Biosafety assessment of delivery systems for clinical nucleic acid therapeutics

Nucleic acid therapeutics, which involve transferring exogenous genes inside target cells, are a promising clinical treatment option that can regulate gene expression at the transcriptional or post-transcriptional level. Ideally, this kind of treatment modality will not lead to an unwanted immune re...

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Main Authors: Zhimin Li, Li Zhang, Kai Jiang, Yijing Zhang, Yonglin Liu, Guang Hu, Jie Song
Format: Article
Language:English
Published: Elsevier 2022-04-01
Series:Biosafety and Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590053622000258
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author Zhimin Li
Li Zhang
Kai Jiang
Yijing Zhang
Yonglin Liu
Guang Hu
Jie Song
author_facet Zhimin Li
Li Zhang
Kai Jiang
Yijing Zhang
Yonglin Liu
Guang Hu
Jie Song
author_sort Zhimin Li
collection DOAJ
description Nucleic acid therapeutics, which involve transferring exogenous genes inside target cells, are a promising clinical treatment option that can regulate gene expression at the transcriptional or post-transcriptional level. Ideally, this kind of treatment modality will not lead to an unwanted immune response. Compared with traditional treatment methods, nucleic acid therapeutics can achieve prolonged and stable curative effects. As an emerging treatment method, nucleic acid therapeutics have played an increasingly important role in clinical settings for the treatment of various conditions, including infectious diseases, cancer, immune-related diseases, and monogenetic diseases. To date, a large number of clinical trials have been conducted, and more than 30 nucleic acid drugs have been approved, highlighting the strong potential of this approach in clinical practice. Diverse carriers are used to protect nucleic acids from being degraded and to help them reach their targets accurately. However, some carriers are known to cause negative effects on the release and expression of nucleic acid drugs as well as adverse effects such as allergic reactions and accumulation in the liver. Therefore, biosafety assessment of delivery systems before their application in clinical settings is critical. In this review, we describe different delivery systems for nucleic acid drugs and discuss their biosafety in both preclinical and clinical studies, with particular focus on the carriers themselves, drug administration method, and overall treatment of the disease.
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spelling doaj.art-aff2e0d5a69640c68eece6f0ae7cd1442022-12-22T01:06:04ZengElsevierBiosafety and Health2590-05362022-04-0142105117Biosafety assessment of delivery systems for clinical nucleic acid therapeuticsZhimin Li0Li Zhang1Kai Jiang2Yijing Zhang3Yonglin Liu4Guang Hu5Jie Song6School of Molecular Medicine, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou 310024, China; Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, The Cancer Hospital of the University of Chinese Academy of Sciences, Hangzhou 310022, ChinaSchool of Life Science, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou 310024, ChinaInstitute of Nano Biomedicine and Engineering, Department of Instrument Science and Engineering, School of Electronic Information and Electrical Engineering, Shanghai Jiao Tong University, Shanghai 200240, ChinaInstitute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, The Cancer Hospital of the University of Chinese Academy of Sciences, Hangzhou 310022, China; School of Life Sciences, Tianjin University, Tianjin 300350, ChinaSchool of Molecular Medicine, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou 310024, China; Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, The Cancer Hospital of the University of Chinese Academy of Sciences, Hangzhou 310022, ChinaInstitute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, The Cancer Hospital of the University of Chinese Academy of Sciences, Hangzhou 310022, China; School of Biomedical Sciences, Hunan University, Changsha 410082, ChinaInstitute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, The Cancer Hospital of the University of Chinese Academy of Sciences, Hangzhou 310022, China; Institute of Nano Biomedicine and Engineering, Department of Instrument Science and Engineering, School of Electronic Information and Electrical Engineering, Shanghai Jiao Tong University, Shanghai 200240, China; Corresponding author: Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, The Cancer Hospital of the University of Chinese Academy of Sciences, Hangzhou 310022, China; Institute of Nano Biomedicine and Engineering, Department of Instrument Science and Engineering, School of Electronic Information and Electrical Engineering, Shanghai Jiao Tong University, Shanghai 200240, China.Nucleic acid therapeutics, which involve transferring exogenous genes inside target cells, are a promising clinical treatment option that can regulate gene expression at the transcriptional or post-transcriptional level. Ideally, this kind of treatment modality will not lead to an unwanted immune response. Compared with traditional treatment methods, nucleic acid therapeutics can achieve prolonged and stable curative effects. As an emerging treatment method, nucleic acid therapeutics have played an increasingly important role in clinical settings for the treatment of various conditions, including infectious diseases, cancer, immune-related diseases, and monogenetic diseases. To date, a large number of clinical trials have been conducted, and more than 30 nucleic acid drugs have been approved, highlighting the strong potential of this approach in clinical practice. Diverse carriers are used to protect nucleic acids from being degraded and to help them reach their targets accurately. However, some carriers are known to cause negative effects on the release and expression of nucleic acid drugs as well as adverse effects such as allergic reactions and accumulation in the liver. Therefore, biosafety assessment of delivery systems before their application in clinical settings is critical. In this review, we describe different delivery systems for nucleic acid drugs and discuss their biosafety in both preclinical and clinical studies, with particular focus on the carriers themselves, drug administration method, and overall treatment of the disease.http://www.sciencedirect.com/science/article/pii/S2590053622000258Nucleic acid therapeuticsDelivery systemBiosafetyViral vectorLipidCarrier-free delivery
spellingShingle Zhimin Li
Li Zhang
Kai Jiang
Yijing Zhang
Yonglin Liu
Guang Hu
Jie Song
Biosafety assessment of delivery systems for clinical nucleic acid therapeutics
Biosafety and Health
Nucleic acid therapeutics
Delivery system
Biosafety
Viral vector
Lipid
Carrier-free delivery
title Biosafety assessment of delivery systems for clinical nucleic acid therapeutics
title_full Biosafety assessment of delivery systems for clinical nucleic acid therapeutics
title_fullStr Biosafety assessment of delivery systems for clinical nucleic acid therapeutics
title_full_unstemmed Biosafety assessment of delivery systems for clinical nucleic acid therapeutics
title_short Biosafety assessment of delivery systems for clinical nucleic acid therapeutics
title_sort biosafety assessment of delivery systems for clinical nucleic acid therapeutics
topic Nucleic acid therapeutics
Delivery system
Biosafety
Viral vector
Lipid
Carrier-free delivery
url http://www.sciencedirect.com/science/article/pii/S2590053622000258
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