Fact-checked by Grok 2 weeks ago

RNA-induced silencing complex

The RNA-induced silencing complex (RISC) is a ribonucleoprotein complex central to RNA interference (RNAi) pathways in eukaryotes, where it incorporates small non-coding RNAs—such as microRNAs (miRNAs), small interfering RNAs (siRNAs), or Piwi-interacting RNAs (piRNAs)—to guide the silencing of complementary target messenger RNAs (mRNAs) through mechanisms including translational repression, mRNA cleavage, or deadenylation.^[1] At its core, RISC consists of an Argonaute (AGO) protein family member bound to a single-stranded guide RNA (typically 20–30 nucleotides long), which directs the complex to target sequences via base-pairing, primarily through the guide's seed region (positions 2–8).^[2] AGO proteins feature four main domains—N-terminal (N), PAZ, MID, and PIWI—that form a crescent-shaped structure, with the PIWI domain often harboring a catalytic RNase H-like activity (the "slicer" function) for cleaving perfectly complementary targets in siRNA-loaded RISC.^[3] RISC assembly begins with the loading of a small RNA duplex into an AGO protein to form pre-RISC, a process facilitated by chaperone proteins like Hsp70/Hsp90 and co-chaperones (e.g., Hsp40, Hop, p23) in an ATP-dependent manner, which opens the AGO nucleic acid-binding channel and promotes ejection of the passenger strand.^[3] Passenger strand removal can occur via slicer-dependent cleavage (in catalytically active AGOs like human AGO2) or slicer-independent mechanisms driven by thermodynamic asymmetry or thermal dynamics at physiological temperatures.^[2] Once mature, RISC functions diversely: in animal miRNA pathways, imperfect base-pairing typically leads to translational inhibition and mRNA destabilization via recruitment of factors like GW182 and the CCR4–NOT deadenylation complex, whereas siRNA pathways often trigger direct endonucleolytic cleavage of targets with full complementarity; in plants, both miRNA and siRNA-loaded RISC predominantly cleave targets.^[2] Additionally, specialized RISC variants, such as the RNA-induced transcriptional silencing (RITS) complex in fission yeast, promote heterochromatin formation at centromeric regions through histone modifications.^[1] Beyond core AGO-guide RNA components, holo-RISC incorporates accessory proteins that enhance stability, targeting, or effector functions, such as TRBP or PACT for duplex loading, or GW182 for miRNA-mediated repression in animals.^[1] RISC activity is regulated throughout its lifecycle, with mature complexes degrading upon target-directed miRNA decay (TDMD) in animals via ubiquitin-proteasome pathways (e.g., involving ZSWIM8), or through autophagy and proteasomal degradation of empty AGOs; in plants, miRNA turnover can involve target mimics and F-box proteins like HWS.^[2] Evolutionarily conserved across eukaryotes, RISC pathways play critical roles in development, antiviral defense, and transposon suppression, with humans expressing four AGO proteins (AGO1–4) specialized for distinct small RNA types.^[1]

Introduction

Definition and core components

The RNA-induced silencing complex (RISC) is a multiprotein ribonucleoprotein complex that mediates post-transcriptional gene silencing by incorporating small non-coding RNAs, such as small interfering RNAs (siRNAs), microRNAs (miRNAs), or Piwi-interacting RNAs (piRNAs), which are typically 20–30 nucleotides in length, to recognize and target complementary sequences in messenger RNAs (mRNAs).^[4] These small RNAs serve as guides to direct RISC toward specific mRNA targets, enabling sequence-specific regulation of gene expression through mechanisms like mRNA cleavage or translational repression.^[4] RISC functions as the key effector in the RNA interference (RNAi) pathway, where it processes and utilizes these small RNAs to achieve silencing.^[5] At the heart of RISC lies the Argonaute (AGO) protein, which forms the catalytic core and binds the guide RNA strand within a central groove.^[6] In humans, AGO2 is the primary slicer-competent isoform, featuring four conserved domains: the N-terminal domain; the PAZ domain, which anchors the 3′ end of the guide RNA; the MID domain, which interacts with the 5′ phosphate; and the PIWI domain, which harbors the RNase H-like active site for target cleavage.^[7] Additional accessory proteins, such as GW182 in animals, may associate with the core AGO-guide RNA module to enhance silencing efficiency, though the minimal functional unit consists solely of AGO and the single-stranded guide RNA.^[1] RISC exhibits variability in size and composition across organisms, generally ranging from approximately 150 kDa for minimal complexes to over 3 MDa for elaborate holocomplexes in eukaryotes.^[1] Prokaryotic Argonaute proteins, present in bacteria and archaea, are simpler homologs of eukaryotic Argonautes that bind small nucleic acids (often DNA guides) for genome defense functions, such as targeting invading plasmids or phages, but do not form RISC complexes.^[8] Eukaryotic RISC, by contrast, incorporates multiple accessory factors, leading to larger, more dynamic assemblies that adapt to diverse regulatory needs.^[9] Mature RISC, the activated effector form, is distinguished from precursor complexes like pre-RISC, which contains the AGO protein loaded with a small RNA duplex prior to strand selection and ejection of the passenger strand.^[10] This maturation process ensures that only the guide strand remains bound, enabling precise target engagement.^[10]

Biological significance

The RNA-induced silencing complex (RISC) plays a pivotal role in post-transcriptional gene regulation by incorporating small RNAs, such as microRNAs (miRNAs), small interfering RNAs (siRNAs), and Piwi-interacting RNAs (piRNAs), to target and silence specific messenger RNAs (mRNAs), thereby maintaining transcriptome homeostasis and preventing the accumulation of aberrant or unwanted transcripts.^[1] This silencing function is essential for key biological processes, including embryonic development, where RISC-mediated fine-tuning ensures precise spatiotemporal gene expression; antiviral defense, by directing the degradation of viral genomes or transcripts in infected cells; and transposon suppression, which protects genomic stability by repressing mobile genetic elements.^[11] In humans, miRNAs acting through RISC are estimated to regulate over 60% of protein-coding genes, highlighting the complex's extensive influence on cellular physiology and adaptation.^[11] RISC exhibits remarkable evolutionary conservation across eukaryotes, from plants to mammals, underscoring its ancient origins and indispensable function in diverse organisms.^[8] In animals, the miRISC variant predominantly facilitates subtle adjustments in gene expression to support developmental timing and tissue homeostasis, whereas in plants, the siRISC form is crucial for robust defense responses against environmental stresses and invaders.^[12] This organismal distribution reflects adaptations to specific ecological niches while preserving the core machinery for RNA-guided silencing. Dysregulation of RISC contributes significantly to various pathologies, altering the balance of gene expression and cellular function. In cancer, mutations in miRNA genes or disruptions in RISC components lead to uncontrolled proliferation by failing to suppress oncogenic transcripts.^[13] For viral infections, impaired RISC activity compromises the host's RNAi-based antiviral defenses, allowing pathogens to replicate more effectively and evade silencing.^[14] In neurodegenerative disorders, such as Alzheimer's and Parkinson's diseases, defects in RISC assembly or miRNA processing exacerbate protein aggregation and neuronal loss, linking RNA dysregulation to disease onset and progression.^[15]

