EN
Therapies based on RNA interference (RNAi) hold a great potential for
targeted interference of the expression of specific genes. Small-interfering
RNAs (siRNA) and micro-RNAs interrupt protein synthesis by inducing the
degradation of messenger RNAs or by blocking their translation. RNAibased
therapies can modulate the expression of otherwise undruggable
target proteins. Full exploitation of RNAi for medical purposes depends
on efficient and safe methods for delivery of small RNAs to the target
cells. Tremendous effort has gone into the development of synthetic
carriers to meet all requirements for efficient delivery of nucleic acids into
particular tissues. Recently, exosomes unveiled their function as a natural
communication system which can be utilized for the transport of small
RNAs into target cells. In this review, the capabilities of exosomes as
delivery vehicles for small RNAs are compared to synthetic carrier systems.
The step by step requirements for efficient transfection are considered:
production of the vehicle, RNA loading, protection against degradation,
lack of immunogenicity, targeting possibilities, cellular uptake, cytotoxicity,
RNA release into the cytoplasm and gene silencing efficiency. An exosomebased
siRNA delivery system shows many advantages over conventional
transfection agents, however, some crucial issues need further optimization
before broad clinical application can be realized.