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LNP-dsP21 is a lipid nanoparticle-formulated small activating RNA (saRNA) designed to induce the expression of the p21WAF1/CIP1 (p21) gene through a mechanism known as RNA activation (RNAa). Developed through a collaboration between the University of California San Francisco and Alnylam Pharmaceuticals, the drug targets the promoter region of the p21 gene, which encodes a key negative regulator of the cell cycle often downregulated in various cancers. By restoring p21 expression, LNP-dsP21 inhibits cell proliferation, induces cell cycle arrest, and promotes apoptosis in tumor cells. In preclinical studies, intravesical delivery of LNP-dsP21 demonstrated significant tumor regression and improved survival in orthotopic bladder cancer models, while maintaining stability in urine and exhibiting minimal immunostimulatory effects due to 2′-Fluoro chemical modifications.
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