History and Discovery

Early observations in RNAi

The discovery of RNA interference (RNAi) as a sequence-specific gene silencing mechanism was first demonstrated in the nematode Caenorhabditis elegans through experiments showing that double-stranded RNA (dsRNA), but not single-stranded RNA, potently triggered interference with homologous gene expression.^[16] This discovery was reported by Fire et al. in 1998. In these studies, injection of dsRNA corresponding to the unc-22 gene induced a twitching phenotype characteristic of loss-of-function mutants, affecting multiple tissues including those distant from the injection site, indicating a systemic effect within the organism. Early observations revealed that RNAi effects were heritable, persisting in the progeny of treated animals for at least one generation even after the dsRNA was cleared from the parental soma, suggesting the involvement of a stable cytoplasmic machinery capable of propagating the silencing signal across cell divisions. This persistence post-injection, coupled with reductions in target mRNA steady-state levels alongside phenotypic effects, indicated a post-transcriptional mechanism of mRNA degradation rather than direct transcriptional repression.^[16] Initial models of RNAi in the late 1990s proposed amplification of the silencing signal via RNA-dependent RNA polymerase (RdRP) activity, which could synthesize additional dsRNA from target transcripts to enhance and sustain interference, particularly in organisms like C. elegans. However, evidence from the foundational C. elegans experiments shifted focus toward post-transcriptional degradation as the primary mode, with RdRP playing a supportive role in signal amplification rather than initiation. Parallel studies in other organisms reinforced these findings and highlighted systemic spread as a conserved feature. In plants, co-suppression phenomena observed since the early 1990s demonstrated that transgene-induced silencing could propagate from the site of expression to distal tissues, suggesting mobile silencing signals. Similar systemic RNAi was noted in C. elegans and extended to Drosophila melanogaster, where dsRNA injection or expression led to widespread gene knockdown across developing tissues by the late 1990s.

Key experimental milestones

In 2000, researchers in Gregory Hannon's laboratory at Cold Spring Harbor Laboratory isolated the RNA-induced silencing complex (RISC) for the first time through biochemical fractionation of extracts from Drosophila S2 cells transfected with double-stranded RNA (dsRNA). This multi-step purification process identified RISC as a sequence-specific endonuclease that incorporates small interfering RNAs (siRNAs) derived from dsRNA and cleaves complementary target mRNAs, demonstrating its role in post-transcriptional gene silencing. Follow-up work in 2001 by the same group further characterized RISC's activity, confirming its dependence on siRNAs as guides for precise mRNA degradation in vitro. A pivotal advancement occurred in 2002 when Hutvágner and Zamore demonstrated that microRNAs (miRNAs), previously identified as regulators of developmental timing, are incorporated into a multiple-turnover RNAi enzyme complex analogous to RISC. Using human cell extracts, they showed that the miRNA let-7 directs repeated cleavage of target RNAs within this complex, establishing miRNAs as functional guides in RISC and expanding its role beyond siRNA-mediated silencing. This finding, building on Hannon's earlier siRNA work, highlighted the shared machinery for diverse small RNA pathways. In 2004, Liu et al. from the Hannon laboratory identified Argonaute2 (Ago2) as the core catalytic component of mammalian RISC, responsible for its endonucleolytic "slicer" activity. Through immunoprecipitation and reconstitution experiments in human cells, they showed that Ago2, but not other Argonautes, cleaves target mRNAs when loaded with siRNAs, with mutations in its conserved aspartate-aspartate-histidine (DDH) motif abolishing slicing. The 2006 Nobel Prize in Physiology or Medicine awarded to Andrew Fire and Craig Mello for discovering RNA interference indirectly accelerated RISC research by validating the broader RNAi mechanism.^[17] As early as 2004, biochemical studies, including reconstitution with recombinant Argonaute proteins, confirmed that the minimal functional RISC for slicing consists solely of an Argonaute protein and its guide RNA, with no additional factors required. Hannon's group and others developed in vitro slicing assays using purified recombinant Ago2 loaded with synthetic siRNAs or miRNAs, which recapitulated target cleavage with high fidelity and multiple turnover, enabling quantification of the enzyme's efficiency under optimal conditions. These assays solidified RISC's mechanistic foundation and enabled precise dissection of guide-target interactions.

Structural Features

Atomic-level architecture

The atomic-level architecture of the RNA-induced silencing complex (RISC) centers on the Argonaute (Ago) protein, which serves as its catalytic core and has been resolved at high resolution through X-ray crystallography and cryogenic electron microscopy (cryo-EM). The crystal structure of full-length human Ago2, the primary slicer in mammals, determined at 2.3 Å resolution, depicts a bilobed, banana-shaped molecule approximately 100 Å long, featuring a central cleft that spans the protein and binds the guide RNA along its length. This cleft is formed by the N-terminal and PAZ domains on one lobe and the MID and PIWI domains on the other, creating a cradle-like scaffold for RNA duplex positioning. Key domain interactions position the guide RNA precisely for target recognition. The PAZ domain anchors the 3' end of the guide RNA via a conserved aromatic surface that clamps the terminal nucleotide in an orientation mimicking an mRNA cap, ensuring stability and preventing slippage during scanning. In the opposite lobe, the PIWI domain adopts an RNase H-like fold, housing the catalytic active site where two Mg²⁺ ions are coordinated by the invariant DDH triad (Asp597, Asp669, His807); this metal-dependent mechanism enables endonucleolytic cleavage of the target mRNA at the phosphate between guide positions 10 and 11. Crystal structures of Ago2 bound to guide-target duplexes at resolutions up to 2.9 Å further reveal how the guide's 5' end is secured in the MID domain's nucleotide-binding pocket, facilitating seed-region pairing with the target. Recent cryo-EM studies as of 2025 have elucidated structural rearrangements in the active site during slicing, including rotations in the N domain to facilitate rapid cleavage.^[18] Conformational dynamics underpin RISC maturation and activation, with Ago2 transitioning between open and closed states. In the apo form, Ago2 adopts a compact closed conformation, but guide RNA loading—facilitated by chaperones like Hsp90—induces an open state through significant rigid-body rotations of the N and PAZ domains, exposing the RNA-binding channel; this is supported by mutagenesis and biochemical assays correlating domain movements with loading efficiency. Upon target binding, allosteric changes propagate through the structure, stabilizing a closed conformation that aligns the active site for catalysis, as observed in cryo-EM reconstructions at 3.3 Å resolution showing domain shifts of 4–8 Å in the N and PAZ regions. While the minimal RISC comprises the binary Ago-guide complex amenable to atomic-resolution studies, the holo-RISC loading complex incorporates Dicer and TRBP, whose arrangements have been mapped by cryo-EM at moderate resolutions (e.g., 4.5 Å for Dicer-TRBP and ~20 Å for the full trimer with Ago2). In these assemblies, TRBP bridges Dicer and Ago2 via helical domains, positioning the pre-miRNA/siRNA duplex for asymmetric unwinding and guide strand selection, though atomic details of interprotein contacts remain inferred from lower-resolution envelopes.

