in blood stream, these initiatives are failing. For this reason, the method of delivery or encapsulation of siRNA is usually required. Various nanoparticles, nanocapsules, emulsions, micelle systems, metal ion nanoparticles, and nanoconjugates have been used for siRNA delivery. In these transport systems, lipidic and polymeric systems are very attractive due to their advantages such as being biodegradable and biocompatible, safety, being able to electrostatically bind to RNA, long-term stability, well-illuminated structure and features, simple and easy production, etc. Issues such as particle size, zeta potential, and stability of siRNA-loaded system should be taken into consideration in the development of siRNA delivery systems.
近20年前随着RNA干扰的发现而出现的反义技术在基因治疗中获得了重要的地位。siRNA是RNA干扰的两个重要组成部分之一,它能有效地下调人类细胞中的基因表达,因此具有根除疾病的潜力。siRNA递送系统可以系统和局部应用于不同的疾病,因此具有重要意义。裸小rna可以直接递送到细胞中,但由于其不稳定性,暴露于酶降解,以及难以到达/进入血流中的目标细胞或组织,这些举措正在失败。因此,通常需要siRNA的递送或封装方法。各种纳米颗粒、纳米胶囊、乳液、胶束系统、金属离子纳米颗粒和纳米缀合物已被用于siRNA的递送。在这些转运系统中,脂质和聚合物体系因其可生物降解和生物相容性、安全性、能与RNA静电结合、长期稳定性、结构和特性清晰、简单易制作等优点而备受关注。在siRNA递送系统的开发中,应考虑到siRNA负载系统的粒径、zeta电位和稳定性等问题。
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引用次数: 2
Oncoproteins Targeting: Antibodies, Antisense, Triple-helix. Case of Anti IGF-I Cancer Immunogene Therapy 靶向肿瘤蛋白:抗体,反义,三螺旋。抗igf - 1肿瘤免疫基因治疗1例
Pub Date : 2019-03-15 DOI: 10.5772/INTECHOPEN.82548
T. Jerzy
AFP and IGF-I oncoproteins were introduced as biomarkers for cancer diagnosis and targeted in cancer therapy on protein level, but also on transcription and translation levels. The protein level was targeted using an injection of antibodies or radiolabeled proteins. The transcription and translation levels were targeted by triple helix and antisense technologies, respectively. AFP was especially useful for diagnosis and therapy of liver cancer, IGF-I was applied in diagnosis and therapy of colon, prostate, liver, uterus, ovary and brain tumors. The most spectacular results were obtained with IGF-I anti-gene strategy. IGF-I antisense (AS)/triple helix (TH) gene therapy was successfully introduced in clinical trial in the USA and Europe. When using IGF-I anti-gene therapy, cancer cells provided from biopsies were transfected in vitro with IGF-I AS, IGF-I TH expression vectors. A decrease in IGF-I gene expression of 80 and 60% was demonstrated when using TH and AS technologies, respectively. These transfected cells expressing MHC-I molecules, while injected in vivo , induced immune antitumor response mediated by CD8 lymphocytes. The median survival of treated glioblastoma patients was 21–22 months. IGF-I AS/TH immunogene therapy constitutes one of the most promising approaches in cancer therapy, and more specifically when it comes to glioblastoma treatment.
AFP和IGF-I癌蛋白被引入作为癌症诊断的生物标志物,并在蛋白质水平,以及转录和翻译水平上靶向癌症治疗。通过注射抗体或放射性标记的蛋白质来确定蛋白质水平。转录水平和翻译水平分别由三螺旋和反义技术定位。AFP尤其适用于肝癌的诊断和治疗,IGF-I在结肠、前列腺、肝脏、子宫、卵巢和脑肿瘤的诊断和治疗中应用。IGF-I抗基因策略获得了最惊人的结果。IGF-I反义(AS)/三螺旋(TH)基因治疗在美国和欧洲成功引入临床试验。当使用IGF-I抗基因治疗时,将活组织活检提供的癌细胞体外转染IGF-I AS, IGF-I TH表达载体。使用TH和AS技术时,IGF-I基因表达分别下降了80%和60%。这些表达mhc - 1分子的转染细胞在体内注射后,诱导CD8淋巴细胞介导的免疫抗肿瘤反应。胶质母细胞瘤患者的中位生存期为21-22个月。IGF-I AS/TH免疫基因治疗是癌症治疗中最有前途的方法之一,特别是当涉及到胶质母细胞瘤治疗时。
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引用次数: 0
Antisense Oligonucleotides, A Novel Developing Targeting Therapy 反义寡核苷酸,一种新的靶向治疗方法
Pub Date : 2019-02-21 DOI: 10.5772/INTECHOPEN.82105
Sara Karaki, Clément Paris, P. Rocchi
Antisense oligonucleotides (ASOs) have been validated as therapeutic agents and an important tool in molecular biology. Indeed, ASOs are used either in vitro or in vivo to generate mRNA selective knockouts. They can be used for human therapy since ASOs can inhibit specifically target genes especially whose are difficult to target with small molecules inhibitors or neutralizing antibodies. However, despite their specificity and broadness of use, some practical obstacles remain unsolved in antisense pharmacology, such as insufficient stability due to nucleases degradation activity, and poor cellular delivery as a result of low cellular uptake difficult biological membrane crossing. Moreover, in many cases, potential off-target effects and immunostimulation are also part of the problems derived from their use. In this review, we will discuss ASOs, their chemistry, limitation of use, some solutions to increase stability, and finally some of their therapeutical application.
