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Review
. 2018;19(8):604-610.
doi: 10.2174/1389201019666180528084059.

Therapeutic Potential of Small Activating RNAs (saRNAs) in Human Cancers

Affiliations
Review

Therapeutic Potential of Small Activating RNAs (saRNAs) in Human Cancers

Sorah Yoon et al. Curr Pharm Biotechnol. 2018.

Abstract

Background: RNA is increasingly recognized as a powerful molecule that can be used to control gene expression. Sophisticated, well-engineered RNA-based regulators are being developed as oligotherapeutics.

Methods: In particular, small activating RNAs (saRNAs) are promising therapeutic options for targeting human diseases. Numerous saRNAs targeting multiple cancers have been developed in preclinical models. One saRNA targeting C/EBPα is currently undergoing clinical trials in liver cancer.

Results and conclusion: In this review, we describe the current working model of the intracellular mechanism of saRNA, discuss the recent progress of saRNA therapeutics in preclinical and clinical trials, and current advances in targeted delivery using aptamers in detail.

Keywords: aptamers; clinic; human cancers; intracellular mechanism; saRNAs; targeted delivery; therapeutics..

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Figures

Fig. (1)
Fig. (1)
Canonical activating mechanism of saRNAs. A saRNA-loaded AGO2 complex binds at the target promoter and induces the open chromatin structure. The AGO2 recruits the complex of CTR9 and RHA, RNA-induced transcriptional activation (RITA), leading the transcript initiation associating with phosphorylation of RNAP II on Ser2 and H2Bub1.
Fig. (2)
Fig. (2)
Non-canonical activating mechanism of saRNAs. RNAs complementary to a non-coding transcript at the promoter activates gene expression in recruitment of Ago2. This model comes with unresolved questions that require further investigation, as indicated.
Fig. (3)
Fig. (3)
Targeted delivery of saRNAs. Aptamer-conjugated saRNAs are internalized via cancer-specific receptors. The aptamer-saRNAs disassociate in the cytoplasm. The saRNAs are transported into the nucleus, where they induce the upregulation of target genes.

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