Evolutionary conservation

Argonaute proteins, the core effectors of the RNA-induced silencing complex (RISC), trace their origins to the last eukaryotic common ancestor (LECA), where they likely functioned in primitive RNA silencing pathways.^[19] Prokaryotic homologs, including those in bacterial defense systems like the Thoeris system, further suggest ancient roots predating eukaryotic evolution, with Argonaute-like proteins (pAgos) present in archaea such as Asgard archaea and various bacteria for nucleic acid-guided immunity.^[20] These prokaryotic systems, such as Thoeris involving ThsA (an Argonaute homolog) and ThsB for phage defense via NAD+ degradation, indicate that RNA-guided mechanisms evolved early in cellular life for protection against foreign genetic elements.^[21] In eukaryotes, Argonaute diversity expanded significantly, reflecting adaptations to complex regulatory needs. Mammals possess four Ago subfamilies (Ago1–4), which primarily associate with miRNAs and siRNAs for post-transcriptional gene silencing, alongside Piwi subfamilies specialized for piRNA pathways in germ cells.^[22] Plants exhibit greater diversification, with over 10 Argonaute proteins (e.g., 10 in Arabidopsis thaliana) across multiple clades, including AGO1/5/10 for developmental regulation and AGO2/4/6/7/8 for antiviral defense, arising from gene duplications post-LECA.^[23] This expansion in plants correlates with the evolution of specialized small RNA pathways tailored to environmental stresses and growth control.^[24] Key structural elements of Argonautes, particularly the RNase H motif in the PIWI domain, remain invariant across eukaryotes, preserving the catalytic core for guide RNA-mediated target cleavage.^[25] This conservation underscores the domain's essential role in RISC function, with the catalytic aspartate residues (D) highly preserved from prokaryotic to eukaryotic forms.^[26] A comprehensive 2018 evolutionary analysis revealed co-evolution between Argonaute and Dicer proteins, with gene duplications in both families occurring in tandem across metazoans and plants, facilitating coordinated small RNA biogenesis and loading into RISC. Eukaryotic adaptations of RISC components highlight lineage-specific innovations. In fungi, the RNA-induced transcriptional silencing (RITS) complex, featuring an Argonaute homolog like Ago1 in Schizosaccharomyces pombe, directs heterochromatin formation at centromeres and transposons, an adaptation for genome stability in compact fungal genomes.^[27] In protozoans such as Tetrahymena thermophila, Argonaute proteins like Twi1p integrate into nuclear complexes to guide programmed DNA elimination during development, eliminating transposon-rich micronuclear sequences to form the transcriptionally active macronucleus.^[28] These variations demonstrate how conserved RISC machinery has been repurposed for epigenetic and developmental roles across eukaryotic diversity.

Assembly Process

siRNA/miRNA biogenesis and selection

In animals, the biogenesis of microRNAs (miRNAs) begins with the transcription of primary miRNA (pri-miRNA) transcripts by RNA polymerase II from miRNA-encoding genes, often located in introns or intergenic regions. These pri-miRNAs form characteristic stem-loop structures and are processed in the nucleus by the Microprocessor complex, consisting of the RNase III enzyme Drosha and its cofactor DGCR8, which recognizes the double-stranded RNA stem and cleaves the pri-miRNA approximately 11 base pairs from the stem-loop junction to generate the precursor miRNA (pre-miRNA), a ~70-nucleotide hairpin structure.^[29]^[30] In contrast, plant miRNA biogenesis occurs entirely in the nucleus, where Dicer-like 1 (DCL1) processes pri-miRNAs directly into mature miRNAs without Drosha or a dedicated export step.^[31] In animals, the pre-miRNA is then exported from the nucleus to the cytoplasm via the RanGTP-dependent transport receptor Exportin-5, which specifically binds the pre-miRNA hairpin in a structure-dependent manner, ensuring efficient translocation through nuclear pores. In the cytoplasm, the pre-miRNA is recognized and cleaved by the RNase III family endonuclease Dicer, often in complex with accessory proteins such as TRBP in humans, to produce an imperfect miRNA duplex of approximately 21-23 nucleotides in length, featuring characteristic 2-nucleotide 3' overhangs resulting from the staggered cuts of Dicer's two RNase III domains. Small interfering RNAs (siRNAs) primarily arise from exogenous long double-stranded RNAs (dsRNAs), such as those introduced experimentally or derived from viral infections, which are directly processed in the cytoplasm by Dicer without a nuclear step; however, endogenous siRNAs are abundant in plants, fungi, and some invertebrates, generated from various cellular dsRNA sources. Dicer sequentially cleaves these long dsRNAs into siRNA duplexes of 21-23 nucleotides, again producing fragments with 2-nucleotide 3' overhangs that mimic the structure of miRNA duplexes, facilitating their subsequent incorporation into silencing complexes.^[32] Following duplex formation, strand selection occurs during or prior to loading into Argonaute proteins, governed by thermodynamic asymmetry in the duplex ends: the strand with the less stable 5' end (typically lower base-pairing stability at the 5' terminus) is preferentially selected as the guide strand, while the passenger strand is degraded by the slicer activity of Argonaute-2 or other exonucleases. This selection mechanism ensures functional specificity, as demonstrated in both siRNA and miRNA contexts, where mismatches or stability differences bias incorporation into the RNA-induced silencing complex.^[33]

