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p-HER2apt-siMED1 RNA nanoparticles is a preclinical-stage multifunctional RNA nanoparticle therapeutic developed by RNA Nanotherapeutics (a spinout from the University of Cincinnati) for the treatment of HER2-overexpressing, therapy-resistant breast cancer. Built on a phi29 bacteriophage packaging RNA (pRNA) three-way junction (3WJ) scaffold, the nanoparticle is designed for targeted delivery. It incorporates a HER2-targeting RNA aptamer (p-HER2apt) to selectively bind and internalize into HER2-positive breast cancer cells, and carries two small interfering RNA (siRNA) payloads targeting Mediator Subunit 1 (MED1). MED1 is a transcription coactivator co-amplified with HER2 that drives tumor progression, metastasis, and resistance to endocrine therapies (such as tamoxifen). By silencing MED1, the nanoparticles reduce tumor burden, inhibit cancer stem cell formation, and reverse therapeutic resistance.
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