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RNAi-mediated gene silencing in non-human primates
Abstract
The opportunity to harness the RNA interference (RNAi) pathway to silence disease-causing genes holds great promise for the development of therapeutics directed against targets that are otherwise not addressable with current medicines. Although there are numerous examples of in vivo silencing of target genes after local delivery of small interfering RNAs (siRNAs), there remain only a few reports of RNAi-mediated silencing in response to systemic delivery of siRNA, and there are no reports of systemic efficacy in non-rodent species. Here we show that siRNAs, when delivered systemically in a liposomal formulation, can silence the disease target apolipoprotein B (ApoB) in non-human primates. APOB-specific siRNAs were encapsulated in stable nucleic acid lipid particles (SNALP) and administered by intravenous injection to cynomolgus monkeys at doses of 1 or 2.5 mg kg(-1). A single siRNA injection resulted in dose-dependent silencing of APOB messenger RNA expression in the liver 48 h after administration, with maximal silencing of >90%. This silencing effect occurred as a result of APOB mRNA cleavage at precisely the site predicted for the RNAi mechanism. Significant reductions in ApoB protein, serum cholesterol and low-density lipoprotein levels were observed as early as 24 h after treatment and lasted for 11 days at the highest siRNA dose, thus demonstrating an immediate, potent and lasting biological effect of siRNA treatment. Our findings show clinically relevant RNAi-mediated gene silencing in non-human primates, supporting RNAi therapeutics as a potential new class of drugs.
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“This study demonstrates the potential of systemic lipid-lowering by liposome-encapsulated siRNA.”
From Perspectives and opportunities for nanomedicine in the management of atherosclerosis (2011) · cites this paper as [76]
In the citing paper
“Therefore, siRNA therapy can be applied for treating GARDs by targeted silencing of the disease-causing genes.[50, 52]”
From RNA delivery biomaterials for the treatment of genetic and rare diseases (2019) · cites this paper as [52]
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“SNALPs are composed of an ionizable cationic lipid, phosphatidylcholine and cholesterol [28].”
BackgroundEfficient Intracellular Delivery of siRNA with A Safe Multitargeted Lipid-Based Nanoplatform
Gomes-da-Silva, L. C., Fernández, Y., Abasolo, I., Schwartz, S., Ramalho, J. S., de Lima, M. C. P., Simões, S., & Moreira, J. N. (2013) · Nanomedicine · doi:10.2217/nnm.12.174 · Cited by 26
Next-generation Nanotheranostics Targeting Cancer Stem Cells
Reda, A. M., Hosseiny, S., & El-sherbiny, I. M. (2019) · Nanomedicine · doi:10.2217/nnm-2018-0443 · Cited by 26
Quantification of siRNA using competitive qPCR
Liu, W., Stevenson, M., Seymour, L. W., & Fisher, K. D. (2008) · Nucleic Acids Research · doi:10.1093/nar/gkn903 · Cited by 26
“RNAi is facilitating our understanding of functional genomics and offers potential for therapy by targeting disease-associated genes (4,5).”