Loading into the RISC complex

The loading of small RNA duplexes into the RNA-induced silencing complex (RISC) begins with the handover from the RISC-loading complex (RLC), which consists of Dicer, the double-stranded RNA-binding protein TRBP (or its homolog PACT), and Argonaute 2 (Ago2) in a 1:1:1 stoichiometry.^[34] Dicer processes precursor dsRNAs into ~21-nucleotide duplexes, positioning them via its PAZ domain for transfer to Ago2's PAZ domain, facilitated by the spatial proximity enabled by TRBP's flexible binding to Dicer's N-terminal DExH/D domain.^[34] This transfer occurs spontaneously in vitro without additional cofactors, ensuring efficient delivery of the duplex to Ago2 for RISC maturation.^[5] Once delivered, the small RNA duplex is loaded into Ago2 in an ATP-dependent manner mediated by the Hsc70/Hsp90 chaperone machinery, which remodels Ago2's conformational state to accommodate the duplex by opening its nucleic acid-binding channel.^[35] Hsc70, in complex with co-chaperones like HOP, initiates ATP hydrolysis to engage Ago2, followed by transfer to Hsp90 for further stabilization and duplex insertion; this cycle is essential for loading but not for subsequent duplex unwinding or target cleavage.^[35] The N-terminal domain of Ago2 drives unwinding of the duplex in an ATP-independent manner after initial binding, separating the guide and passenger strands.^[36] Activation of the pre-RISC complex involves selective retention of the guide strand and ejection of the passenger strand, often through cleavage by Ago2's PIWI domain if the duplex has central mismatches compatible with slicing activity.^[37] This cleavage, which occurs endonucleolytically at the passenger strand's phosphodiester backbone, promotes rapid release and degradation of the passenger fragment, yielding the mature, single-stranded guide RNA-loaded RISC capable of target recognition. In cases of perfect duplex complementarity or non-slicer Argonautes, alternative slicer-independent ejection pathways ensure activation, though with potentially lower efficiency.^[37] Chaperone involvement extends to quality control, where unloaded or inactive RISC complexes are targeted for degradation via autophagy or the ubiquitin-proteasome system to prevent accumulation of non-functional Ago2.^[38] The Hsc70/Hsp90 cycle thus not only drives loading but also links to turnover pathways, maintaining cellular homeostasis of RISC components.^[38] In vitro reconstitution studies reveal that loading efficiency is highly sensitive to environmental factors, including temperature (optimal at ~25°C, with suppression below 15°C) and ionic conditions (e.g., NaCl concentrations up to 600 mM supporting chaperone associations), underscoring the thermodynamic constraints on duplex insertion and unwinding.^[35] Inhibition of chaperones reduces loading by up to 50% or more, highlighting their critical role in achieving functional RISC yields.^[35]

Mechanism of Target Recognition

Guide RNA-mRNA base pairing

The guide RNA within the RNA-induced silencing complex (RISC) directs target recognition by forming base pairs with complementary sequences on messenger RNA (mRNA) transcripts, primarily through interactions mediated by the Argonaute protein. The 5' portion of the guide RNA, specifically nucleotides 2 through 8 (the seed region), docks into a narrow groove formed by the MID and PIWI domains of Argonaute, positioning it for initial hybridization with the target mRNA. This anchoring stabilizes the complex and initiates pairing, with perfect Watson-Crick base complementarity in the seed region enabling high-affinity binding suitable for either slicing or repression, while mismatches here significantly impair efficiency. Thermodynamically, guide RNA-mRNA interactions rely on standard Watson-Crick base pairing (A-U and G-C), where the free energy of hybridization drives specificity, particularly in the seed region; central mismatches reduce stability and targeting efficacy, but the 3' end (positions 9-21) tolerates bulges or G-U wobbles, allowing imperfect matches that favor translational repression over cleavage in metazoans. Experimental mutagenesis studies have shown that seed region mismatches, even single ones, can abolish repression by over 90% for many miRNAs, underscoring its role as the primary determinant of target selection. Multiple binding sites within a single mRNA, often clustered in the 3' untranslated region (UTR), can cooperatively enhance silencing through additive effects on transcript destabilization or translation. RISC scans mRNA transcripts dynamically, interrogating potential sites in a stepwise manner starting from the seed region to propagate pairing along the guide length, which allows efficient surveillance of the transcriptome without exhaustive searching. In animal systems, specificity is further enhanced by GW182 family proteins, which bind to the PIWI domain of Argonaute via tryptophan-containing GW/WG motifs and recruit deadenylation machinery, amplifying repression for imperfectly matched targets while maintaining fidelity.^[39]

Argonaute-mediated slicing

The Argonaute-mediated slicing represents the core endonucleolytic function of the RNA-induced silencing complex (RISC), enabling precise cleavage of target mRNAs that exhibit extensive base pairing with the guide RNA. The PIWI domain of Argonaute proteins functions as an RNase H-like endonuclease, catalyzing the hydrolysis of the target RNA's phosphodiester backbone. This activity is triggered following guide RNA-mRNA base pairing, where the target is positioned within the active site cleft formed by the PIWI and PAZ domains. Cleavage occurs specifically between nucleotides 10 and 11 of the target mRNA, aligned opposite positions 10 and 11 of the guide RNA, generating fragments with 5'-phosphate and 3'-hydroxyl termini. This site-specific incision requires near-perfect complementarity across at least the 10 central base pairs of the guide-target duplex to stabilize the pre-cleavage conformation and position the scissile phosphate optimally. In mammals, slicing is uniquely attributed to the Argonaute-2 (Ago2) isoform among the four Argonaute family members, as Ago1, Ago3, and Ago4 lack this catalytic competence due to sequence variations in the active site. The catalytic mechanism relies on a conserved DDH triad (aspartate-aspartate-histidine) within the PIWI domain, which coordinates two Mg^{2+} ions to facilitate phosphodiester bond hydrolysis via a two-metal-ion pathway. One Mg^{2+} ion activates a water molecule as the nucleophile through pH-dependent deprotonation, while the second stabilizes the pentacoordinate transition state and the leaving group oxyanion; the histidine residue likely serves as a general acid to protonate the departing 5'-oxygen.^[40] Mutagenesis of these residues abolishes slicing activity, confirming their essential role. In vitro reconstitution assays reveal that RISC exhibits single-turnover kinetics, where the enzyme cleaves one target per guide RNA-loaded complex before product dissociation limits further activity. However, in cellular contexts, accessory factors promote rapid release of the cleaved fragments, enabling multiple-turnover slicing and amplification of the silencing response against abundant targets.

