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Advancements in Nucleic Acid Based Therapeutics against Respiratory Viral Infections

Identifieur interne : 001815 ( Pmc/Curation ); précédent : 001814; suivant : 001816

Advancements in Nucleic Acid Based Therapeutics against Respiratory Viral Infections

Auteurs : Kumari Asha [États-Unis] ; Prashant Kumar ; Melvin Sanicas ; Clement A. Meseko ; Madhu Khanna ; Binod Kumar [États-Unis]

Source :

RBID : PMC:6351902

Abstract

Several viruses cause pulmonary infections due to their shared tropism with cells of the respiratory tract. These respiratory problems due to viral infection become a public health concern due to rapid transmission through air/aerosols or via direct-indirect contact with infected persons. In addition, the cross-species transmission causes alterations to viral genetic makeup thereby increasing the risk of emergence of pathogens with new and more potent infectivity. With the introduction of effective nucleic acid-based technologies, post translational gene silencing (PTGS) is being increasingly used to silence viral gene targets and has shown promising approach towards management of many viral infections. Since several host factors are also utilized by these viruses during various stages of infection, silencing these host factors can also serve as promising therapeutic tool. Several nucleic acid-based technologies such as short interfering RNAs (siRNA), antisense oligonucleotides, aptamers, deoxyribozymes (DNAzymes), and ribozymes have been studied and used against management of respiratory viruses. These therapeutic nucleic acids can be efficiently delivered through the airways. Studies have also shown efficacy of gene therapy in clinical trials against respiratory syncytial virus (RSV) as well as models of respiratory diseases including severe acute respiratory syndrome (SARS), measles and influenza. In this review, we have summarized some of the recent advancements made in the area of nucleic acid based therapeutics and highlighted the emerging roles of nucleic acids in the management of some of the severe respiratory viral infections. We have also focused on the methods of their delivery and associated challenges.


