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Therapeutic silencing of an endogenous gene by systemic administration of modified siRNAs
Authors:Soutschek Jürgen  Akinc Akin  Bramlage Birgit  Charisse Klaus  Constien Rainer  Donoghue Mary  Elbashir Sayda  Geick Anke  Hadwiger Philipp  Harborth Jens  John Matthias  Kesavan Venkitasamy  Lavine Gary  Pandey Rajendra K  Racie Timothy  Rajeev Kallanthottathil G  Röhl Ingo  Toudjarska Ivanka  Wang Gang  Wuschko Silvio  Bumcrot David  Koteliansky Victor  Limmer Stefan  Manoharan Muthiah  Vornlocher Hans-Peter
Affiliation:Alnylam Europe AG, Fritz-Hornschuch-Str. 9, 95326 Kulmbach, Germany. jsoutschek@alnylam.de
Abstract:RNA interference (RNAi) holds considerable promise as a therapeutic approach to silence disease-causing genes, particularly those that encode so-called 'non-druggable' targets that are not amenable to conventional therapeutics such as small molecules, proteins, or monoclonal antibodies. The main obstacle to achieving in vivo gene silencing by RNAi technologies is delivery. Here we show that chemically modified short interfering RNAs (siRNAs) can silence an endogenous gene encoding apolipoprotein B (apoB) after intravenous injection in mice. Administration of chemically modified siRNAs resulted in silencing of the apoB messenger RNA in liver and jejunum, decreased plasma levels of apoB protein, and reduced total cholesterol. We also show that these siRNAs can silence human apoB in a transgenic mouse model. In our in vivo study, the mechanism of action for the siRNAs was proven to occur through RNAi-mediated mRNA degradation, and we determined that cleavage of the apoB mRNA occurred specifically at the predicted site. These findings demonstrate the therapeutic potential of siRNAs for the treatment of disease.
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