Silencing Functions

mRNA cleavage and degradation

Following Argonaute-mediated slicing of the target mRNA, the resulting cleaved fragments are rapidly directed to degradation pathways that ensure efficient removal of the transcript. In animals, the 5' fragment, retaining the m7G cap, is rapidly degraded from its 3' end by the exosome complex, a process requiring the Ski complex (Ski2, Ski3, Ski8).^[41] This prevents re-ligation or recycling of the fragment and contributes to the overall silencing efficacy. The 3' fragment, bearing a 5'-phosphate end from the cleavage and retaining the poly(A) tail, is degraded 5'-to-3' by the exonuclease XRN1.^[41] These coordinated steps highlight the integration of RISC activity with general mRNA turnover machinery. In animals, RISC-mediated mRNA cleavage occurs mainly with siRNAs or perfect-match targets, whereas miRNA pathways predominantly use deadenylation and decapping for destabilization without slicing.^[2] In plants, mRNA degradation following RISC slicing is strictly slicer-dependent, relying on Argonaute endonucleases like AGO1; the 5' fragment is degraded 3'-to-5' by exonucleases including the exosome or SOV3, and the 3' fragment 5'-to-3' by XRN4, without prior deadenylation, leading to rapid turnover with half-lives typically under 1 hour.^[42]^[43] Overall, siRNA-directed RISC activation via this cleavage and degradation pathway achieves 80-95% reduction in target mRNA levels, establishing a robust benchmark for gene knockdown efficiency in experimental and therapeutic contexts.

Translational inhibition

In animal systems, the RNA-induced silencing complex (RISC) primarily achieves translational inhibition through imperfect base pairing between the guide miRNA and the target mRNA, which recruits the scaffold protein GW182 to the mRNA's 3' untranslated region (UTR). This recruitment enables GW182 to interact with components of the translation initiation machinery, such as the poly(A)-binding protein (PABP) and the cap-binding protein eIF4E, thereby blocking the assembly of the eIF4F initiation complex and preventing 40S ribosomal subunit recruitment to the mRNA.^[44] Translational repression by miRISC often occurs independently of poly(A) tail deadenylation, particularly in early stages of silencing, where RISC promotes the dissociation of target mRNAs from actively translating polysomes. This deadenylation-independent mechanism involves GW182-mediated release of eukaryotic initiation factors like eIF4A from the mRNA, disrupting scanning and ribosome loading prior to any shortening of the poly(A) tail.^[45] In cases where deadenylation does contribute, it enhances repression but is not essential for initial polysome dissociation.^[46] Quantitative studies indicate that miRISC-mediated translational inhibition typically reduces protein synthesis from target mRNAs by 50-80%, depending on the miRNA-target interaction strength and cellular context.^[47] This repression is reversible; removal of the miRNA or disruption of RISC assembly restores translation efficiency, allowing dynamic regulation in response to cellular signals.^[48] Such mechanisms are predominant in metazoans, where they enable fine-tuned control of gene expression during development and stress responses.^[46] A classic example is the lin-4 miRNA in Caenorhabditis elegans, which represses translation of the LIN-14 transcription factor by binding multiple sites in its 3' UTR, inhibiting initiation without substantial mRNA degradation and thereby regulating developmental timing.^[49] This process highlights the conserved role of translational inhibition in metazoan gene regulation, distinct from degradative pathways.^[50]

Advanced Roles

Chromatin silencing and heterochromatin

In the fission yeast Schizosaccharomyces pombe, the RNA-induced transcriptional silencing (RITS) complex plays a central role in epigenetic regulation by facilitating heterochromatin formation at centromeric regions. The RITS complex consists of the Argonaute protein Ago1 bound to siRNAs, the chromodomain protein Chp1, and the bridging protein Tas3, which together target nascent transcripts derived from centromeric repeat sequences such as dg and dh.00057-7) This targeting directs the histone methyltransferase Clr4 to deposit H3K9 methylation marks, recruiting HP1-like proteins (Swi6 and Chp2) to establish and propagate heterochromatin domains.00057-7) The mechanism involves cotranscriptional recruitment of RITS to nascent RNA transcripts at heterochromatic loci, where siRNA-guided base pairing stabilizes RITS association. This interaction recruits the RNA-dependent RNA polymerase complex (RDRC), containing Rdp1, which synthesizes double-stranded RNAs from the single-stranded nascent transcripts, amplifying siRNA production in a positive feedback loop.^[51]^[52] The amplified siRNAs further enhance RITS targeting and Clr4 activity, ensuring robust H3K9 methylation and heterochromatin spreading, while maintaining a self-reinforcing cycle that couples transcription to silencing.^[52] Heterochromatin formation mediated by RITS silences repetitive DNA elements, including retrotransposons like Tf2, preventing their mobilization and aberrant transcription that could disrupt genome integrity. Defects in RITS components or the RNAi pathway, such as deletions of ago1, dcr1, or rdp1, lead to loss of centromeric heterochromatin, resulting in chromosome segregation errors during mitosis and meiosis, including elevated nondisjunction rates (45- to 67-fold higher than wild-type) and lagging chromosomes, which contribute to overall genomic instability. This nuclear RNAi mechanism is conserved in other organisms, notably in the Drosophila melanogaster piRNA pathway, where the Piwi clade Argonaute protein forms a nuclear RISC-like complex with piRNAs to target transposon transcripts in the germline, promoting H3K9 methylation and heterochromatin assembly to safeguard genome stability.

DNA elimination in specialized organisms

In specialized organisms such as ciliates, the RNA-induced silencing complex (RISC) facilitates programmed DNA elimination, a process that physically excises specific genomic regions to sculpt the somatic genome during development. In Tetrahymena thermophila, this occurs during conjugation, the sexual reproductive phase, where approximately 30% of the micronuclear germline genome—roughly 54 Mb, including ~46 Mb of internal eliminated sequences (IESs)—is removed to generate the transcriptionally active macronucleus from the developing polyploid copy of the micronucleus.^[53] This elimination is essential for viability, as disruptions lead to developmental arrest, and it results in a macronuclear genome of about 103 Mb optimized for high-level gene expression.^[53] The process initiates with nongenic, bidirectional transcription of the post-meiotic micronucleus around 3 hours post-mixing of mating types, producing double-stranded RNA precursors from both retained and eliminated sequences. These are diced by the Dicer-like enzyme Dcl1p into ~28-29 nucleotide scanRNAs (scnRNAs), which are loaded in the cytoplasm onto the Piwi-clade Argonaute protein Twi1p to assemble the RISC complex; Twi1p's slicer activity cleaves the passenger strand, and Hen1p methylates the 5' end of the guide scnRNA for stability.^[54] The Twi1p-scnRNA RISC then shuttles to the parental macronucleus, where scnRNAs base-pairing with retained sequences are selectively degraded, enriching for IES-targeting scnRNAs that are subsequently transported to the new macronucleus.^[53] In the developing macronucleus, the RISC complex directs heterochromatin assembly by recruiting the methyltransferase Ezl1p, which deposits H3K9me3 and H3K27me3 marks on IES chromatin, followed by binding of chromodomain proteins like Pdd1p.^[54] This condensed chromatin is precisely excised at ~12,000 IES boundaries by the endonuclease Tpb2p, generating linear fragments that are degraded by a combination of endo- and exonucleases, leaving only the retained sequences to be circularized and amplified.^[53] A feedback loop amplifies the process, as late-scnRNAs derived from excised IESs in the new macronucleus further reinforce elimination via zygotically expressed Twi1p and the related Twi11p.^[53] A parallel mechanism operates in Paramecium tetraurelia, where siRNA-loaded Piwi proteins within RISC complexes guide the elimination of transposon-derived sequences and other repetitive elements during macronuclear development, involving similar small RNA selection and histone modifications to ensure precise excision and genome reorganization.

