Investigating the pharmacodynamic durability of GalNAc–siRNA conjugates
Open accessAbstract
One hallmark of trivalent N-acetylgalactosamine (GalNAc)-conjugated siRNAs is the remarkable durability of silencing that can persist for months in preclinical species and humans. Here, we investigated the underlying biology supporting this extended duration of pharmacological activity. We found that siRNA accumulation and stability in acidic intracellular compartments is critical for long-term activity. We show that functional siRNA can be liberated from these compartments and loaded into newly generated Argonaute 2 protein complexes weeks after dosing, enabling continuous RNAi activity over time. Identical siRNAs delivered in lipid nanoparticles or as GalNAc conjugates were dose-adjusted to achieve similar knockdown, but only GalNAc-siRNAs supported an extended duration of activity, illustrating the importance of receptor-mediated siRNA trafficking in the process. Taken together, we provide several lines of evidence that acidic intracellular compartments serve as a long-term depot for GalNAc-siRNA conjugates and are the major contributor to the extended duration of activity observed in vivo.
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Chemically stabilized siRNA can remain intact and slowly escape from endolysosomal vesicles, gradually achieving intracellular bioavailability over time.
“which suggests that once delivered, chemically stabilized siRNA remains intact and slowly escapes from sequestration within intracellular endolysosomal vesicles, gaining access to the cytoplasmic gene silencing machinery; this phenomenon allows the internalized siRNA to gradually achieve intracellular bioavailability over time”
From Elucidating brain transport pathways and cell type-dependent gene silencing of a durable lipid–siRNA conjugate administered into cerebrospinal fluid (2025) · cites this paper as [44]
L2-siRNA antisense strand accumulation in CNS tissue decreases over time, but a considerable amount remains at 3 and 5 months.
“While siRNA accumulation decreased over time (as expected), a considerable amount of siRNA-L2 was still present at 3 and 5 months, consistent with the recently-posited endolysosomal depot phenomenon.32”
From Lipid-siRNA conjugate accesses a perivascular transport mechanism and achieves widespread and durable knockdown in the central nervous system (2024) · cites this paper as [32]
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Cites
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Oza, D., Ivich, F., Deprey, K., Bittner, K., Bailey, K., Goldman, S., Yu, M., Niedre, M., Tu, H.-C., & Amiji, M. M. (2025) · ACS Nano · doi:10.1021/acsnano.4c18345 · Cited by 9 · see citing works
Self-citationSorets, A. G., Schwensen, K. R., Francini, N., Kjar, A., Abdulrahman, A. M., Shostak, A., Katdare, K. A., Schoch, K. M., Cowell, R. P., Park, J. C., et al. (2025) · Nucleic Acids Research · doi:10.1093/nar/gkaf600 · Cited by 6 · see citing works
“…to the cytoplasmic gene silencing machinery; this phenomenon allows the internalized siRNA to gradually achieve intracellular bioavailability over time, a feature that is advantageous for achieving durable gene silencing bioactivity and minimizing treatment frequency in chronic diseases [ 44 ].”
Sorets, A., Schwensen, K., Francini, N., Kjar, A., Abdulrahman, A., Shostak, A., Katdare, K., Schoch, K., Cowell, R., Park, J., et al. (2024) · doi:10.1101/2024.06.09.598079 · Cited by 4 · see citing works
- Authors
- Brown, C. R., Gupta, S., Qin, J., Racie, T., He, G., Lentini, S., Malone, R., Yu, M., Matsuda, S., Shulga-Morskaya, S., Nair, A. V., Theile, C. S., Schmidt, K., Shahraz, A., Goel, V., Parmar, R. G., Zlatev, I., Schlegel, M. K., Nair, J. K., Jayaraman, M., Manoharan, M., Brown, D., Maier, M. A., & Jadhav, V.
- Affiliations
- Alnylam Pharmaceuticals (United States) (US)
- Alnylam Pharmaceuticals, Inc., Cambridge, MA 02142, USA
- Harvard University (US)
- Corresponding author
- Jadhav, Vasant
- ORCID
- Venue
- Nucleic Acids Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-08-18
- Volume
- 48
- Issue
- 21
- Pages
- 11827-11844
- ISSN
- 0305-1048 (ISSN-L)
- 1362-4962
- PMC
- PMC7708070
- OpenAlex
- W3063613132
- Cited by
- 285
- References
- 9
- Citations by year
- 2026: 37 · 2025: 64 · 2024: 62 · 2023: 50 · 2022: 44 · 2021: 25 · 2020: 3
- FWCI
- 9.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nucleic Acids Research (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Alnylam Pharmaceuticals
- 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 › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA and protein synthesis mechanisms
- Keywords
- siRNA delivery, RNA interference, Argonaute 2, lipid nanoparticles, siRNA stability
- MeSH terms
- Acetylgalactosamine, Animals, Biological Transport, Drug Carriers, Drug Stability, Female, Glycoconjugates, Humans, Hydrogen-Ion Concentration, Liver, Mice, Inbred C57BL, Prealbumin, Time Factors, Gene Silencing, Hepatocytes, RNA, Small Interfering, Asialoglycoprotein Receptor, Mice, Nanoparticles, Argonaute Proteins
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