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RNA interference
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     Julian Downward, principal scientist1

    1 Cancer Research UK London Research Institute, 44 Lincoln's Inn Fields, London WC2A 3PX downward@cancer.org.uk

    Introduction

    The first hints of the existence of the gene silencing mechanism that is now called RNA interference emerged from work on the genetic modification of plants in the late 1980s. Attempts to deepen the violet hue of petunias by expressing higher levels of an enzyme involved in the synthesis of the pigment unexpectedly resulted in the appearance of many white flowers. The introduction of extra copies of the gene had somehow caused a decrease in its expression rather than the anticipated increase.1 2

    For some time this remained an unexplained oddity. It was soon joined by similar observations in the filamentous fungus Neurospora crassa and then the nematode worm Caenorhabditis elegans. Once the large community of developmental biologists working on the worm became involved, the pace quickened. In 1998 the key observation was made that led to the coining of the term "RNA interference."3 Fire and Mello showed that double stranded RNA was able to direct the degradation of messenger RNA (mRNA) with sequence complementary to one or other strand.

    Summary points

    RNA interference is an ancient natural antiviral mechanism that directs silencing of gene expression in a sequence specific manner

    RNA interference can be exploited artificially to inhibit the expression of any gene of interest

    The principal systems for achieving RNA interference are short synthetic double stranded RNA molecules and gene expression vectors that direct their production in the cell

    Libraries of RNA interference molecules have been constructed that allow the analysis of gene function on a genome-wide scale

    RNA interference systems could be used clinically to suppress gene expression as a therapeutic strategy in many diseases characterised by elevated gene function

    An ancient antiviral mechanism

    Over the next few years the mechanism underlying RNA interference was established from work on diverse organisms, especially the worm and the fruit fly.4 RNA interference was considered to be an evolutionarily ancient mechanism for protecting organisms from viruses. Many viruses have RNA, rather than DNA, as their genetic material and go through at least one stage in their life cycle in which they make double stranded RNA. All multicellular organisms possess a conserved protein machinery that recognises double stranded RNA. An enzyme called dicer degrades this into small segments around 20 nucleotide pairs in length (fig 1).

    Fig 1 Natural mechanism of RNA interference. The appearance of double stranded (ds) RNA within a cell—for example, as a result of viral infection—triggers an RNA interference response. The cellular enzyme dicer binds to the dsRNA and cuts it into short pieces of 20 or so nucleotide pairs in length known as small interfering RNAs or siRNAs. These bind to a cellular enzyme complex RISC (RNA induced silencing complex) that uses one strand of the siRNA to bind to single stranded RNA molecules such as mRNA of complementary sequence. RISC then degrades the mRNA, thus silencing expression of the viral gene. In mammals, other antiviral responses to dsRNA also exist

    Not content with just degrading the viral double stranded RNA, the cell uses an enzyme complex called RISC (RNA induced silencing complex) to use the short pieces of RNA produced by dicer as a template to seek out and destroy single stranded RNA with the same sequence, such as mRNA copies used by the virus to direct synthesis of viral protein. Together, dicer and RISC make up the RNA interference system whereby double stranded RNA is recognised and used as a guide to prevent expression of similar sequences by destroying mRNA transcripts, a process sometimes termed post-transcriptional gene silencing.

    As well as being involved in battling viruses, RNA interference is also probably important in maintaining order in the genome by suppressing the movement of mobile genetic elements such as transposons and repetitive sequences. The RNA interference machinery may also have a role in fine tuning normal cellular gene expression.5

    RNA interference in mammals

    Most of the work described above was done in invertebrates. Initial attempts to induce RNA interference responses in human cells were unsuccessful. Introduction of double stranded RNA into mammalian cells induces a powerful set of quite different antiviral responses characterised by production of interferons, resulting in inhibition of all gene expression and rapid cell death, limiting the ability of a virus to replicate and spread throughout the organism. It seemed that RNA interference might have been lost all together, replaced by the more recently evolved interferon system that is not found in invertebrates.