Therapeutic and Research Applications

siRNA-based tools in biotechnology

siRNA-based tools exploit the RNA-induced silencing complex (RISC) to enable precise gene knockdown in laboratory settings, facilitating functional genomics and pathway analysis through targeted mRNA degradation or translational repression. High-throughput RNAi screens utilize comprehensive siRNA libraries to perform genome-wide phenotyping, allowing researchers to systematically assess gene functions by observing phenotypic changes upon silencing. These screens typically involve transfecting cells with pooled or arrayed siRNAs targeting thousands of genes, followed by phenotypic readouts such as viability, morphology, or reporter activity. In Drosophila cell-based assays, such screens have been particularly effective due to the availability of robust libraries and the organism's conserved RNAi machinery, enabling discoveries in signaling pathways, cell cycle regulation, and development. For instance, early large-scale screens in Drosophila S2 cells identified novel components of innate immunity and cytoskeletal dynamics. A seminal guide for implementing these screens in cultured cells emphasized optimized protocols for siRNA delivery and data analysis to maximize hit identification while minimizing artifacts. To enhance performance, synthetic siRNAs incorporate chemical modifications like 2'-O-methyl groups at select positions, which increase resistance to nuclease degradation and improve serum stability without substantially reducing RISC loading or silencing efficiency. These modifications are strategically placed, often in the sense strand or non-seed regions of the guide strand, to balance stability and specificity. Viral delivery vectors further advance these tools by providing stable, long-term expression of siRNAs or their precursors, such as short hairpin RNAs (shRNAs), which are processed into siRNAs by the cellular machinery. Adeno-associated virus (AAV) vectors, for example, offer low immunogenicity and efficient transduction in a wide range of cell types, making them ideal for in vitro and ex vivo applications in functional studies. Lentiviral vectors extend this capability to hard-to-transfect cells, enabling genome-wide knockdown in primary cultures. Emerging CRISPR-RNAi hybrids integrate CRISPR targeting with RNAi mechanisms to achieve programmable RNA slicing, exemplified by fusions of catalytically inactive prokaryotic Argonautes (pAgos) with nucleases for site-specific cleavage. Although direct Cas9-Ago fusions remain exploratory, related constructs like FokI-pAgo fusions enable precise, guide RNA-directed slicing of RNA targets, combining DNA/RNA hybrid recognition with RISC-like activity for enhanced control in synthetic biology. Despite these advances, siRNA-based tools face limitations from off-target effects, where siRNAs unintentionally silence non-target mRNAs via partial complementarity, particularly in the seed region, leading to misleading phenotypes. In high-throughput screens, such effects contribute to false positives, with studies indicating that up to 20-30% of initial hits may arise from off-target silencing rather than specific knockdown. Strategies like pooled siRNA designs (siPools) mitigate this by distributing silencing across multiple siRNAs per target, reducing the impact of individual off-targets.

Clinical developments and challenges

The RNA-induced silencing complex (RISC) has underpinned several approved siRNA therapeutics, marking a milestone in clinical translation. Patisiran (Onpattro), approved by the FDA in 2018, targets transthyretin (TTR) mRNA to treat polyneuropathy in hereditary transthyretin-mediated (hATTR) amyloidosis, utilizing lipid nanoparticles for hepatic delivery and subsequent RISC-mediated cleavage.^[55] Givosiran (Givlaari), approved in 2019, addresses acute hepatic porphyria in adults by silencing aminolevulinic acid synthase 1 (ALAS1) mRNA through GalNAc-conjugated siRNA, which facilitates uptake by asialoglycoprotein receptors on hepatocytes.^[56] As of November 2025, seven siRNA drugs have received FDA approval, including inclisiran for hypercholesterolemia, lumasiran for primary hyperoxaluria type 1, vutisiran for hATTR amyloidosis, nedosiran for primary hyperoxaluria, and fitusiran for hemophilia, demonstrating RISC's efficacy in rare genetic disorders primarily affecting the liver.^[57] The clinical pipeline for RISC-based therapies has expanded significantly, with numerous siRNA candidates in Phase III trials as of 2025, targeting diverse indications such as myasthenia gravis and metabolic liver diseases. For example, fitusiran (Qfitlia) was approved in March 2025 for hemophilia prophylaxis, reducing antithrombin mRNA expression to prevent bleeding episodes.^[58] Other advanced programs, like cemdisiran for generalized myasthenia gravis, have shown superior efficacy over placebo in Phase III, highlighting RISC's potential in autoimmune conditions.^[59] Key challenges in RISC therapeutics include inefficient endosomal escape after cellular uptake, which limits cytosolic access for RISC loading, and inherent liver tropism that restricts applications to extrahepatic tissues.^[60] GalNAc conjugates have mitigated these by enhancing receptor-mediated targeting to hepatocytes, enabling durable silencing in liver-centric diseases, though broader tissue distribution remains elusive.^[61] Advances between 2022 and 2025 have focused on overcoming delivery barriers, particularly AAV vectors for CNS penetration, allowing siRNA and artificial miRNA delivery to silence genes in neurodegenerative models. In cancer, Phase I/II trials of miRNA mimics, such as miR-16-based TargomiRs, have demonstrated preliminary antitumor activity by engaging RISC to downregulate oncogenes.^[62] Safety concerns, including innate immune activation via Toll-like receptors, have been largely addressed through chemical modifications like 2'-O-methyl substitutions on siRNA, which ablate proinflammatory responses while preserving RISC activity.^[63] Long-term data from post-approval studies indicate sustained efficacy with manageable adverse events, though monitoring for off-target silencing continues as more patients accumulate exposure.^[64]

