Abstract
Leukemic cancers arise from genetic alterations in normal hematopoietic stem or progenitor cells, leading to impaired regulation of proliferation, differentiation, apoptosis and survival of the malignant cells. A range of molecular alterations is beginning to be elucidated in specific types of leukemias, providing potential targets for molecular modulation as the basis of a therapy. With the advent of RNA interference (RNAi) and, in particular, the short interfering RNA (siRNA) as its pharmacological mediator, it is becoming possible to specifically modulate desired leukemic targets at will. This chapter will summarize the current attempts to utilize siRNAs in leukemic therapy using chronic myeloid leukemia (CML) as a prototypical disease model. We first provide a brief background on the CML disease with particular emphasis on molecular mediators critical in this disease and the current drug therapy. The limitations of current drugs and potential of RNAi are presented. We then provide a summary of delivery efforts employed to deliver siRNA to CML cells, with emphasis on non-viral delivery approach due to its better safety profile for utility in a clinical setting. Important factors involved in intracellular delivery of siRNA are highlighted, emphasizing features critical for non-viral delivery. We conclude with a perspective on the future of siRNA therapy for the CML disease.
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Abbreviations
- RNAi:
-
RNA interference
- dsRNA:
-
Double stranded RNA
- CML:
-
Chronic myeloid leukemia
- AML:
-
Acute myeloid leukemia
- LSC:
-
Leukemic stem cells
- RISC:
-
RNA-induced silencing complex
- siRNA:
-
Short interfering RNA
- mRNA:
-
Messenger RNA
- shRNS:
-
Short hairpin RNA
- TKI:
-
Tyrosine-kinase inhibitors
- SDF-1:
-
Stromal cell-derived factor-1
- CXCR4:
-
C-X-C chemokine receptor type 4
- IC50:
-
Concentration required for 50Â % loss of cell viability
- PRAME:
-
Preferentially expressed antigen of melanoma
- STAT:
-
Signal transducer and activator of transcription
- PPP2R5C:
-
Protein phosphatase 2, Regulatory subunit B′, gamma
- PEI:
-
Polyethylenimine
- PLL:
-
Poly-l-lysine
- MW:
-
Molecular weight
- kDa:
-
Kilo Dalton
- PEI2:
-
2Â kDa PEI
- PEI2LA:
-
Linoleic acid substituted 2Â kDa PEI
- PEI1.2PA:
-
Palmitic acid substituted 1.2Â kDa PEI
- GFP:
-
Green fluorescent protein
- MSC:
-
Mesenchymal stem cells
- ECM:
-
Extracellular matrix
- CPP:
-
Cell penetrating peptides
- PTD-DRBD:
-
Peptide transduction domain and double-stranded RNA-binding domain
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Valencia-Serna, J., Landry, B., Jiang, X., Uludag, H. (2014). Potential of siRNA Therapy in Chronic Myeloid Leukemia. In: Prokop, A., Iwasaki, Y., Harada, A. (eds) Intracellular Delivery II. Fundamental Biomedical Technologies, vol 7. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-8896-0_21
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