International Journal of Molecular Sciences (Oct 2023)

RNA-Based Therapeutic Technology

  • Ryuichi Mashima,
  • Shuji Takada,
  • Yoshitaka Miyamoto

DOI
https://doi.org/10.3390/ijms242015230
Journal volume & issue
Vol. 24, no. 20
p. 15230

Abstract

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RNA-based therapy has been an expanding area of clinical research since the COVID-19 outbreak. Often, its comparison has been made to DNA-based gene therapy, such as adeno-associated virus- and lentivirus-mediated therapy. These DNA-based therapies show persistent expression, with maximized therapeutic efficacy. However, accumulating data indicate that proper control of gene expression is occasionally required. For example, in cancer immunotherapy, cytokine response syndrome is detrimental for host animals, while excess activation of the immune system induces supraphysiological cytokines. RNA-based therapy seems to be a rather mild therapy, and it has room to fit unmet medical needs, whereas current DNA-based therapy has unclear issues. This review focused on RNA-based therapy for cancer immunotherapy, hematopoietic disorders, and inherited disorders, which have received attention for possible clinical applications.

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