反义寡核苷酸(ASOs)已被证实是一种治疗药物和分子生物学的重要工具。事实上,aso在体内或体外都可用于产生mRNA选择性敲除。它们可以用于人类治疗,因为ASOs可以抑制特异性靶基因,特别是那些难以用小分子抑制剂或中和抗体靶向的基因。然而,尽管它们具有特异性和广泛的用途,但在反义药理学中仍存在一些实际障碍,例如由于核酸酶降解活性而导致的稳定性不足,以及由于细胞摄取低而导致的细胞递送不良难以跨越生物膜。此外,在许多情况下,潜在的脱靶效应和免疫刺激也是其使用所产生的问题的一部分。在这篇综述中,我们将讨论ASOs,它们的化学性质,使用的局限性,一些提高稳定性的解决方案,以及它们的一些治疗应用。
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引用次数: 22
Therapeutic Implication of miRNA in Human Disease miRNA在人类疾病中的治疗意义
Pub Date : 2018-12-24 DOI: 10.5772/INTECHOPEN.82738
Andrew Walayat, Meizi Yang, D. Xiao
MicroRNAs (miRNAs) are a class of short non-coding RNA molecules that are involved in development and diseases. Early studies are focusing on the miRNA profile as a biomarker in disease. As discovery of human miRNAs increased in the setting of disease, the research focus was gradually shifted towards miRNA therapeutic strategy for diagnostic and treatment of disease. Increasing evidences suggest that miRNAs are the next important class of antisense therapeutic molecules, which have significant advantage over antisense such as siRNAs because miRNAs are naturally occurring endogenous molecules. Aberrant alteration of the endogenous miRNAs has been linked to the development of certain diseases. Correcting these altered miRNAs by their mimics or inhibitors has been developed as potential therapeutic approaches. Some of the miRNA-based therapeutics are processed in preclinical and clinical trial for treatment hepatitis C, liver cancer, and other diseases. Currently, the major focus in the development of miRNA-based therapeutics is how to increase the miRNA stability and optimize delivery systems for specific disease with minimal off-target effect. This chapter will first overview the miRNA biogenesis, patho- and physiologic function, and regulation of miRNA molecules. Then, we discuss the miRNA-based potential therapeutic approaches and implication in disease.
MicroRNAs (miRNAs)是一类短的非编码RNA分子,与发育和疾病有关。早期的研究主要集中在miRNA谱作为疾病的生物标志物。随着人类miRNA在疾病背景下的发现越来越多,研究重点逐渐转向miRNA治疗策略,用于疾病的诊断和治疗。越来越多的证据表明,mirna是下一类重要的反义治疗分子,由于mirna是自然产生的内源性分子,因此与反义如sirna相比具有显著的优势。内源性mirna的异常改变与某些疾病的发展有关。通过它们的模拟物或抑制剂来纠正这些改变的mirna已被开发为潜在的治疗方法。一些基于mirna的疗法正在临床前和临床试验中用于治疗丙型肝炎、肝癌和其他疾病。目前,开发基于miRNA的治疗方法的主要焦点是如何在最小的脱靶效应下提高miRNA的稳定性并优化特定疾病的递送系统。本章将首先概述miRNA的生物发生、病理和生理功能以及miRNA分子的调控。然后,我们讨论了基于mirna的潜在治疗方法及其在疾病中的意义。
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引用次数: 27
MiRNA-Based Therapeutics in Oncology, Realities, and Challenges 基于mirna的肿瘤治疗,现状和挑战
Pub Date : 2018-11-14 DOI: 10.5772/INTECHOPEN.81847
O. Bălăcescu, Simona Vișan, Oana Baldasici, L. Balacescu, C. Vlad, P. Achimas-Cadariu
As master modulators of the human genome, miRNAs are involved in all cancer hallmarks, disrupting the normal function of their targets. By gaining or losing the function, miRNAs lead to the validation of tumor phenotype, its progression, and metastasis as well as to drug resistance. Increasing the evidence suggests that the modulation of miRNAs in cancer cells, by suppressing the oncogenic miRNAs (oncomiRs) and substituting the deficient tumor suppressive miRNAs (TS-miRNAs), could become a reliable tool for improving the cancer therapy. In this chapter, we will present an up-to-date overview of the role of miRNA-based therapeutics in oncology, highlighting their role in cancer management, how these therapies can be used, and which would be the future challenges related to miRNA-based therapies. invasion and metastases (e.g. miR-10b, miR-31, miR-200 family, miR-21, miR-15b), reprogramming energy metabolism
作为人类基因组的主要调节剂,mirna参与了所有的癌症标志,破坏了它们的目标的正常功能。通过获得或失去功能,miRNAs导致肿瘤表型,其进展和转移以及耐药性的验证。越来越多的证据表明,通过抑制致癌miRNAs (oncomir)和替代缺乏的肿瘤抑制miRNAs (TS-miRNAs)来调节癌细胞中的miRNAs可能成为改善癌症治疗的可靠工具。在本章中,我们将介绍基于mirna的治疗方法在肿瘤学中的最新作用,强调它们在癌症管理中的作用,如何使用这些治疗方法,以及未来与mirna治疗相关的挑战。侵袭和转移(如miR-10b, miR-31, miR-200家族,miR-21, miR-15b),重编程能量代谢
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引用次数: 17
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Antisense Therapy
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