BackgroundRNA interference based gene therapy for neurological disease
Jagannath, A., & Wood, M. J. A. (2007) · Briefings in Functional Genomics and Proteomics · doi:10.1093/bfgp/elm005 · Cited by 25
Microenvironment‐Programmed siRNA‐Based Hydrogel for Spatiotemporal Gene Silencing in Wound Healing
Xu, Z., Yang, W., Zhang, R., Zhang, G., Liang, X., Zhao, N., Chen, X., Li, Y., & Xu, F. (2025) · Advanced Materials · doi:10.1002/adma.202509558 · Cited by 28
Impact of PEGylation on biodistribution and tumor accumulation of Lipid-Mu peptide-DNA
Bai, J. Y., Zhou, Z., Tang, H., Song, S., Peng, J., & Xu, Y. (2012) · Journal of Liposome Research · doi:10.3109/08982104.2012.708934 · Cited by 25
Gene Therapies for Polyglutamine Diseases
Matos, C. A., Carmona, V., Vijayakumar, U. G., Lopes, S., Albuquerque, P., Conceição, M., Nobre, R. J., Nóbrega, C., & de Almeida, L. P. (2018) · Advances in experimental medicine and biology · doi:10.1007/978-3-319-71779-1_20 · Cited by 25
Octreotide-Targeted Lcn2 siRNA PEGylated Liposomes as a Treatment for Metastatic Breast Cancer
Gote, V., & Pal, D. (2021) · Bioengineering · doi:10.3390/bioengineering8040044 · Cited by 25
“They can (i) protects siRNA from degradation, thus increase circulation t1/2 (ii) entrap hydrophilic and hydrophobic cargo, (iii) low immune response, (iv) evasion of reticuloendothelial system, (v) cationic liposomes can protect siRNA from attack by endonucleases (vi) can achieve enhanced permeability and retention (…”
BackgroundGene interference strategies as a new tool for the treatment of prostate cancer
Boccellino, M., Alaia, C., Misso, G., Cossu, A. M., Facchini, G., Piscitelli, R., Quagliuolo, L., & Caraglia, M. (2015) · Endocrine · doi:10.1007/s12020-015-0629-3 · Cited by 25
“SNALPs have been successfully proposed to deliver small interfering RNAs in non-human primates [96] and clinical trials are currently ongoing.”
BackgroundEffective Nanoparticle‐based Gene Delivery by a Protease Triggered Charge Switch
Gjetting, T., Jølck, R. I., & Andresen, T. L. (2014) · Advanced Healthcare Materials · doi:10.1002/adhm.201300503 · Cited by 25
RNA interference as an anticancer therapy: a patent perspective
Dykxhoorn, D. M. (2009) · Expert Opinion on Therapeutic Patents · doi:10.1517/13543770902838008 · Cited by 25
“A similar strategy was used to deliver anti-ApoB siRNAs to the liver of non-human primates leading to a reduction of ApoB protein expression and a concomitant decrease in the levels of serum cholesterol and low-density lipoproteins [127].”
MethodRNA‐Interferenz: von den Grundlagen zur therapeutischen Anwendung
Kurreck, J. (2009) · Angewandte Chemie · doi:10.1002/ange.200802092 · Cited by 26
Peer, D. (2010) · Journal of Controlled Release · doi:10.1016/j.jconrel.2010.06.029 · Cited by 25
Exploring in vitro roles of siRNA in cardiovascular disease
Tang, Y., Ge, Y.-Z., & Yin, J. Q. (2007) · Acta Pharmacologica Sinica · doi:10.1111/j.1745-7254.2006.00491.x · Cited by 25
Nucleic acid therapies for cystic fibrosis
Sasaki, S., & Guo, S. (2018) · Nucleic Acid Therapeutics · doi:10.1089/nat.2017.0696 · Cited by 24
“Other ligand conjugation approaches to additional cell types and tissues are under investigation. siRNAs siRNAs are therapeutically validated double-stranded RNA oligonucleotides that mediate degradation of the target mRNA [15,16] (Fig.”
Non-Viral Delivery and Therapeutic Application of Small Interfering RNAs
Nikitenko, N. A., & Prassolov, V. (2013) · Acta Naturae · doi:10.32607/20758251-2013-5-3-35-53 · Cited by 24
Targeted Delivery of RNAi Therapeutics for Cancer Therapy
Li, J., & Huang, L. (2010) · Nanomedicine · doi:10.2217/nnm.10.124 · Cited by 24
Zhou, H., Li, X., Li, F., Liu, C., Liang, Z., Liu, S., Zhang, B., Wang, T., Chu, T., Lu, L., et al. (2014) · Brain Research · doi:10.1016/j.brainres.2014.08.048 · Cited by 24
Synthesis of Lipid–Oligonucleotide Conjugates for RNA Interference Studies
Grijalvo, S., Ocampo, S. M., Perales, J. C., & Eritja, R. (2011) · Chemistry & Biodiversity · doi:10.1002/cbdv.201000274 · Cited by 24
Novel directions in inflammation as a therapeutic target in atherosclerosis
Verweij, S. L., van der Valk, F. M., & Stroes, E. S. G. (2015) · Current Opinion in Lipidology · doi:10.1097/mol.0000000000000233 · Cited by 24
“In the preclinical realm, liposomal nanoparticles loaded with siRNA targeted to CCR2 [43] and ApoB [60] and liposomal nanoparticle loaded with prednisolone phosphate (LN-PLP) [61] have shown favorable effects on experimental atherosclerosis.”