Url:
DOI: 10.3390/jcm8010006
PubMed: 30577479
PubMed Central: 6351902

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PMC:6351902

Le document en format XML

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<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Clin Med</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Med</journal-id>
<journal-id journal-id-type="publisher-id">jcm</journal-id>
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<journal-title>Journal of Clinical Medicine</journal-title>
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<issn pub-type="epub">2077-0383</issn>
<publisher>
<publisher-name>MDPI</publisher-name>
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</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">30577479</article-id>
<article-id pub-id-type="pmc">6351902</article-id>
<article-id pub-id-type="doi">10.3390/jcm8010006</article-id>
<article-id pub-id-type="publisher-id">jcm-08-00006</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
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</article-categories>
<title-group>
<article-title>Advancements in Nucleic Acid Based Therapeutics against Respiratory Viral Infections</article-title>
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<given-names>Kumari</given-names>
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<xref ref-type="aff" rid="af1-jcm-08-00006">1</xref>
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<contrib contrib-type="author">
<name>
<surname>Kumar</surname>
<given-names>Prashant</given-names>
</name>
<xref ref-type="aff" rid="af2-jcm-08-00006">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sanicas</surname>
<given-names>Melvin</given-names>
</name>
<xref ref-type="aff" rid="af3-jcm-08-00006">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Meseko</surname>
<given-names>Clement A.</given-names>
</name>
<xref ref-type="aff" rid="af4-jcm-08-00006">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khanna</surname>
<given-names>Madhu</given-names>
</name>
<xref ref-type="aff" rid="af5-jcm-08-00006">5</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-2077-8501</contrib-id>
<name>
<surname>Kumar</surname>
<given-names>Binod</given-names>
</name>
<xref ref-type="aff" rid="af1-jcm-08-00006">1</xref>
<xref rid="c1-jcm-08-00006" ref-type="corresp">*</xref>
</contrib>
</contrib-group>
<aff id="af1-jcm-08-00006">
<label>1</label>
Department of Microbiology and Immunology, Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA</aff>
<aff id="af2-jcm-08-00006">
<label>2</label>
Amity Institute of Virology and Immunology, Amity University, Noida 201303, India;
<email>pkumar18@amity.edu</email>
</aff>
<aff id="af3-jcm-08-00006">
<label>3</label>
Sanofi Pasteur, Asia and JPAC Region, Singapore 257856, Singapore;
<email>melvin.sanicas@gmail.com</email>
</aff>
<aff id="af4-jcm-08-00006">
<label>4</label>
Regional Centre for Animal Influenza, National Veterinary Research Institute, Vom 930010, Nigeria;
<email>cameseko@yahoo.com</email>
</aff>
<aff id="af5-jcm-08-00006">
<label>5</label>
Department of Respiratory Virology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi 110007, India;
<email>madhukhanna@hotmail.com</email>
</aff>
<author-notes>
<corresp id="c1-jcm-08-00006">
<label>*</label>
Correspondence:
<email>asha.biotech@rediffmail.com</email>
(K.A.);
<email>binod_biochem@rediffmail.com</email>
(B.K.); Tel.: +1-847-578-3000 (ext. 7787) (K.A. & B.K.)</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="collection">
<month>1</month>
<year>2019</year>
</pub-date>
<volume>8</volume>
<issue>1</issue>
<elocation-id>6</elocation-id>
<history>
<date date-type="received">
<day>26</day>
<month>11</month>
<year>2018</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>12</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>© 2018 by the authors.</copyright-statement>
<copyright-year>2018</copyright-year>
<license license-type="open-access">
<license-p>Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
).</license-p>
</license>
</permissions>
<abstract>
<p>Several viruses cause pulmonary infections due to their shared tropism with cells of the respiratory tract. These respiratory problems due to viral infection become a public health concern due to rapid transmission through air/aerosols or via direct-indirect contact with infected persons. In addition, the cross-species transmission causes alterations to viral genetic makeup thereby increasing the risk of emergence of pathogens with new and more potent infectivity. With the introduction of effective nucleic acid-based technologies, post translational gene silencing (PTGS) is being increasingly used to silence viral gene targets and has shown promising approach towards management of many viral infections. Since several host factors are also utilized by these viruses during various stages of infection, silencing these host factors can also serve as promising therapeutic tool. Several nucleic acid-based technologies such as short interfering RNAs (siRNA), antisense oligonucleotides, aptamers, deoxyribozymes (DNAzymes), and ribozymes have been studied and used against management of respiratory viruses. These therapeutic nucleic acids can be efficiently delivered through the airways. Studies have also shown efficacy of gene therapy in clinical trials against respiratory syncytial virus (RSV) as well as models of respiratory diseases including severe acute respiratory syndrome (SARS), measles and influenza. In this review, we have summarized some of the recent advancements made in the area of nucleic acid based therapeutics and highlighted the emerging roles of nucleic acids in the management of some of the severe respiratory viral infections. We have also focused on the methods of their delivery and associated challenges.</p>
</abstract>
<kwd-group>
<kwd>nucleic acid therapy</kwd>
<kwd>siRNA</kwd>
<kwd>ribozyme</kwd>
<kwd>aptamers</kwd>
<kwd>DNAzyme</kwd>
<kwd>influenza virus</kwd>
<kwd>RSV</kwd>
<kwd>SARS-CoV</kwd>
<kwd>adenovirus</kwd>
<kwd>antiviral drugs</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="jcm-08-00006-f001" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Mechanism of action of short interfering RNAs (siRNA): The presence of a double stranded RNA as a consequence of viral infection triggers RNA interference (RNAi). The host enzyme Dicer binds to double-stranded RNA (dsRNA) and cleaves it into short pieces of ∼20 nt called siRNA. One strand of the RNA associates with the RNA induced silencing complex (RISC) proteins and binds to the target mRNA. The mRNA is then cleaved by the nuclease activity of the RISC.</p>
</caption>
<graphic xlink:href="jcm-08-00006-g001"></graphic>