    However, there were hints that RNA interference might still exist in mammals. The breakthrough came when short, double stranded RNA molecules of less than about 30 nucleotide pairs long were shown to be unable to induce the interferon response. As the global shut down of gene expression no longer occurred with these "small interfering RNAs" (siRNAs), they could be seen to be capable of directing a sequence specific degradation of homologous mRNA in a manner very similar to that in plants, worms, and flies.6 siRNAs of about 20 nucleotide pairs in length, when introduced into mammalian cells, directly engage RISC and promote silencing of the expression of genes with the same sequence (fig 1). Parsimonious nature had kept RNA interference as a back-up system even after the evolution of the interferon system.

    RNA interference as a research tool

    RNA interference clearly has much promise in the laboratory, but how about in the clinic? In principle, RNA interference might be used to treat any disease that is linked to elevated expression of an identified gene. This might make it suitable for combating viral diseases, cancers, and inflammatory diseases, to name but three areas. Indeed, in tissue culture models, impressive results have been achieved against various cancer cells by using RNA interference to target oncogenes and against HIV, influenza, and polio viruses by targeting viral genes.11-14 However, a huge gap exists between achieving such results in vitro and in a whole animal or patient.

    Delivery problems

    The major challenge in turning RNA interference into an effective therapeutic strategy is the delivery of the RNA interference agents, whether they are synthetic short double stranded RNAs or viral vectors directing production of double stranded RNA, to the target cells within the body. Lessons can be learnt from two earlier technologies that held out much initial therapeutic promise but have ultimately failed to deliver effective treatments.

    One of these is antisense. This uses short pieces of single stranded DNA complementary to the mRNA that was to be targeted. The resulting RNA-DNA hybrids forming in the cell can block translation of the mRNA by the protein synthesis machinery and also promote its degradation. Despite nearly two decades of work, antisense has failed to prove its efficacy in the clinic, although several clinical trials have been done. In part this reflects the fact that antisense in general provides a much less robust inhibition of gene expression than RNA interference, but also major difficulties arose in getting the antisense oligonucleotides to their target cells without them being degraded elsewhere in the body.

    Additional educational resources

    Journal articles

    Dykxhoorn DM, Novina CD, Sharp PA. Killing the messenger: short RNAs that silence gene expression. Nat Rev Mol Cell Biol 2003;4:457-67

    Paddison PJ, Hannon GJ. RNA interference: the new somatic cell genetics? Cancer Cell 2002;2:17-23

    Lau NC, Bartel DP. Censors of the genome. Sci Am 2003;Aug:34-41

    Schmidt CW. Therapeutic interference. Modern Drug Discovery 2003;Jul:37-42

    Websites

    Nature Publishing Group (www.nature.com/focus/rnai/library/news_views.html)—A compendium of reviews and original articles on RNA interference

    Ambion (www.ambion.com/techlib/resources/RNAi/)—A set of review and news articles on RNA interference, plus information about research tools, maintained by an RNA specialist company

    Qiagen (www1.qiagen.com/siRNA/references.aspx)—A compendium of literature and citations on RNA interference, plus information about research tools, maintained by an RNA specialist company

    Thomas Tuschl's laboratory (www.rockefeller.edu/labheads/tuschl/sirna.html)—An siRNA users guide: technical information on getting RNA interference to work

    Another technology we can learn from is gene therapy. Gene therapy aims to replace defective genes in target tissues by delivering correct versions of them in expression vectors. Like antisense, gene therapy has failed to make significant progress in the clinic, despite enormous early hype. The problems have again centred around how to deliver the new versions of the defective gene safely and efficiently. Recent high profile safety problems with two of the most commonly used viral delivery systems, adenoviruses and retroviruses, have been a major setback for this approach.