BackgroundLocal application of Usag-1 siRNA can promote tooth regeneration in Runx2-deficient mice
Mishima, S., Takahashi, K., Kiso, H., Murashima-Suginami, A., Tokita, Y., Jo, J.-I., Uozumi, R., Nambu, Y., Huang, B., Harada, H., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-93256-y · Cited by 34
Shi, B., & Abrams, M. T. (2013) · Journal of Histochemistry & Cytochemistry · doi:10.1369/0022155413484152 · Cited by 24
“The results from a variety of preclinical studies indicate that LNP is broadly distributed in all tissues, with preferential delivery and accumulation in the liver and spleen (Zimmermann et al. 2006; Davis et al. 2010; Abrams et al. 2010; Tao et al. 2010; Tao et al. 2011).”
BackgroundNiebel, Y., Buschmann, M. D., Lavertu, M., & Crescenzo, G. D. (2014) · Biomacromolecules · doi:10.1021/bm4018148 · Cited by 24
Lasham, A., Herbert, M., Coppieters, N., Patel, R., Feng, S. X., Eszes, M., Cao, H., & Reid, G. (2009) · Nucleic Acids Research · doi:10.1093/nar/gkp1076 · Cited by 24
“5 mg/kg both in mice and in non-human primates (16).”
Metadata
- Authors
- Zimmermann, T. S., Lee, A. C. H., Akinc, A., Bramlage, B., Bumcrot, D., Fedoruk, M. N., Harborth, J., Heyes, J. A., Jeffs, L. B., John, M., Judge, A. D., Lam, K., McClintock, K., Nechev, L. V., Palmer, L. R., Racie, T., Röhl, I., Seiffert, S., Shanmugam, S., Sood, V., Soutschek, J., Toudjarska, I., Wheat, A. J., Yaworski, E., Zedalis, W., Koteliansky, V., Manoharan, M., Vornlocher, H.-P., & MacLachlan, I.
- Affiliations
- Alnylam Pharmaceuticals (United States) (US)
- Electronic Arts (Canada) (CA)
- Corresponding author
- Zimmermann, Tracy S.
- MacLachlan, Ian
- ORCID
- Venue
- Nature
- Published
- 2006-03-26
- Volume
- 441
- Issue
- 7089
- Pages
- 111-114
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2095151181
- Cited by
- 1,357
- References
- 20
- Citations by year
- 2026: 21 · 2025: 22 · 2024: 30 · 2023: 42 · 2022: 40 · 2021: 35 · 2020: 35 · 2019: 46 · 2018: 30 · 2017: 47 · 2016: 54 · 2015: 70 · 2014: 97 · 2013: 113 · 2012: 111
- FWCI
- 46.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Alnylam Pharmaceuticals
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Research and Splicing
- Keywords
- RNA interference, gene silencing, siRNA, apolipoprotein B, siRNA therapeutics, systemic siRNA delivery, Macaca fascicularis, non-human primates, hypercholesterolemia, LDL cholesterol, B-cell lymphoma, CARD11
- MeSH terms
- Animals, Apolipoproteins B, Phenotype, Primates, RNA, Messenger, RNA Interference, RNA, Small Interfering
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