</fig>
<fig id="jcm-08-00006-f002" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Mechanism of action of Ribozyme. A hammerhead ribozyme has two binding arms designed to bind to the complimentary RNA targets in a Watson–Crick pairing. The ribozyme binds to its target mRNA and makes an mRNA-ribozyme complex. The catalytic motif of the ribozyme then cleaves its target RNA into pieces, thus inhibiting gene expression. After cleaving the RNA target, the ribozyme becomes free again to enter into the next cycle.</p>
</caption>
<graphic xlink:href="jcm-08-00006-g002"></graphic>
</fig>
<fig id="jcm-08-00006-f003" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Mechanism of action of DNAzyme: A DNAzyme has two binding arms designed to bind to the complimentary RNA targets in a Watson–Crick pairing. The DNAzyme binds to its target mRNA and makes an mRNA–DNAzyme complex. The catalytic motif of the DNAzyme then cleaves its target RNA into pieces, thus inhibiting gene expression. After cleaving the RNA target, the DNAzyme becomes free again to enter into the next cycle.</p>
</caption>
<graphic xlink:href="jcm-08-00006-g003"></graphic>
</fig>
<fig id="jcm-08-00006-f004" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Schematic representation of action of aptamer: An aptamer folds into a three-dimensional structure. The functional aptamer then recognizes and binds to its target molecule resulting in a stable aptamer-target complex.</p>
</caption>
<graphic xlink:href="jcm-08-00006-g004"></graphic>
</fig>
<table-wrap id="jcm-08-00006-t001" orientation="portrait" position="float">
<object-id pub-id-type="pii">jcm-08-00006-t001_Table 1</object-id>
<label>Table 1</label>
<caption>
<p>List of nucleic acid therapies in clinical trials [
<xref rid="B148-jcm-08-00006" ref-type="bibr">148</xref>
,
<xref rid="B149-jcm-08-00006" ref-type="bibr">149</xref>
].</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Nucleic Acid Therapies</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Disease</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Company</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="3" align="center" valign="middle" style="border-bottom:solid thin" rowspan="1">
<bold>Antisense</bold>
</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">Vitravene</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Retinitis</td>
<td align="center" valign="middle" rowspan="1" colspan="1">CIBAVision, ISIS Pharmaceuticals</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">Kynamro</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Hypercholesterolemia</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Genzyme</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">Anti-c-MYC</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Cardiovascular restenosis</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Phase II AVI Biopharma</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">EPI 2010 (AS against adenosine A1 receptor)</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Asthma</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Phase II EpiGenesis Pharmaceuticals</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">Genasense (AS against BCL2)</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Hematological malignancies Solid tumors, Phase III</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Genta</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">GTI 2040 (AS against ribonucleotide reductase)</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Solid tumors, Phase I and II</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Lorus Therapeutics</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">HGTV (AS against HIV)</td>
<td align="center" valign="middle" rowspan="1" colspan="1">HIV, Phase II</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Enzo Biochem</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">CpG molecules</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Solid tumors Infectious diseases, Phase I/II</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Coley Pharmaceutical Group</td>
</tr>
<tr>
<td colspan="3" align="center" valign="middle" style="border-bottom:solid thin" rowspan="1">
<bold>Aptamer</bold>
</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">Macugen™ (pegaptanib sodium), an anti-VEGF RNA aptamer</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Diabetic Macular Edema (DME), Phase III</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Eyetech Pharma</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">ARC1905 (Anti-C5 Aptamer), Zimura®</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Dry ARMD, Phase II</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Ophthotech Corp</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">E10030 (Anti-PDGF Pegylated Aptamer, Fovista®)</td>
<td align="center" valign="middle" rowspan="1" colspan="1">ARMD, Phase III</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Ophthotech Corporation</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">ISIS 3521 (PKC-α) (AS)
<break></break>
ISIS 5132 (c-RAF)
<break></break>
ISIS 2503 (h-RAS)
<break></break>
G 3139 (BCL2)
<break></break>
GEM 231 (PKA)</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">NSCLC, NHL, Phase III
<break></break>
Solid tumors, Phase II
<break></break>
NSCLC, Phase II
<break></break>
NHL, Phase II/III
<break></break>
PKA, Phase II</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">ISIS Pharmaceuticals</td>
</tr>
<tr>
<td colspan="3" align="center" valign="middle" style="border-bottom:solid thin" rowspan="1">
<bold>Ribozyme</bold>
</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="1" colspan="1">Angiozyme (Ribozyme against VEGFR1)</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Breast and colon cancer, Phase II</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Ribozyme Pharmaceuticals</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Heptazyme (Ribozyme against HCV)
<break></break>
Herzyme (Ribozyme against HER2)</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">HCV, Phase II
<break></break>
Breast and ovarian cancer, Phase I</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Ribozyme Pharmaceuticals</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>AS: antisense; ARMD: age-related macular degeneration; HCV: Hepatitis C virus; BCL2: B-cell lymphoma protein 2; CpG: unmethylated CpG dinucleotides; NHL: non-Hodgkin’s lymphoma; NSCLC: non-small-cell lung cancer; VEGFR1: vascular-endothelial-growth-factor receptor 1.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
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