Cited by 284RNA Interference and Gene DeliveryNanoparticle-Based Drug DeliveryAdvanced Drug Delivery Systems

Going beyond the liver: progress and challenges of targeted delivery of siRNA therapeutics

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Lorenzer, Cornelia, Dirin, Mehrdad, Winkler, Anna-Maria, Baumann, Volker, Winkler, Johannes·2015·Journal of Controlled Release

Abstract

Therapeutic gene silencing promises significant progress in pharmacotherapy, including considerable expansion of the druggable target space and the possibility for treating orphan diseases. Technological hurdles have complicated the efficient use of therapeutic oligonucleotides, and siRNA agents suffer particularly from insufficient pharmacokinetic properties and poor cellular uptake. Intense development and evolution of delivery systems have resulted in efficient uptake predominantly in liver tissue, in which practically all nanoparticulate and liposomal delivery systems show the highest accumulation. The most efficacious strategies include liposomes and bioconjugations with N-acetylgalactosamine. Both are in early clinical evaluation stages for treatment of liver-associated diseases. Approaches for achieving knockdown in other tissues and tumors have been proven to be more complicated. Selective targeting to tumors may be enabled through careful modulation of physical properties, such as particle size, or by taking advantage of specific targeting ligands. Significant barriers stand between sufficient accumulation in other organs, including endothelial barriers, cellular membranes, and the endosome. The brain, which is shielded by the blood-brain barrier, is of particular interest to facilitate efficient oligonucleotide therapy of neurological diseases. Transcytosis of the blood-brain barrier through receptor-specific docking is investigated to increase accumulation in the central nervous system. In this review, the current clinical status of siRNA therapeutics is summarized, as well as innovative and promising preclinical concepts employing tissue- and tumor-targeted ligands. The requirements and the respective advantages and drawbacks of bioconjugates and ligand-decorated lipid or polymeric particles are discussed.

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Crossref · 10.1016/j.jconrel.2015.02.003

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  • Strategies for functional siRNA delivery into the brain mainly rely on protein or peptide ligands targeting receptors such as transferrin, insulin and LDL receptors, which are highly expressed on the blood brain barrier.

    “Strategies that have been applied for achieving functional siRNA delivery into the brain mainly rely on employing potent protein or peptide ligands to target the receptors, such as transferrin, insulin and LDL receptors, which are highly expressed on the blood brain barrier (BBB).[102]”

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  1. M. Gebauer, A. Skerra, Anticalins: small engineered binding proteins based on the lipocalin scaffoldChapter seven in: K.D. Wittrup, L.V. Gregory (Eds.), Methods Enzymol, Academic Press, 2012, pp. 157-188.

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Authors
Lorenzer, C., Dirin, M., Winkler, A.-M., Baumann, V., & Winkler, J.
Affiliations
University of Vienna (AT)
Corresponding author
Winkler, Johannes
Venue
Journal of Controlled Release
Publisher
Elsevier BV
Published
2015-04
Volume
203
Pages
1-15
ISSN
0168-3659 (ISSN-L)
OpenAlex
W2019613864
Cited by
284
References
188
Citations by year
2026: 7 · 2025: 16 · 2024: 17 · 2023: 17 · 2022: 22 · 2021: 25 · 2020: 23 · 2019: 35 · 2018: 34 · 2017: 33 · 2016: 37 · 2015: 18
FWCI
3.94
Type
journal article
Language
en
Open access
Locations
  • Journal of Controlled Release (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • FWF (I519-B11)
  • Innovative Medicines Initiative Joint Undertaking (115363)
  • European Union's (FP7/2007–2013)
  • EFPIA companies'
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
  • Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
Keywords
siRNA therapeutics, targeted delivery, gene silencing, liposomes, nanoparticle drug delivery, tumor targeting, blood-brain barrier, transcytosis, cellular uptake, pharmacokinetics, oligonucleotide therapeutics, liver-targeted drug delivery
MeSH terms
RNAi Therapeutics, Animals, Blood-Brain Barrier, Endothelium, Humans, Leukocytes, Liposomes, Liver, Models, Molecular, Neoplasms, Drug Delivery Systems, Gene Transfer Techniques, RNA, Small Interfering, Nanoparticles

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