PMID- 20305636 OWN - NLM STAT- MEDLINE DCOM- 20100602 LR - 20231120 IS - 1476-4687 (Electronic) IS - 0028-0836 (Print) IS - 0028-0836 (Linking) VI - 464 IP - 7291 DP - 2010 Apr 15 TI - Evidence of RNAi in humans from systemically administered siRNA via targeted nanoparticles. PG - 1067-70 LID - 10.1038/nature08956 [doi] AB - Therapeutics that are designed to engage RNA interference (RNAi) pathways have the potential to provide new, major ways of imparting therapy to patients. Long, double-stranded RNAs were first shown to mediate RNAi in Caenorhabditis elegans, and the potential use of RNAi for human therapy has been demonstrated by the finding that small interfering RNAs (siRNAs; approximately 21-base-pair double-stranded RNA) can elicit RNAi in mammalian cells without producing an interferon response. We are at present conducting the first in-human phase I clinical trial involving the systemic administration of siRNA to patients with solid cancers using a targeted, nanoparticle delivery system. Here we provide evidence of inducing an RNAi mechanism of action in a human from the delivered siRNA. Tumour biopsies from melanoma patients obtained after treatment show the presence of intracellularly localized nanoparticles in amounts that correlate with dose levels of the nanoparticles administered (this is, to our knowledge, a first for systemically delivered nanoparticles of any kind). Furthermore, a reduction was found in both the specific messenger RNA (M2 subunit of ribonucleotide reductase (RRM2)) and the protein (RRM2) levels when compared to pre-dosing tissue. Most notably, we detect the presence of an mRNA fragment that demonstrates that siRNA-mediated mRNA cleavage occurs specifically at the site predicted for an RNAi mechanism from a patient who received the highest dose of the nanoparticles. Together, these data demonstrate that siRNA administered systemically to a human can produce a specific gene inhibition (reduction in mRNA and protein) by an RNAi mechanism of action. FAU - Davis, Mark E AU - Davis ME AD - Chemical Engineering, California Institute of Technology, Pasadena, California 91125, USA. mdavis@cheme.caltech.edu FAU - Zuckerman, Jonathan E AU - Zuckerman JE FAU - Choi, Chung Hang J AU - Choi CH FAU - Seligson, David AU - Seligson D FAU - Tolcher, Anthony AU - Tolcher A FAU - Alabi, Christopher A AU - Alabi CA FAU - Yen, Yun AU - Yen Y FAU - Heidel, Jeremy D AU - Heidel JD FAU - Ribas, Antoni AU - Ribas A LA - eng GR - U54 CA119347/CA/NCI NIH HHS/United States GR - U54 CA119347-04/CA/NCI NIH HHS/United States GR - CA U54 119347/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100321 PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (Drug Carriers) RN - 0 (RNA, Messenger) RN - 0 (RNA, Small Interfering) RN - 0 (Receptors, Transferrin) RN - EC 1.17.4.- (ribonucleotide reductase M2) RN - EC 1.17.4.1 (Ribonucleoside Diphosphate Reductase) SB - IM CIN - Cell Adh Migr. 2011 Jan-Feb;5(1):1-3. PMID: 20890128 MH - Biopsy MH - *Clinical Trials, Phase I as Topic MH - *Drug Carriers/administration & dosage/pharmacokinetics MH - Drug Delivery Systems MH - Gene Knockdown Techniques/*methods MH - Humans MH - Injections, Intravenous MH - Melanoma/drug therapy/enzymology/genetics MH - *Nanoparticles/administration & dosage/analysis MH - RNA Interference/*drug effects MH - RNA, Messenger/analysis/genetics/metabolism MH - RNA, Small Interfering/*administration & dosage/genetics/*pharmacology/therapeutic use MH - Receptors, Transferrin/metabolism MH - Ribonucleoside Diphosphate Reductase/biosynthesis/genetics PMC - PMC2855406 MID - NIHMS183887 EDAT- 2010/03/23 06:00 MHDA- 2010/06/03 06:00 PMCR- 2010/10/15 CRDT- 2010/03/23 06:00 PHST- 2009/09/23 00:00 [received] PHST- 2010/03/01 00:00 [accepted] PHST- 2010/03/23 06:00 [entrez] PHST- 2010/03/23 06:00 [pubmed] PHST- 2010/06/03 06:00 [medline] PHST- 2010/10/15 00:00 [pmc-release] AID - nature08956 [pii] AID - 10.1038/nature08956 [doi] PST - ppublish SO - Nature. 2010 Apr 15;464(7291):1067-70. doi: 10.1038/nature08956. Epub 2010 Mar 21.