Breakthroughs in the nanoparticle-mediated delivery of siRNA for breast cancer treatment.

IF 3.9
Davi Trombini Aleixo, Estael L C Cruz-Cazarim, Kezia C B Ferreira, Lívia N Grossi, Wilson R Braz, Natália P Silva, Fábio Pittella-Silva, Marina F Dias, Silvia L Fialho, Guilherme D Tavares, Frederico Pittella
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Abstract

Although breast cancer treatments have improved, challenges like tumor heterogeneity and drug resistance remain. RNA interference (RNAi), especially through small interfering RNA (siRNA), is a promising strategy to silence specific genes and improve clinical outcomes. However, the clinical translation of siRNA has been limited by barriers related to stability, biodistribution, cellular uptake, among others. Nanoparticle-based delivery systems have emerged as transformative platforms to address these limitations, enhancing siRNA protection, targeting, and intracellular release. This review discusses the major breakthroughs in nanoparticle-mediated siRNA delivery for breast cancer treatment, focusing on how innovations in nanocarrier design have enhanced siRNA stability, targeting, and therapeutic efficacy. We highlight key characteristics in RNA interference mechanisms, the evolution of computational tools for optimizing siRNA design, and the approval of RNAi-based therapies that laid the foundation for oncologic applications. Special emphasis is given to the development of lipid, polymeric, and inorganic nanoparticles engineered for efficient siRNA delivery, their role in overcoming drug resistance when combined with conventional therapies, and the current progress of clinical trials against solid tumors. By integrating nanotechnology and RNAi, these breakthroughs offer new opportunities for precise, durable, and personalized strategies in breast cancer treatment, with the potential to transform the current therapeutic landscape.

纳米颗粒介导的siRNA递送在乳腺癌治疗中的突破。
尽管乳腺癌的治疗方法有所改善,但肿瘤异质性和耐药性等挑战仍然存在。RNA干扰(RNAi),尤其是小干扰RNA (siRNA),是一种很有前途的沉默特定基因和改善临床结果的策略。然而,siRNA的临床翻译受到与稳定性、生物分布、细胞摄取等相关的障碍的限制。基于纳米颗粒的递送系统已经成为解决这些限制的变革性平台,增强了siRNA的保护、靶向和细胞内释放。本文讨论了纳米颗粒介导的siRNA递送用于乳腺癌治疗的重大突破,重点介绍了纳米载体设计的创新如何增强siRNA的稳定性、靶向性和治疗效果。我们强调了RNA干扰机制的关键特征,优化siRNA设计的计算工具的发展,以及为肿瘤学应用奠定基础的基于RNA的治疗方法的批准。特别强调了用于高效siRNA递送的脂质、聚合物和无机纳米颗粒的发展,它们在与常规疗法联合治疗时克服耐药性的作用,以及针对实体肿瘤的临床试验的当前进展。通过整合纳米技术和RNAi,这些突破为精确、持久和个性化的乳腺癌治疗策略提供了新的机会,有可能改变当前的治疗前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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