References

[1]
The RNA-induced Silencing Complex: A Versatile Gene-silencing ...
The underlying feature common to all of these silencing complexes is that the core of each contains a small regulatory RNA guiding an Argonaute protein.
[2]
Formation, action, and degradation of RNA-induced silencing complex
Jan 6, 2022 · Here, we summarize our current understanding of the life of RISC from birth to death, focusing on the miRNA and siRNA pathways in animals and plants.
[3]
Anatomy of RISC: how do small RNAs and chaperones activate ...
May 16, 2016 · This review dissects the currently available structures of AGO proteins and proposes models and hypotheses for RISC assembly.
[4]
Argonaute proteins: Structural features, functions and emerging roles
Apr 29, 2020 · ... Argonaute proteins contain four domains, including N, PAZ, MID and PIWI. Of them, the N and PAZ domains are connected by Linker 1 (L1) and ...
[5]
In vitro reconstitution of the human RISC-loading complex - PNAS
Jan 15, 2008 · This analysis revealed that the native molecular mass of the complex is 371.129 kDa ... The identity of the 11-kDa RNA and its effects on ...
[6]
Anatomy of four human Argonaute proteins - Oxford Academic
The MID and PAZ domains recognize the 5′ and 3′ ends of the guide, respectively (23–25). The PIWI domain is responsible for target cleavage (7, 26, 27). These ...
[7]
The Argonaute protein family | Genome Biology | Full Text
Feb 26, 2008 · Linker 2 (L2, yellow) connects the PAZ domain with the MID domain (magenta), which is followed by the PIWI domain (blue) at the carboxy-terminal ...
[8]
Comprehensive Evolutionary Analysis of the Major RNA-Induced ...
Sep 21, 2018 · RNA-induced silencing complex (RISC) plays an important role in small interfering RNA (siRNA)- and microRNA (miRNA)-mediated gene regulation1,2, ...
[9]
RISC assembly and post-transcriptional gene regulation in ...
The total molecular weight of this complex varies from 200 to 400 kDa depending on the stage of the cell cycle, nature of the cells, tissues and organs. Some of ...
[10]
Small RNA sorting: matchmaking for Argonautes - PMC
Mature RISC consists of a single-stranded small RNA bound to an Argonaute protein. As some small RNAs are generated as duplexes, only one strand (the guide ...
[11]
Dynamic and Modularized MicroRNA Regulation and Its Implication ...
Oct 17, 2017 · In humans, it was estimated that 2,588 miRNAs regulate over 60% of human genes and participate in every aspect of cellular activities in cell ...
[12]
siRNA and miRNA: an insight into RISCs - ScienceDirect
Emerging evidence indicates, however, that siRISC and miRISC are distinct complexes that regulate mRNA stability and translation. The assembly of RISCs can be ...
[13]
miRNAs: Key Players in Neurodegenerative Disorders and Epilepsy
miRNA dysregulation has been observed in cancer and in neurodegenerative disorders such as Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's ...Missing: infections | Show results with:infections
[14]
Emerging role of RNA interference in immune cells engineering and ...
Feb 19, 2021 · RNAi is expected to provide a cellular defence against viral infection and potentially harmful destabilizing genomic intruders such as ...
[15]
Role of miRNAs in Neurodegeneration: From Disease Cause to ...
Dysregulation in Dicer, Drosha, and RISC complexes leads to disruption of miRNA biogenesis, defective cellular processes, and the onset of neuronal degeneration ...
[16]
The Nobel Prize in Physiology or Medicine 2006 - NobelPrize.org
The Nobel Prize in Physiology or Medicine 2006 was awarded jointly to Andrew Z. Fire and Craig C. Mello for their discovery of RNA interference.
[17]
The origin of RNA interference: Adaptive or neutral evolution?
Jun 29, 2022 · We argue that RNAi was already present in the ancestor of LECA before the need for a new defense system arose and that its presence helped to ...
[18]
RNA-guided RNA silencing by an Asgard archaeal Argonaute - Nature
Jun 29, 2024 · The presence of a PIWI-clade Argonaute in the Asgard archaea opened an avenue for exploring the evolutionary origin of RNA silencing pathway by ...
[19]
Structural characterization of macro domain–containing Thoeris ...
Jun 26, 2024 · Thoeris defense systems protect bacteria from infection by phages via abortive infection. In these systems, ThsB proteins serve as sensors ...
[20]
The Argonaute protein family - PMC - PubMed Central
In mammals there are eight Argonaute genes [2,3]. The Argonaute protein family can be divided into the Ago subfamily and the Piwi subfamily (Figure 1) [2,4,5].Gene Organization And... · Characteristic Structural... · Localization And Function
[21]
Origin, evolution and diversification of plant ARGONAUTE proteins
Dec 14, 2021 · Our results show that Zygnematophyceae species have a diversified AGO family similar to land plants. On the other hand, AGO-mediated regulation ...Results · Figure 3 · Discussion
[22]
Origin, evolution and diversification of plant ARGONAUTE proteins - Li
Nov 30, 2021 · Here, we identified more than 2900 AGO proteins from 244 plant species, including green algae, and performed a large-scale phylogenetic analysis.
[23]
end-specific recognition of guide RNA by the A. fulgidus Piwi protein
Mar 31, 2005 · The PIWI domain, a highly conserved motif within Argonaute, has been ... RNase H fold critical for the endonuclease cleavage activity of RISC.
[24]
Crystal Structure of A. aeolicus Argonaute, a Site-Specific DNA ...
The PIWI Domain Contains an mRNA Cleavage Site. The first indications that the PIWI domain adopts an RNase H fold containing a catalytic DD-containing motif ...
[25]
RNA-induced initiation of transcriptional silencing (RITS) complex ...
This review focuses on our current understanding of how RITS promotes heterochromatin formation, and in particular on the role of Argonaute-containing complexes ...
[26]
The Tetrahymena Argonaute-Binding Protein Giw1p Directs a ...
The Tetrahymena Argonaute protein Twi1p localizes to the nucleus and is crucial for small RNA-directed programmed DNA elimination. In this study, we identify ...
[27]
The nuclear RNase III Drosha initiates microRNA processing - Nature
Sep 25, 2003 · Here we identify another RNase III, human Drosha, as the core nuclease that executes the initiation step of miRNA processing in the nucleus.
[28]
The Microprocessor complex mediates the genesis of microRNAs
Nov 7, 2004 · The smaller complex is composed of Drosha and the double-stranded-RNA-binding protein, DGCR8, the product of a gene deleted in DiGeorge syndrome ...Missing: DGCR8 | Show results with:DGCR8
[29]
RNA interference is mediated by 21- and 22-nucleotide RNAs
Using a Drosophila in vitro system, we demonstrate that 21- and 22-nt RNA fragments are the sequence-specific mediators of RNAi.<|separator|>