    RNA interference in vivo

    Despite the problems of delivery, RNA interference has been used effectively in the mouse to block expression of a hepatitis C virus protein in the liver.15 In addition, the same group has used specific RNA interference to block hepatitis B virus infection in mice.16 They achieved delivery by injecting large amounts of synthetic double stranded RNA or DNA encoding a short hairpin RNA into the portal vein. A similar approach was taken to target the Fas protein, an important inducer of programmed cell death, resulting in protection of mice from fulminant hepatitis caused by injection with agonistic Fas-specific antibodies.17

    The problems seen with the use of viral vectors in gene therapy mean that many researchers in RNA interference are favouring the use of synthetic siRNA duplexes rather than gene expression vectors that will direct the production of such molecules within the target cell (fig 2). A large number of biotechnology companies have programmes to develop synthetic RNA interference therapies for various diseases. These include Sirna Therapeutics (Boulder, Colorado) for macular degeneration; Avocel (Sunnyvale, California) for hepatitis C; Alnylam Pharmaceuticals (Cambridge, Massachusetts) for Parkinson's disease; CytRx (Los Angeles, California) for obesity, type 2 diabetes, and ALS; Acuity Pharmaceuticals (Philadelphia, Pennsylvania) for macular degeneration and diabetic retinopathy; and Sequitur (Natick, Massachusetts) for hepatic insufficiency, respiratory syncytial virus, asthma, and cancer.

    Given sufficient research into delivery methods, some of these diseases will probably eventually be treated effectively by RNA interference based therapeutics. Success is more likely in those diseases with a simple genetic basis rather than in complex multigene disorders such as cancer. Diseases involving sites where delivery of synthetic RNA is more straightforward will also be more likely to be effectively treated. The bitter experiences with antisense and gene therapy mean that the likely problems should not be underestimated, but perhaps this time the reality may—eventually—live up to the hype.

    Funding: Cancer Research UK.

    Competing interests: None declared.

    References

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    Napoli C, Lemieux C, Jorgensen R. Introduction of a chimeric chalcone synthase gene into petunia results in reversible co-suppression of homologous genes in trans. Plant Cell 1990;2: 279-89.

    Fire A, Xu S, Montgomery MK, Kostas SA, Driver SE, Mello CC. Potent and specific genetic interference by double-stranded RNA in Caenorhabditis elegans. Nature 1998;391: 806-11.

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    Elbashir SM, Harborth J, Lendeckel W, Yalcin A, Weber K, Tuschl T. Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells. Nature 2001;411: 494-8.

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    Berns K, Hijmans EM, Mullenders J, Brummelkamp TR, Velds A, Heinerikx M, et al. A large-scale RNAi screen in human cells identifies new components of the p53 pathways. Nature 2004;428: 431-7.

    Damm-Welk C, Fuchs U, Wossmann W, Borkhardt A. Targeting oncogenic fusion genes in leukemias and lymphomas by RNA interference. Semin Cancer Biol 2003;13: 283-92.

    Ge Q, McManus MT, Nguyen T, Shen CH, Sharp PA, Eisen HN, et al. RNA interference of influenza virus production by directly targeting mRNA for degradation and indirectly inhibiting all viral RNA transcription. Proc Natl Acad Sci U S A 2003;100: 2718-23.

    Gitlin L, Karelsky S, Andino R. Short interfering RNA confers intracellular antiviral immunity in human cells. Nature 2002;418: 430-4.

    Coburn GA, Cullen BR. Potent and specific inhibition of human immunodeficiency virus type 1 replication by RNA interference. J Virol 2002;76: 9225-31.

    McCaffrey AP, Meuse L, Pham TT, Conklin DS, Hannon GJ, Kay MA. RNA interference in adult mice. Nature 2002;418: 38-9.

    McCaffrey AP, Nakai H, Pandey K, Huang Z, Salazar FH, Xu H, et al. Inhibition of hepatitis B virus in mice by RNA interference. Nat Biotechnol 2003;21: 639-44.

    Song E, Lee SK, Wang J, Ince N, Ouyang N, Min J, et al. RNA interference targeting Fas protects mice from fulminant hepatitis. Nat Med 2003;9: 347-51.