[30]
Structural insights into RNA Processing by the Human RISC ...
On the other hand, the two-lobed volume of the base branch agrees well with the size of the DExH/D domain (68 kDa compared to the calculated 70 kDa from the ...
[31]
Hsc70/Hsp90 Chaperone Machinery Mediates ATP-Dependent ...
Apr 13, 2010 · Pre-RISC was formed in the absence of the inhibitors and “chased” into mature RISC in the presence of 1 mM of the inhibitors.<|control11|><|separator|>
[32]
ATP-dependent human RISC assembly pathways - PMC
(b) Conversion of pre–Ago2-RISC into mature–Ago2-RISC does not require ATP. Pre–Ago2-RISC was formed by incubating radiolabeled duplex A in HeLa cell lysate in ...
[33]
Structural Foundations of RNA Silencing by Argonaute - PMC
It is thought that small RNA strand selection occurs in a step-wise fashion, initiated by loading of a small RNA duplex into Argonaute (a complex termed pre- ...Missing: paper | Show results with:paper
[34]
https://pmc.ncbi.nlm.nih.gov/articles/PMC2845538/
[35]
CCR4-NOT Deadenylates mRNA Associated with RNA-Induced ...
We further show that tethering RISC subunits to mRNA likewise accelerates mRNA decay by promoting poly(A) removal by CCR4-NOT. Despite the ability of RISC to ...
[36]
The mammalian exosome mediates the efficient degradation of ...
After deadenylation, the mRNA is handed off efficiently from PARN to the exosome which is now in an optimal position to begin degrading the newly liberated 3′ ...Results · Exosomal Proteins Are... · Exosome Activity Is...
[37]
Decay of mRNAs targeted by RISC requires XRN1, the Ski complex ...
Following the first AGO2-dependent cleavage, the resulting 5′ fragment is degraded by the exosome, whereas the 3′ fragment is degraded by XRN1. Degradation of ...
[38]
MicroRNAs Block Assembly of eIF4F Translation Initiation Complex ...
Oct 2, 2014 · Direct Tethering of GW182 Causes Dissociation of Both. eIF4E and eIF4A. While Ago1-RISC can mediate repression of translation initiation.
[39]
An mRNA m G Cap Binding-like Motif ...
We propose that Ago2 represses the initiation of mRNA translation by binding to the m7G cap of mRNA targets, thus likely precluding the recruitment of eIF4E.
[40]
MicroRNAs Trigger Dissociation of eIF4AI and eIF4AII from Target ...
Mar 14, 2023 · We show that miRISC promotes eIF4AI and eIF4AII release from target mRNAs prior to dissociation of. eIF4E and eIF4G in a deadenylation- ...
[41]
mRNA Destabilization Is the Dominant Effect of Mammalian ...
MicroRNAs (miRNAs) regulate target mRNAs through a combination of translational repression and mRNA destabilization, with mRNA destabilization dominating at ...
[42]
Repression of VEGFA by CA‐rich element‐binding microRNAs is ...
The pre‐miR mimetics of the four miRNAs reduced reporter expression by about 50–80% compared with the control, a random precursor with no homology to the human ...
[43]
The complexity of miRNA-mediated repression - Nature
Sep 5, 2014 · Although it has long been known that miRNAs bind to mRNAs to trigger translational repression and degradation, there had been much debate ...
[44]
MicroRNAs control translation initiation by inhibiting eukaryotic ...
Nov 22, 2005 · ... translation, predominantly without degrading the mRNA (1-4, 14). ... elegans, and there is no evidence in the recent study that mRNA degradation ...Micrornas Control... · Sign Up For Pnas Alerts · Results
[45]
Repression of C. elegans microRNA targets at the initiation level of ...
Jan 8, 2009 · The observation that lin‐4 induces a stronger translational blockade of lin‐28 than of lin‐14 and conversely a more pronounced degradation of ...
[46]
https://www.cell.com/molecular-cell/fulltext/S1097-2765%2814%2900706-0
[47]
https://www.embopress.org/doi/10.1038/emboj.2011.38
[48]
Whats, hows and whys of programmed DNA elimination in ... - NIH
Oct 11, 2017 · Although the effect of DNA elimination on replication is limited in Tetrahymena (which eliminates only 30% of the genome from the MAC), ...Missing: percentage | Show results with:percentage
[49]
Programmed DNA elimination in Tetrahymena: a small RNA ... - NIH
The requirement for the Argonaute protein Twi1p in DNA elimination and accumulation of conjugation-specific small (~28-29 nt) RNAs immediately suggested ...
[50]
[PDF] FULL PRESCRIBING INFORMATION - accessdata.fda.gov
A total of 224 patients with polyneuropathy caused by hereditary transthyretin-mediated amyloidosis (hATTR amyloidosis) received ONPATTRO in the placebo- ...
[51]
[PDF] Givlaari (givosiran) - accessdata.fda.gov
GIVLAARI is indicated for the treatment of adults with acute hepatic porphyria (AHP). The recommended dose of GIVLAARI is 2.5 mg/kg administered via ...
[52]
Development, opportunities, and challenges of siRNA nucleic acid ...
Currently, there are six siRNA drugs that have been approved by the US Food and Drug Administration (FDA): patisiran, givosiran, inclisiran, lumasiran, ...
[53]
Clinical development prospects of siRNA drugs for tumor therapy
Sep 17, 2025 · As of 31 October 2024, regulatory agencies worldwide have approved six siRNA drugs. These siRNA therapeutics primarily address cardiovascular ...
[54]
FDA approves siRNA drug for haemophilia prophylaxis - Nature
Apr 2, 2025 · Sanofi and Alnylam's fitusiran (Qfitlia) has secured FDA approval for routine prophylaxis to prevent or reduce the frequency of bleeding episodes.
[55]
Regeneron's siRNA Therapy to Myasthenia Gravis Delivers in ...
Aug 27, 2025 · The investigational therapy cemdisiran shows strong efficacy and safety in generalized myasthenia gravis, outperforming combination therapy.
[56]
GalNAc-siRNA Conjugates: Leading the Way for Delivery of RNAi ...
GalNAc-siRNA conjugates escape the endosome in an unknown and rate-limiting mechanism that may be prohibitively infrequent in systems lacking the high receptor ...
[57]
The therapeutic prospects of N-acetylgalactosamine-siRNA ...
Dec 13, 2022 · Endosomal escape is considered the rate-limiting step, preventing GalNAc conjugates from exerting their effects. Cell-penetrating peptides (CPPs) ...
[58]
MicroRNA in cancer therapy: breakthroughs and challenges in early ...
Apr 21, 2025 · The development of miRNA mimics and inhibitors as therapeutic agents has shown promising results in preclinical and early clinical trials, and ...
[59]
Chemical Modifications on siRNAs Avoid Toll-like-receptor ...
Sep 24, 2013 · However, 2'-O-methyl modifications of siRNA largely avoid immune-stimulatory effects, which is a crucial prerequisite for the development of ...
[60]
Therapeutic siRNA: state of the art - Nature
Jun 19, 2020 · It theoretically can silence any disease-related genes in a sequence-specific manner, making small interfering RNA (siRNA) a promising ...Missing: seminal | Show results with:seminal